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DSE 2016 香港考試及評核局 HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY 香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 試場主任手冊 CENTRE SUPERVISOR’S HANDBOOK 文件樣本 SPECIMEN DOCUMENTS

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Page 1: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

DSE 2016

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場主任手冊

CENTRE SUPERVISORrsquoS HANDBOOK

文件樣本

SPECIMEN DOCUMENTS

文件樣本目錄List of Specimen Documents

樣本SPECIMEN

文件名稱NAME OF DOCUMENTS

1A 考試文具核對表 Checklist of stationery for the centre

1B 課室試場用品 Items for use in examination room

2A 試場牌Centre poster

2B 「只准考生進入」告示牌ldquoNo Unauthorized Entryrdquo Notice

2D 「遲到考生不得進場」告示牌 (供聆聽部分用) ldquoNo latecomers will be admittedrdquo Notice (for Listening Components)

2E 聆聽卷別特別室試場牌Listening Paper Special Room centre poster

3 試場座位表樣本Specimen seating plan

(A 禮堂 B 課室) (A Hall B Classroom)

4 座位編號卡Seat number label

5 試卷數量核對表Question paper quantity checklist

6A 領取試卷收據 Question paper collection slip

6B 試卷收據 Question paper receipt

7A 標準試卷包裝 ndash 顏色標貼 試卷簡稱Standard packing of Question Papers ndash coloured label corner code

7B 電腦條碼紙及封包標貼Barcode sheet and packing label

8 考試用品核對表List of items required for the examination

9 「特別通告」信封 Envelope for special notice

10A 監考員名單Invigilators list

10B 監考員標貼Invigilatorrsquos label

10C 試場監考員名單Invigilatorsrsquo List for Examination Centre

11 監考員證明函 監考工作分配證Invigilatorrsquos identification slip Invigilatorrsquos assignment slip

12 監考員出席紀錄表Invigilatorsrsquo attendance record

14 准考證Admission Form

樣本 SPECIMEN

文件名稱 NAME OF DOCUMENTS

15A 申請香港永久性居民身分證收據 (ROP 140 表格) (由人事登記處發出) Acknowledgement of application for a Hong Kong Permanent Identity Card (Form ROP 140) (issued by the Registration of Persons Office)

15B 警署報失紙 (由警務處發出) Loss Memo (issued by the police)

16A amp B 考生出席紀錄表 (禮堂試場) (A禮堂 (只供「出席紀錄及答卷收集系統」的應變使用)

B 課室)

(AHall (For contingency use of ldquoAttendance Script Tracking Systemrdquo only)

B Classroom) Candidatesrsquo Attendance Record Form (Hall Centre)

16C 計算機報告書 Calculators Form

17 點名單Attendance list

18A 多項選擇題答題紙Multiple-choice answer sheet

18B 答題簿封面Answer book cover

19 墊底紙Backing sheet

20 (A 禮堂 B 課室) (A Hall B Classroom)

考試報告書Sessional report

21 SR1 報告書 ndash 考生未能出示准考證 身分證Report form SR1 ndash Candidate Without Admission Form Identity Card

22 SR3 報告書 ndash 考生不往指定試場應試 准考證未印有與考科目 卷別 單元 應考語文Report form SR3 ndash Candidate Attended the Wrong Examination Centre Subject Paper Module Language Version Not On Admission Form

23A SR4g 報告書 ndash 考試異常事項Report form SR4g ndash Examination Irregularities

23B SR4b 報告書 ndash 考試異常事項 (電腦條碼)Report form SR4b ndash Examination Irregularities (Barcodes)

23C SR4c 報告書 ndash 考試異常事項 (計算機)Report form SR4c ndash Examination Irregularities (Calculators)

23D SR4p 報告書 ndash 考試異常事項 (手提電話 電子器材 備有響鬧功能物品)Report form SR4p ndash Examination Irregularities (Mobile Phones Electronic Devices Sounding Devices)

23E SR4t 報告書 ndash 考生前往洗手間Report form SR4t ndash Candidates Going to the Toilet

24 SR4i 報告書 ndash 考試異常事項 (監考員)Report form SR4i ndash Examination Irregularities (Invigilators)

25 特別報告書及有關答卷 答題紙封套Envelope for special reports amp related scripts answer sheets

26A 答卷封套Answer script envelope

26B 試場答卷封套數目總表 (按試場)List of script envelopes by centre

樣本 SPECIMEN

文件名稱 NAME OF DOCUMENTS

27 特別封條Security adhesive tape

28 多項選擇題答題紙紙夾Multiple-choice answer sheet folder

29 交回答卷及文件收據Receipt for the return of scripts

30A 草稿紙封套Rough-work sheet envelope

30B 電腦條碼紙封套Barcode sheet envelope

31 手提電話提示卡Mobile phone reminder card

32 手提電話膠套Mobile phone plastic bag

33 草稿紙Rough-work sheet

34 特別室專用封套Envelope for Special Room

(A中國語文 B英國語文) (AChinese Language BEnglish Language)

35 特別室考試報告書Sessional Report (Special Room)

36 聆聽卷別特別室考試報告書及答卷封套Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

37 交回未用 已用的試題 試題答題簿封套Envelope for Return of Unused Used Question Papers Question Answer Books

38 聆聽卷別特別室 (座位表)Listening Paper Special Room (Seating Plan)

39 特別室提示卡Special Room Reminder Card

40 考生前往非指定試場或錯誤報考應考語文 卷別 單元須知Notes for Wrong Centre or Wrong Version Candidates

A1000 Kingrsquos College

DATE 15022016 1315PAGE

CENTRE A1234 ABC College (HALL)

TYPE OF STATIONERY

DSE(A) BOOK DSE(B) BOOK DSE(C) BOOK DSE(D) BOOK DSE(E) BOOK DSE(F) BOOK DSE(G) BOOK GRAPH PAPER 4 OPT MC SHT

PACKET SIZE 50 50 50 50 50 50 50 200 100

NUMBER OF PACKETS 0 0 4 0 0 4 0 2 2

ROUGH WK SUPPLE (A) SUPPLE (B) BACK SHEET BACK SHEET DSE(C) BOOK DSE(F) BOOK

SHT (SPARE) (SPARE) (SPARE)

