This document is an examination summary sheet from the Southern Leyte State University-Bontoc Campus. It contains fields for the subject, examination period, term, academic year, topics being examined, number of hours and percent allocated to each topic, number of exam items in each cognitive skill area (knowledge, comprehension, application, etc.), and spaces for the instructor, area chair, and dean to sign off on. It provides a concise overview of the structure and components of an upcoming examination.

1. Republic of the Philippines
SOUTHERN LEYTE STATE UNIVERSITY-BONTOC CAMPUS
Bontoc, Southern Leyte
Telefax Nos. (053) 382-3121 / (053) 382-2607 Email: slsubc@yahoo.com
Subject: ________________________________ Examination Period: _____________ Term: __ 1st ___ 2nd ___ summer Academic Year:__________
Topic No. of Hours Percent No. of Items COGNITIVE SKILLS
Knowledge Comprehension Application Analysis Synthesis Evaluation Total
TOTAL
Prepared by: Reviewed by: Approved:
____________________________ __________________________ ______ LAMBERTO N. BADEO, EdD.
Instructor Area Chair Dean, Undergraduate Studies