INSTRUCTIONS

1. The registration form must be printed in a LEGAL/LONG SIZE

paper.
2. Submit this form at DepEd – Division of Davao del Sur, SGOD
Office and look for Ms. April Beltran.
3. The Deadline for submission is on February 21, 2020.

Note: Only the qualified applicants can take the EPT.

 Republic of the Philippines Photo - 1x1
Registration Officer’s Copy Department of Education (White
Region XI Background with
Division of Davao del Sur Name Tag)

ENGLISH PROFICIENCY TEST (EPT) for Teacher 1 Applicants

REGISTRATION FORM
Level Applying For (please check)
_____ Elementary
_____ JHS
_____ SHS

Last Name First name Middle Name

Address: Religion:
Date of Birth: Age: Sex:
Degree: Major: Year Graduated:
Eligibility: Date Obtained: Rating:
Educational Background
Level Name of School Address Year Graduated
Elementary
High School
College
Masteral
Doctoral

Testing Center: HAGONOY NATIONAL HIGH SCHOOL Date of Examination:

___________________________________
Applicant’s Signature Over Printed Name

---------------------------------------------------------------------------------------------------------------------------------------

Republic of the Philippines

Department of Education Applicant’s Copy
Region XI
Division of Davao del Sur

ENGLISH PROFICIENCY TEST (EPT) for Teacher 1 Applicants

REGISTRATION FORM

Last Name First name Middle Name

Testing Center: HAGONOY NATIONAL HIGH SCHOOL Date of Examination:

__________________________________________
Registration Officer’s Signature Over Printed Name Validated by:

CLARENCE S. PILLERIN, Ed.D.

EPS / Division Testing Coordinator
INSTRUCTION TO THE EXAMINEES:
1. Bring with you this form during the examination day for verification, together with one (1) valid
Photo - 1x1 identification card.
(White 2. Arrive at the Testing Center thirty (30) minutes before the time.
Background with 3. Please bring 2 pencil lead no. 2.
Name Tag) 4. Please wear appropriate and decent attire. Strictly NO WEARING OF SHORTS, SLEEVELESS
and SLIPPERS.