PACKET SIZE 200 200 200 100 30 10 10

NUMBER OF PACKETS 19 5 2 2 1 1 1

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

課室試場用品

Items for Use in Examination Room 此袋載有物品如下 (供整段考試期間使用) This packet contains the following items

1 考試報告書 Sessional Reports

2 考生出席紀錄表 Candidatesrsquo Attendance Records Forms

3 報告書 SR4t Report Form SR4t

4 給遲到考生的提示咭 Reminder to Latecomers

5 手提電話膠套 Mobile Phone Plastic Bag

6 鉛筆刨擦膠鉛筆原子筆刀綠繩白短繩

Pencil sharpener erasers pencils ball pens cutter green tags amp white short strings

樣本 SPECIMEN 1B

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香港中學文憑考試試場

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

CENTRE NO

樣本

SPEC

IMEN

2A

只 准 考 生 進 入 ( 請 出 示 准 考 證 )

NO UNAUTHORIZED ENTRY (PLEASE PRODUCE YOUR ADMISSION FORM)

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

樣本

SPEC

IMEN

2B

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

聆聽部分

LISTENING COMPONENT

考 試 現 正 進 行 EXAMINATION IN PROGRESS

遲到考生不得進場 NO LATECOMERS WILL BE ADMITTED 請前往特別室應考特別室位於 __________ 樓 __________ 室 PLEASE GO TO THE SPECIAL ROOM (RM _______________ _______________ FL) TO TAKE YOUR EXAMINATION

樣本

SPEC

IMEN

2D

聆聽部分LISTENING COMPONENT

特 別 室

SPECIAL ROOM

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

EXAMINATION CENTRE試 場

樣本

2E SPECIM

EN

1 6 11 16 21 26

2 7 12 17 22 27

3 8 13 18 23 28

4 9 14 19 24 29

5 10 15 20 25 30

監考員席

INVIGILATORS DESK

課室編號

ROOM NO

試場編號

CENTRE NO

樣本

SPEC

IMEN

3B

2012

樣本

SPEC

IMEN

5

2015 15022015

WED 01 APR

WED 01 APR

WED 15 APR

WED 15 APR

WED 22 APR

MON 20 APR

MON 20 APR

WED 22 APR

TUE 28 APR

2016 年香港中學文憑考試

H K DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 領取試卷收據

Question Paper Collection Slip 兹收到 I acknowledge receipt of 科目 Subject__________________________________________________

第一節用試卷 Question Paper for

the 1st Session

Copies 第二節用試卷

Question Paper for the 2nd Session

Copies 試場編號 Centre No

簽署 Signed_____________________________________ (試場主任 Centre Supervisor)

日期 Date ____________________________________

樣本 SPECIMEN

6A

2016 香港中學文憑考試

HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

試卷或科卷簡稱 Abbreviated Name

顏色標貼

(印有科卷名稱)

Coloured Label

(with subject paper name)

卡紙 Cardboard

樣本 SPECIMEN

7A

2016 DSE

BIO

PAPER 1A

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 2: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

文件樣本目錄List of Specimen Documents

樣本SPECIMEN

文件名稱NAME OF DOCUMENTS

1A 考試文具核對表 Checklist of stationery for the centre

1B 課室試場用品 Items for use in examination room

2A 試場牌Centre poster

2B 「只准考生進入」告示牌ldquoNo Unauthorized Entryrdquo Notice

2D 「遲到考生不得進場」告示牌 (供聆聽部分用) ldquoNo latecomers will be admittedrdquo Notice (for Listening Components)

2E 聆聽卷別特別室試場牌Listening Paper Special Room centre poster

3 試場座位表樣本Specimen seating plan

(A 禮堂 B 課室) (A Hall B Classroom)

4 座位編號卡Seat number label

5 試卷數量核對表Question paper quantity checklist

6A 領取試卷收據 Question paper collection slip

6B 試卷收據 Question paper receipt

7A 標準試卷包裝 ndash 顏色標貼 試卷簡稱Standard packing of Question Papers ndash coloured label corner code

7B 電腦條碼紙及封包標貼Barcode sheet and packing label

8 考試用品核對表List of items required for the examination

9 「特別通告」信封 Envelope for special notice

10A 監考員名單Invigilators list

10B 監考員標貼Invigilatorrsquos label

10C 試場監考員名單Invigilatorsrsquo List for Examination Centre

11 監考員證明函 監考工作分配證Invigilatorrsquos identification slip Invigilatorrsquos assignment slip

12 監考員出席紀錄表Invigilatorsrsquo attendance record

14 准考證Admission Form

樣本 SPECIMEN

文件名稱 NAME OF DOCUMENTS

15A 申請香港永久性居民身分證收據 (ROP 140 表格) (由人事登記處發出) Acknowledgement of application for a Hong Kong Permanent Identity Card (Form ROP 140) (issued by the Registration of Persons Office)

15B 警署報失紙 (由警務處發出) Loss Memo (issued by the police)

16A amp B 考生出席紀錄表 (禮堂試場) (A禮堂 (只供「出席紀錄及答卷收集系統」的應變使用)

B 課室)

(AHall (For contingency use of ldquoAttendance Script Tracking Systemrdquo only)

B Classroom) Candidatesrsquo Attendance Record Form (Hall Centre)

16C 計算機報告書 Calculators Form

17 點名單Attendance list

18A 多項選擇題答題紙Multiple-choice answer sheet

18B 答題簿封面Answer book cover

19 墊底紙Backing sheet

20 (A 禮堂 B 課室) (A Hall B Classroom)

考試報告書Sessional report

21 SR1 報告書 ndash 考生未能出示准考證 身分證Report form SR1 ndash Candidate Without Admission Form Identity Card

22 SR3 報告書 ndash 考生不往指定試場應試 准考證未印有與考科目 卷別 單元 應考語文Report form SR3 ndash Candidate Attended the Wrong Examination Centre Subject Paper Module Language Version Not On Admission Form

