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LEARNING ASSESSMENT REPORT
BASED ON THE CRITERIA FOR THE EQUIVALENCY DETERMINATION OF PRIMARY LEVEL
Set No. …………..…….No. …………………….
Student No. ……………………………….………..…. Educational Establishment ….………………………
Name and Family Name of Student……….……….. Amphur/District …………………….…………………
Sex ….… Religion …….……Nationality .…..……… Province ……………………………………………….
Date of Birth …….. Month ..…..……Year ….…..…. Previous Educational Establishment ………………
ID No. …………………………………………….……. Province ……………………………………………….
Name and Family Name of Father ...……...………. Previous CertiÌcate ……………………………..…...
Name and Family Name of Mother ...……..….……
Assessment Year Attended ……………………..…..
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#ECFGOKE ;GCT #UUGUUOGPV QH 4GNCVGF &KOGPUKQPU 1DVCKPGF 4GUWNVU
….../……… 1. Experiences
2. Knowledge and thoughts
.GCTPKPI 4GEQTF …..…………………..
Total Dimensions Passed ……….…………..……… (…………………..….) PHOTO
Academic Seminar Pass on ……. Month ...……Year …….…. Registrar 3 x 4 cms
Date of Approval ………………………......…..……..
Given On ……………………………………...……….
Cause of Issue …………………………..…...………. …………...………. Approved
(……………………)
Director of Educational Establishment……..………..……
Date …..… Month ….………...… Year (B.E.) …….……..
/CTM (*) means the equivalency transfer of educational level
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