Completely darken bubbles with a No. 2 pencil. If you make a mistake, be sure to erase mark completely. Erase all stray marks.
5. YOUR NAME
1. YOUR NAME: ____________________________________________________________________________________
(Print)
Last
First
M.I.
FIRST
INIT
First 4 letters of last name
MID
INIT
SIGNATURE: _____________________________________________________________ DATE: __________________
HOME ADDRESS: __________________________________________________________________________________
(Print)
Number and Street
A
A
A
A
A
A
B
B
B
B
B
B
C
C
C
C
C
C
D
D
D
D
D
D
E
E
E
E
E
E
F
F
F
F
F
F
G
G
G
G
G
G
IMPORTANT: Please fill in these boxes exactly as shown on the back cover of your test book.
H
H
H
H
H
H
2. TEST FORM
I
I
I
I
I
I
J
J
J
J
J
J
K
____________________________________________________________________________________________________
City
State
Zip Code
PHONE NO. : _______________________________________________________________________________________
(Print)
3. TEST CODE
6. DATE OF BIRTH
Month
Day
Year
JAN
FEB
4. REGISTRATION NUMBER
K
K
K
K
K
0
A
0
0
0
0
0
0
0
0
0
L
L
L
L
L
L
1
B
1
1
1
1
1
1
1
1
1
M
M
M
M
M
M
2
C
2
2
2
2
2
2
2
2
2
N
N
N
N
N
N
3
D
3
3
3
3
3
3
3
3
3
O
O
O
O
O
O
4
E
4
4
4
4
4
4
4
4
4
P
P
P
P
P
P
MAR
0
0
0
0
5
F
5
5
5
5
5
5
5
5
5
Q
Q
Q
Q
Q
Q
G
APR
1
1
1
1
7
7
7
7
7
7
7
7
7
7
R
R
R
R
R
R
MAY
2
2
2
2
8
8
8
8
8
8
8
8
8
8
S
S
S
S
S
S
JUN
3
3
3
3
9
9
9
9
9
9
9
9
9
9
T
T
T
T
T
T
JUL
4
4
4
U
U
U
U
U
U
AUG
5
5
5
SEP
7
7
7
OCT
8
8
8
NOV
9
9
9
V
V
V
V
V
V
W
W
W
W
W
W
MALE
X
X
X
X
X
X
FEMALE
Y
Y
Y
Y
Y
Y
Z
Z
Z
Z
Z
Z
7. SEX
DEC
I
Section
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
Start with number 1 for each new section.
If a section has fewer questions than answer spaces, leave the extra answer spaces blank.
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E
A
B
C
D
E