23A SR4g 報告書 ndash 考試異常事項Report form SR4g ndash Examination Irregularities

23B SR4b 報告書 ndash 考試異常事項 (電腦條碼)Report form SR4b ndash Examination Irregularities (Barcodes)

23C SR4c 報告書 ndash 考試異常事項 (計算機)Report form SR4c ndash Examination Irregularities (Calculators)

23D SR4p 報告書 ndash 考試異常事項 (手提電話 電子器材 備有響鬧功能物品)Report form SR4p ndash Examination Irregularities (Mobile Phones Electronic Devices Sounding Devices)

23E SR4t 報告書 ndash 考生前往洗手間Report form SR4t ndash Candidates Going to the Toilet

24 SR4i 報告書 ndash 考試異常事項 (監考員)Report form SR4i ndash Examination Irregularities (Invigilators)

25 特別報告書及有關答卷 答題紙封套Envelope for special reports amp related scripts answer sheets

26A 答卷封套Answer script envelope

26B 試場答卷封套數目總表 (按試場)List of script envelopes by centre

樣本 SPECIMEN

文件名稱 NAME OF DOCUMENTS

27 特別封條Security adhesive tape

28 多項選擇題答題紙紙夾Multiple-choice answer sheet folder

29 交回答卷及文件收據Receipt for the return of scripts

30A 草稿紙封套Rough-work sheet envelope

30B 電腦條碼紙封套Barcode sheet envelope

31 手提電話提示卡Mobile phone reminder card

32 手提電話膠套Mobile phone plastic bag

33 草稿紙Rough-work sheet

34 特別室專用封套Envelope for Special Room

(A中國語文 B英國語文) (AChinese Language BEnglish Language)

35 特別室考試報告書Sessional Report (Special Room)

36 聆聽卷別特別室考試報告書及答卷封套Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

37 交回未用 已用的試題 試題答題簿封套Envelope for Return of Unused Used Question Papers Question Answer Books

38 聆聽卷別特別室 (座位表)Listening Paper Special Room (Seating Plan)

39 特別室提示卡Special Room Reminder Card

40 考生前往非指定試場或錯誤報考應考語文 卷別 單元須知Notes for Wrong Centre or Wrong Version Candidates

A1000 Kingrsquos College

DATE 15022016 1315PAGE

CENTRE A1234 ABC College (HALL)

TYPE OF STATIONERY

DSE(A) BOOK DSE(B) BOOK DSE(C) BOOK DSE(D) BOOK DSE(E) BOOK DSE(F) BOOK DSE(G) BOOK GRAPH PAPER 4 OPT MC SHT

PACKET SIZE 50 50 50 50 50 50 50 200 100

NUMBER OF PACKETS 0 0 4 0 0 4 0 2 2

ROUGH WK SUPPLE (A) SUPPLE (B) BACK SHEET BACK SHEET DSE(C) BOOK DSE(F) BOOK

SHT (SPARE) (SPARE) (SPARE)

PACKET SIZE 200 200 200 100 30 10 10

NUMBER OF PACKETS 19 5 2 2 1 1 1

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

課室試場用品

Items for Use in Examination Room 此袋載有物品如下 (供整段考試期間使用) This packet contains the following items

1 考試報告書 Sessional Reports

2 考生出席紀錄表 Candidatesrsquo Attendance Records Forms

3 報告書 SR4t Report Form SR4t

4 給遲到考生的提示咭 Reminder to Latecomers

5 手提電話膠套 Mobile Phone Plastic Bag

6 鉛筆刨擦膠鉛筆原子筆刀綠繩白短繩

Pencil sharpener erasers pencils ball pens cutter green tags amp white short strings

樣本 SPECIMEN 1B

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香港中學文憑考試試場

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

CENTRE NO

樣本

SPEC

IMEN

2A

只 准 考 生 進 入 ( 請 出 示 准 考 證 )

NO UNAUTHORIZED ENTRY (PLEASE PRODUCE YOUR ADMISSION FORM)

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

樣本

SPEC

IMEN

2B

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

聆聽部分

LISTENING COMPONENT

考 試 現 正 進 行 EXAMINATION IN PROGRESS

遲到考生不得進場 NO LATECOMERS WILL BE ADMITTED 請前往特別室應考特別室位於 __________ 樓 __________ 室 PLEASE GO TO THE SPECIAL ROOM (RM _______________ _______________ FL) TO TAKE YOUR EXAMINATION

樣本

SPEC

IMEN

2D

聆聽部分LISTENING COMPONENT

特 別 室

SPECIAL ROOM

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

EXAMINATION CENTRE試 場

樣本

2E SPECIM

EN

1 6 11 16 21 26

2 7 12 17 22 27

3 8 13 18 23 28

4 9 14 19 24 29

5 10 15 20 25 30

監考員席

INVIGILATORS DESK

課室編號

ROOM NO

試場編號

CENTRE NO

樣本

SPEC

IMEN

3B

2012

樣本

SPEC

IMEN

5

2015 15022015

WED 01 APR

WED 01 APR

WED 15 APR

WED 15 APR

WED 22 APR

MON 20 APR

MON 20 APR

WED 22 APR

TUE 28 APR

2016 年香港中學文憑考試

H K DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 領取試卷收據

Question Paper Collection Slip 兹收到 I acknowledge receipt of 科目 Subject__________________________________________________

第一節用試卷 Question Paper for

the 1st Session

Copies 第二節用試卷

Question Paper for the 2nd Session

Copies 試場編號 Centre No

簽署 Signed_____________________________________ (試場主任 Centre Supervisor)

日期 Date ____________________________________

樣本 SPECIMEN

6A

2016 香港中學文憑考試

HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

試卷或科卷簡稱 Abbreviated Name

顏色標貼

(印有科卷名稱)

Coloured Label

(with subject paper name)

卡紙 Cardboard

樣本 SPECIMEN

7A

2016 DSE

BIO

PAPER 1A

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 3: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本 SPECIMEN

文件名稱 NAME OF DOCUMENTS

15A 申請香港永久性居民身分證收據 (ROP 140 表格) (由人事登記處發出) Acknowledgement of application for a Hong Kong Permanent Identity Card (Form ROP 140) (issued by the Registration of Persons Office)

15B 警署報失紙 (由警務處發出) Loss Memo (issued by the police)

16A amp B 考生出席紀錄表 (禮堂試場) (A禮堂 (只供「出席紀錄及答卷收集系統」的應變使用)

B 課室)

(AHall (For contingency use of ldquoAttendance Script Tracking Systemrdquo only)

B Classroom) Candidatesrsquo Attendance Record Form (Hall Centre)

16C 計算機報告書 Calculators Form

17 點名單Attendance list

18A 多項選擇題答題紙Multiple-choice answer sheet

18B 答題簿封面Answer book cover

19 墊底紙Backing sheet

20 (A 禮堂 B 課室) (A Hall B Classroom)

考試報告書Sessional report

21 SR1 報告書 ndash 考生未能出示准考證 身分證Report form SR1 ndash Candidate Without Admission Form Identity Card

22 SR3 報告書 ndash 考生不往指定試場應試 准考證未印有與考科目 卷別 單元 應考語文Report form SR3 ndash Candidate Attended the Wrong Examination Centre Subject Paper Module Language Version Not On Admission Form

23A SR4g 報告書 ndash 考試異常事項Report form SR4g ndash Examination Irregularities

23B SR4b 報告書 ndash 考試異常事項 (電腦條碼)Report form SR4b ndash Examination Irregularities (Barcodes)

23C SR4c 報告書 ndash 考試異常事項 (計算機)Report form SR4c ndash Examination Irregularities (Calculators)

23D SR4p 報告書 ndash 考試異常事項 (手提電話 電子器材 備有響鬧功能物品)Report form SR4p ndash Examination Irregularities (Mobile Phones Electronic Devices Sounding Devices)

23E SR4t 報告書 ndash 考生前往洗手間Report form SR4t ndash Candidates Going to the Toilet

24 SR4i 報告書 ndash 考試異常事項 (監考員)Report form SR4i ndash Examination Irregularities (Invigilators)

25 特別報告書及有關答卷 答題紙封套Envelope for special reports amp related scripts answer sheets

26A 答卷封套Answer script envelope

26B 試場答卷封套數目總表 (按試場)List of script envelopes by centre

樣本 SPECIMEN

文件名稱 NAME OF DOCUMENTS

27 特別封條Security adhesive tape

28 多項選擇題答題紙紙夾Multiple-choice answer sheet folder

29 交回答卷及文件收據Receipt for the return of scripts

30A 草稿紙封套Rough-work sheet envelope

30B 電腦條碼紙封套Barcode sheet envelope

31 手提電話提示卡Mobile phone reminder card

32 手提電話膠套Mobile phone plastic bag

33 草稿紙Rough-work sheet

34 特別室專用封套Envelope for Special Room

(A中國語文 B英國語文) (AChinese Language BEnglish Language)

35 特別室考試報告書Sessional Report (Special Room)

36 聆聽卷別特別室考試報告書及答卷封套Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

37 交回未用 已用的試題 試題答題簿封套Envelope for Return of Unused Used Question Papers Question Answer Books

38 聆聽卷別特別室 (座位表)Listening Paper Special Room (Seating Plan)

39 特別室提示卡Special Room Reminder Card

40 考生前往非指定試場或錯誤報考應考語文 卷別 單元須知Notes for Wrong Centre or Wrong Version Candidates

A1000 Kingrsquos College

DATE 15022016 1315PAGE

CENTRE A1234 ABC College (HALL)

TYPE OF STATIONERY

DSE(A) BOOK DSE(B) BOOK DSE(C) BOOK DSE(D) BOOK DSE(E) BOOK DSE(F) BOOK DSE(G) BOOK GRAPH PAPER 4 OPT MC SHT

PACKET SIZE 50 50 50 50 50 50 50 200 100

NUMBER OF PACKETS 0 0 4 0 0 4 0 2 2

ROUGH WK SUPPLE (A) SUPPLE (B) BACK SHEET BACK SHEET DSE(C) BOOK DSE(F) BOOK

SHT (SPARE) (SPARE) (SPARE)

PACKET SIZE 200 200 200 100 30 10 10

NUMBER OF PACKETS 19 5 2 2 1 1 1

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

課室試場用品

Items for Use in Examination Room 此袋載有物品如下 (供整段考試期間使用) This packet contains the following items

1 考試報告書 Sessional Reports

2 考生出席紀錄表 Candidatesrsquo Attendance Records Forms

3 報告書 SR4t Report Form SR4t

4 給遲到考生的提示咭 Reminder to Latecomers

5 手提電話膠套 Mobile Phone Plastic Bag

6 鉛筆刨擦膠鉛筆原子筆刀綠繩白短繩

Pencil sharpener erasers pencils ball pens cutter green tags amp white short strings

樣本 SPECIMEN 1B

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香港中學文憑考試試場

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

CENTRE NO

樣本

SPEC

IMEN

2A

只 准 考 生 進 入 ( 請 出 示 准 考 證 )

NO UNAUTHORIZED ENTRY (PLEASE PRODUCE YOUR ADMISSION FORM)

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

樣本

SPEC

IMEN

2B

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

聆聽部分

LISTENING COMPONENT

考 試 現 正 進 行 EXAMINATION IN PROGRESS

遲到考生不得進場 NO LATECOMERS WILL BE ADMITTED 請前往特別室應考特別室位於 __________ 樓 __________ 室 PLEASE GO TO THE SPECIAL ROOM (RM _______________ _______________ FL) TO TAKE YOUR EXAMINATION

樣本

SPEC

IMEN

2D

聆聽部分LISTENING COMPONENT

特 別 室

SPECIAL ROOM

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

EXAMINATION CENTRE試 場

樣本

2E SPECIM

EN

1 6 11 16 21 26

2 7 12 17 22 27

3 8 13 18 23 28

4 9 14 19 24 29

5 10 15 20 25 30

監考員席

INVIGILATORS DESK

課室編號

ROOM NO

試場編號

CENTRE NO

樣本

SPEC

IMEN

3B

2012

樣本

SPEC

IMEN

5

2015 15022015

WED 01 APR

WED 01 APR

WED 15 APR

WED 15 APR

WED 22 APR

MON 20 APR

MON 20 APR

WED 22 APR

TUE 28 APR

2016 年香港中學文憑考試

H K DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 領取試卷收據

Question Paper Collection Slip 兹收到 I acknowledge receipt of 科目 Subject__________________________________________________

第一節用試卷 Question Paper for

the 1st Session

Copies 第二節用試卷

Question Paper for the 2nd Session

Copies 試場編號 Centre No

簽署 Signed_____________________________________ (試場主任 Centre Supervisor)

日期 Date ____________________________________

樣本 SPECIMEN

6A

2016 香港中學文憑考試

HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

試卷或科卷簡稱 Abbreviated Name

顏色標貼

(印有科卷名稱)

Coloured Label

(with subject paper name)

卡紙 Cardboard

樣本 SPECIMEN

7A

2016 DSE

BIO

PAPER 1A

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 4: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本 SPECIMEN

文件名稱 NAME OF DOCUMENTS

27 特別封條Security adhesive tape

28 多項選擇題答題紙紙夾Multiple-choice answer sheet folder

29 交回答卷及文件收據Receipt for the return of scripts

30A 草稿紙封套Rough-work sheet envelope

30B 電腦條碼紙封套Barcode sheet envelope

31 手提電話提示卡Mobile phone reminder card

32 手提電話膠套Mobile phone plastic bag

33 草稿紙Rough-work sheet

34 特別室專用封套Envelope for Special Room

(A中國語文 B英國語文) (AChinese Language BEnglish Language)

35 特別室考試報告書Sessional Report (Special Room)

36 聆聽卷別特別室考試報告書及答卷封套Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

37 交回未用 已用的試題 試題答題簿封套Envelope for Return of Unused Used Question Papers Question Answer Books

38 聆聽卷別特別室 (座位表)Listening Paper Special Room (Seating Plan)

39 特別室提示卡Special Room Reminder Card

40 考生前往非指定試場或錯誤報考應考語文 卷別 單元須知Notes for Wrong Centre or Wrong Version Candidates

A1000 Kingrsquos College

DATE 15022016 1315PAGE

CENTRE A1234 ABC College (HALL)

TYPE OF STATIONERY

DSE(A) BOOK DSE(B) BOOK DSE(C) BOOK DSE(D) BOOK DSE(E) BOOK DSE(F) BOOK DSE(G) BOOK GRAPH PAPER 4 OPT MC SHT

PACKET SIZE 50 50 50 50 50 50 50 200 100

NUMBER OF PACKETS 0 0 4 0 0 4 0 2 2

ROUGH WK SUPPLE (A) SUPPLE (B) BACK SHEET BACK SHEET DSE(C) BOOK DSE(F) BOOK

SHT (SPARE) (SPARE) (SPARE)

PACKET SIZE 200 200 200 100 30 10 10

NUMBER OF PACKETS 19 5 2 2 1 1 1

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

課室試場用品

Items for Use in Examination Room 此袋載有物品如下 (供整段考試期間使用) This packet contains the following items

1 考試報告書 Sessional Reports

2 考生出席紀錄表 Candidatesrsquo Attendance Records Forms

3 報告書 SR4t Report Form SR4t

4 給遲到考生的提示咭 Reminder to Latecomers

5 手提電話膠套 Mobile Phone Plastic Bag

6 鉛筆刨擦膠鉛筆原子筆刀綠繩白短繩

Pencil sharpener erasers pencils ball pens cutter green tags amp white short strings

樣本 SPECIMEN 1B

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香港中學文憑考試試場

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

CENTRE NO

樣本

SPEC

IMEN

2A

只 准 考 生 進 入 ( 請 出 示 准 考 證 )

NO UNAUTHORIZED ENTRY (PLEASE PRODUCE YOUR ADMISSION FORM)

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

樣本

SPEC

IMEN

2B

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

聆聽部分

LISTENING COMPONENT

考 試 現 正 進 行 EXAMINATION IN PROGRESS

遲到考生不得進場 NO LATECOMERS WILL BE ADMITTED 請前往特別室應考特別室位於 __________ 樓 __________ 室 PLEASE GO TO THE SPECIAL ROOM (RM _______________ _______________ FL) TO TAKE YOUR EXAMINATION

樣本

SPEC

IMEN

2D

聆聽部分LISTENING COMPONENT

特 別 室

SPECIAL ROOM

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

EXAMINATION CENTRE試 場

樣本

2E SPECIM

EN

1 6 11 16 21 26

2 7 12 17 22 27

3 8 13 18 23 28

4 9 14 19 24 29

5 10 15 20 25 30

監考員席

INVIGILATORS DESK

課室編號

ROOM NO

試場編號

CENTRE NO

樣本

SPEC

IMEN

3B

2012

樣本

SPEC

IMEN

5

2015 15022015

WED 01 APR

WED 01 APR

WED 15 APR

WED 15 APR

WED 22 APR

MON 20 APR

MON 20 APR

WED 22 APR

TUE 28 APR

2016 年香港中學文憑考試

H K DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 領取試卷收據

Question Paper Collection Slip 兹收到 I acknowledge receipt of 科目 Subject__________________________________________________

第一節用試卷 Question Paper for

the 1st Session

Copies 第二節用試卷

Question Paper for the 2nd Session

Copies 試場編號 Centre No

簽署 Signed_____________________________________ (試場主任 Centre Supervisor)

日期 Date ____________________________________

樣本 SPECIMEN

6A

2016 香港中學文憑考試

HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

試卷或科卷簡稱 Abbreviated Name

顏色標貼

(印有科卷名稱)

Coloured Label

(with subject paper name)

卡紙 Cardboard

樣本 SPECIMEN

7A

2016 DSE

BIO

PAPER 1A

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 5: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

A1000 Kingrsquos College

DATE 15022016 1315PAGE

CENTRE A1234 ABC College (HALL)

TYPE OF STATIONERY

DSE(A) BOOK DSE(B) BOOK DSE(C) BOOK DSE(D) BOOK DSE(E) BOOK DSE(F) BOOK DSE(G) BOOK GRAPH PAPER 4 OPT MC SHT

PACKET SIZE 50 50 50 50 50 50 50 200 100

NUMBER OF PACKETS 0 0 4 0 0 4 0 2 2

ROUGH WK SUPPLE (A) SUPPLE (B) BACK SHEET BACK SHEET DSE(C) BOOK DSE(F) BOOK

SHT (SPARE) (SPARE) (SPARE)

PACKET SIZE 200 200 200 100 30 10 10

NUMBER OF PACKETS 19 5 2 2 1 1 1

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

課室試場用品

Items for Use in Examination Room 此袋載有物品如下 (供整段考試期間使用) This packet contains the following items

1 考試報告書 Sessional Reports

2 考生出席紀錄表 Candidatesrsquo Attendance Records Forms

3 報告書 SR4t Report Form SR4t

4 給遲到考生的提示咭 Reminder to Latecomers

5 手提電話膠套 Mobile Phone Plastic Bag

6 鉛筆刨擦膠鉛筆原子筆刀綠繩白短繩

Pencil sharpener erasers pencils ball pens cutter green tags amp white short strings

樣本 SPECIMEN 1B

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香港中學文憑考試試場

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

CENTRE NO

樣本

SPEC

IMEN

2A

只 准 考 生 進 入 ( 請 出 示 准 考 證 )

NO UNAUTHORIZED ENTRY (PLEASE PRODUCE YOUR ADMISSION FORM)

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

樣本

SPEC

IMEN

2B

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

聆聽部分

LISTENING COMPONENT

考 試 現 正 進 行 EXAMINATION IN PROGRESS

遲到考生不得進場 NO LATECOMERS WILL BE ADMITTED 請前往特別室應考特別室位於 __________ 樓 __________ 室 PLEASE GO TO THE SPECIAL ROOM (RM _______________ _______________ FL) TO TAKE YOUR EXAMINATION

樣本

SPEC

IMEN

2D

聆聽部分LISTENING COMPONENT

特 別 室

SPECIAL ROOM

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

EXAMINATION CENTRE試 場

樣本

2E SPECIM

EN

1 6 11 16 21 26

2 7 12 17 22 27

3 8 13 18 23 28

4 9 14 19 24 29

5 10 15 20 25 30

監考員席

INVIGILATORS DESK

課室編號

ROOM NO

試場編號

CENTRE NO

樣本

SPEC

IMEN

3B

2012

樣本

SPEC

IMEN

5

2015 15022015

WED 01 APR

WED 01 APR

WED 15 APR

WED 15 APR

WED 22 APR

MON 20 APR

MON 20 APR

WED 22 APR

TUE 28 APR

2016 年香港中學文憑考試

H K DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 領取試卷收據

Question Paper Collection Slip 兹收到 I acknowledge receipt of 科目 Subject__________________________________________________

第一節用試卷 Question Paper for

the 1st Session

Copies 第二節用試卷

Question Paper for the 2nd Session

Copies 試場編號 Centre No

簽署 Signed_____________________________________ (試場主任 Centre Supervisor)

日期 Date ____________________________________

樣本 SPECIMEN

6A

2016 香港中學文憑考試

HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

試卷或科卷簡稱 Abbreviated Name

顏色標貼

(印有科卷名稱)

Coloured Label

(with subject paper name)

卡紙 Cardboard

樣本 SPECIMEN

7A

2016 DSE

BIO

PAPER 1A

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 6: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

課室試場用品

Items for Use in Examination Room 此袋載有物品如下 (供整段考試期間使用) This packet contains the following items

1 考試報告書 Sessional Reports

2 考生出席紀錄表 Candidatesrsquo Attendance Records Forms

3 報告書 SR4t Report Form SR4t

4 給遲到考生的提示咭 Reminder to Latecomers

5 手提電話膠套 Mobile Phone Plastic Bag

6 鉛筆刨擦膠鉛筆原子筆刀綠繩白短繩

Pencil sharpener erasers pencils ball pens cutter green tags amp white short strings

樣本 SPECIMEN 1B

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香港中學文憑考試試場

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

CENTRE NO

樣本

SPEC

IMEN

2A

只 准 考 生 進 入 ( 請 出 示 准 考 證 )

NO UNAUTHORIZED ENTRY (PLEASE PRODUCE YOUR ADMISSION FORM)

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

樣本

SPEC

IMEN

2B

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

聆聽部分

LISTENING COMPONENT

考 試 現 正 進 行 EXAMINATION IN PROGRESS

遲到考生不得進場 NO LATECOMERS WILL BE ADMITTED 請前往特別室應考特別室位於 __________ 樓 __________ 室 PLEASE GO TO THE SPECIAL ROOM (RM _______________ _______________ FL) TO TAKE YOUR EXAMINATION

樣本

SPEC

IMEN

2D

聆聽部分LISTENING COMPONENT

特 別 室

SPECIAL ROOM

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

EXAMINATION CENTRE試 場

樣本

2E SPECIM

EN

1 6 11 16 21 26

2 7 12 17 22 27

3 8 13 18 23 28

4 9 14 19 24 29

5 10 15 20 25 30

監考員席

INVIGILATORS DESK

課室編號

ROOM NO

試場編號

CENTRE NO

樣本

SPEC

IMEN

3B

2012

樣本

SPEC

IMEN

5

2015 15022015

WED 01 APR

WED 01 APR

WED 15 APR

WED 15 APR

WED 22 APR

MON 20 APR

MON 20 APR

WED 22 APR

TUE 28 APR

2016 年香港中學文憑考試

H K DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 領取試卷收據

Question Paper Collection Slip 兹收到 I acknowledge receipt of 科目 Subject__________________________________________________

第一節用試卷 Question Paper for

the 1st Session

Copies 第二節用試卷

Question Paper for the 2nd Session

Copies 試場編號 Centre No

簽署 Signed_____________________________________ (試場主任 Centre Supervisor)

日期 Date ____________________________________

樣本 SPECIMEN

6A

2016 香港中學文憑考試

HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

試卷或科卷簡稱 Abbreviated Name

顏色標貼

(印有科卷名稱)

Coloured Label

(with subject paper name)

卡紙 Cardboard

樣本 SPECIMEN

7A

2016 DSE

BIO

PAPER 1A

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 7: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香港中學文憑考試試場

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

CENTRE NO

樣本

SPEC

IMEN

2A

只 准 考 生 進 入 ( 請 出 示 准 考 證 )

NO UNAUTHORIZED ENTRY (PLEASE PRODUCE YOUR ADMISSION FORM)

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

樣本

SPEC

IMEN

2B

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

聆聽部分

LISTENING COMPONENT

考 試 現 正 進 行 EXAMINATION IN PROGRESS

遲到考生不得進場 NO LATECOMERS WILL BE ADMITTED 請前往特別室應考特別室位於 __________ 樓 __________ 室 PLEASE GO TO THE SPECIAL ROOM (RM _______________ _______________ FL) TO TAKE YOUR EXAMINATION

樣本

SPEC

IMEN

2D

聆聽部分LISTENING COMPONENT

特 別 室

SPECIAL ROOM

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

EXAMINATION CENTRE試 場

樣本

2E SPECIM

EN

1 6 11 16 21 26

2 7 12 17 22 27

3 8 13 18 23 28

4 9 14 19 24 29

5 10 15 20 25 30

監考員席

INVIGILATORS DESK

課室編號

ROOM NO

試場編號

CENTRE NO

樣本

SPEC

IMEN

3B

2012

樣本

SPEC

IMEN

5

2015 15022015

WED 01 APR

WED 01 APR

WED 15 APR

WED 15 APR

WED 22 APR

MON 20 APR

MON 20 APR

WED 22 APR

TUE 28 APR

2016 年香港中學文憑考試

H K DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 領取試卷收據

Question Paper Collection Slip 兹收到 I acknowledge receipt of 科目 Subject__________________________________________________

第一節用試卷 Question Paper for

the 1st Session

Copies 第二節用試卷

Question Paper for the 2nd Session

Copies 試場編號 Centre No

簽署 Signed_____________________________________ (試場主任 Centre Supervisor)

日期 Date ____________________________________

樣本 SPECIMEN

6A

2016 香港中學文憑考試

HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

試卷或科卷簡稱 Abbreviated Name

顏色標貼

(印有科卷名稱)

Coloured Label

(with subject paper name)

卡紙 Cardboard

樣本 SPECIMEN

7A

2016 DSE

BIO

PAPER 1A

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 8: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

只 准 考 生 進 入 ( 請 出 示 准 考 證 )

NO UNAUTHORIZED ENTRY (PLEASE PRODUCE YOUR ADMISSION FORM)

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

樣本

SPEC

IMEN

2B

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

聆聽部分

LISTENING COMPONENT

考 試 現 正 進 行 EXAMINATION IN PROGRESS

遲到考生不得進場 NO LATECOMERS WILL BE ADMITTED 請前往特別室應考特別室位於 __________ 樓 __________ 室 PLEASE GO TO THE SPECIAL ROOM (RM _______________ _______________ FL) TO TAKE YOUR EXAMINATION

樣本

SPEC

IMEN

2D

聆聽部分LISTENING COMPONENT

特 別 室

SPECIAL ROOM

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

EXAMINATION CENTRE試 場

樣本

2E SPECIM

EN

1 6 11 16 21 26

2 7 12 17 22 27

3 8 13 18 23 28

4 9 14 19 24 29

5 10 15 20 25 30

監考員席

INVIGILATORS DESK

課室編號

ROOM NO

試場編號

CENTRE NO

樣本

SPEC

IMEN

3B

2012

樣本

SPEC

IMEN

5

2015 15022015

WED 01 APR

WED 01 APR

WED 15 APR

WED 15 APR

WED 22 APR

MON 20 APR

MON 20 APR

WED 22 APR

TUE 28 APR

2016 年香港中學文憑考試

H K DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 領取試卷收據

Question Paper Collection Slip 兹收到 I acknowledge receipt of 科目 Subject__________________________________________________

第一節用試卷 Question Paper for

the 1st Session

Copies 第二節用試卷

Question Paper for the 2nd Session

Copies 試場編號 Centre No

簽署 Signed_____________________________________ (試場主任 Centre Supervisor)

日期 Date ____________________________________

樣本 SPECIMEN

6A

2016 香港中學文憑考試

HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

試卷或科卷簡稱 Abbreviated Name

顏色標貼

(印有科卷名稱)

Coloured Label

(with subject paper name)

卡紙 Cardboard

樣本 SPECIMEN

7A

2016 DSE

BIO

PAPER 1A

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 9: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

聆聽部分

LISTENING COMPONENT

考 試 現 正 進 行 EXAMINATION IN PROGRESS

遲到考生不得進場 NO LATECOMERS WILL BE ADMITTED 請前往特別室應考特別室位於 __________ 樓 __________ 室 PLEASE GO TO THE SPECIAL ROOM (RM _______________ _______________ FL) TO TAKE YOUR EXAMINATION

樣本

SPEC

IMEN

2D

聆聽部分LISTENING COMPONENT

特 別 室

SPECIAL ROOM

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

EXAMINATION CENTRE試 場

樣本

2E SPECIM

EN

1 6 11 16 21 26

2 7 12 17 22 27

3 8 13 18 23 28

4 9 14 19 24 29

5 10 15 20 25 30

監考員席

INVIGILATORS DESK

課室編號

ROOM NO

試場編號

CENTRE NO

樣本

SPEC

IMEN

3B

2012

樣本

SPEC

IMEN

5

2015 15022015

WED 01 APR

WED 01 APR

WED 15 APR

WED 15 APR

WED 22 APR

MON 20 APR

MON 20 APR

WED 22 APR

TUE 28 APR

2016 年香港中學文憑考試

H K DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 領取試卷收據

Question Paper Collection Slip 兹收到 I acknowledge receipt of 科目 Subject__________________________________________________

第一節用試卷 Question Paper for

the 1st Session

Copies 第二節用試卷

Question Paper for the 2nd Session

Copies 試場編號 Centre No

簽署 Signed_____________________________________ (試場主任 Centre Supervisor)

日期 Date ____________________________________

樣本 SPECIMEN

6A

2016 香港中學文憑考試

HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

試卷或科卷簡稱 Abbreviated Name

顏色標貼

(印有科卷名稱)

Coloured Label

(with subject paper name)

卡紙 Cardboard

樣本 SPECIMEN

7A

2016 DSE

BIO

PAPER 1A

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 10: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

聆聽部分LISTENING COMPONENT

特 別 室

SPECIAL ROOM

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

EXAMINATION CENTRE試 場

樣本

2E SPECIM

EN

1 6 11 16 21 26

2 7 12 17 22 27

3 8 13 18 23 28

4 9 14 19 24 29

5 10 15 20 25 30

監考員席

INVIGILATORS DESK

課室編號

ROOM NO

試場編號

CENTRE NO

樣本

SPEC

IMEN

3B

2012

樣本

SPEC

IMEN

5

2015 15022015

WED 01 APR

WED 01 APR

WED 15 APR

WED 15 APR

WED 22 APR

MON 20 APR

MON 20 APR

WED 22 APR

TUE 28 APR

2016 年香港中學文憑考試

H K DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 領取試卷收據

Question Paper Collection Slip 兹收到 I acknowledge receipt of 科目 Subject__________________________________________________

第一節用試卷 Question Paper for

the 1st Session

Copies 第二節用試卷

Question Paper for the 2nd Session

Copies 試場編號 Centre No

簽署 Signed_____________________________________ (試場主任 Centre Supervisor)

日期 Date ____________________________________

樣本 SPECIMEN

6A

2016 香港中學文憑考試

HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

試卷或科卷簡稱 Abbreviated Name

顏色標貼

(印有科卷名稱)

Coloured Label

(with subject paper name)

卡紙 Cardboard

樣本 SPECIMEN

7A

2016 DSE

BIO

PAPER 1A

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 11: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

1 6 11 16 21 26

2 7 12 17 22 27

3 8 13 18 23 28

4 9 14 19 24 29

5 10 15 20 25 30

監考員席

INVIGILATORS DESK

課室編號

ROOM NO

試場編號

CENTRE NO

樣本

SPEC

IMEN

3B

2012

樣本

SPEC

IMEN

5

2015 15022015

WED 01 APR

WED 01 APR

WED 15 APR

WED 15 APR

WED 22 APR

MON 20 APR

MON 20 APR

WED 22 APR

TUE 28 APR

2016 年香港中學文憑考試

H K DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 領取試卷收據

Question Paper Collection Slip 兹收到 I acknowledge receipt of 科目 Subject__________________________________________________

第一節用試卷 Question Paper for

the 1st Session

Copies 第二節用試卷

Question Paper for the 2nd Session

Copies 試場編號 Centre No

簽署 Signed_____________________________________ (試場主任 Centre Supervisor)

日期 Date ____________________________________

樣本 SPECIMEN

6A

2016 香港中學文憑考試

HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

試卷或科卷簡稱 Abbreviated Name

顏色標貼

(印有科卷名稱)

Coloured Label

(with subject paper name)

卡紙 Cardboard

樣本 SPECIMEN

7A

2016 DSE

BIO

PAPER 1A

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 12: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2012

樣本

SPEC

IMEN

5

2015 15022015

WED 01 APR

WED 01 APR

WED 15 APR

WED 15 APR

WED 22 APR

MON 20 APR

MON 20 APR

WED 22 APR

TUE 28 APR

2016 年香港中學文憑考試

H K DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 領取試卷收據

Question Paper Collection Slip 兹收到 I acknowledge receipt of 科目 Subject__________________________________________________

第一節用試卷 Question Paper for

the 1st Session

Copies 第二節用試卷

Question Paper for the 2nd Session

Copies 試場編號 Centre No

簽署 Signed_____________________________________ (試場主任 Centre Supervisor)

日期 Date ____________________________________

樣本 SPECIMEN

6A

2016 香港中學文憑考試

HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

試卷或科卷簡稱 Abbreviated Name

顏色標貼

(印有科卷名稱)

Coloured Label

(with subject paper name)

卡紙 Cardboard

樣本 SPECIMEN

7A

2016 DSE

BIO

PAPER 1A

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 13: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2016 年香港中學文憑考試

H K DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 領取試卷收據

Question Paper Collection Slip 兹收到 I acknowledge receipt of 科目 Subject__________________________________________________

第一節用試卷 Question Paper for

the 1st Session

Copies 第二節用試卷

Question Paper for the 2nd Session

Copies 試場編號 Centre No

簽署 Signed_____________________________________ (試場主任 Centre Supervisor)

日期 Date ____________________________________

樣本 SPECIMEN

6A

2016 香港中學文憑考試

HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

試卷或科卷簡稱 Abbreviated Name

顏色標貼

(印有科卷名稱)

Coloured Label

(with subject paper name)

卡紙 Cardboard

樣本 SPECIMEN

7A

2016 DSE

BIO

PAPER 1A

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 14: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2016 香港中學文憑考試

HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

試卷或科卷簡稱 Abbreviated Name

顏色標貼

(印有科卷名稱)

Coloured Label

(with subject paper name)

卡紙 Cardboard

樣本 SPECIMEN

7A

2016 DSE

BIO

PAPER 1A

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 15: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

考生的個人電腦條碼紙 (樣本) A Candidatersquos Personalised Barcode Sheet (Sample)

答題簿封面

多項選擇題答題紙

電腦條碼紙

答題簿內頁

補充答題紙

1E

A 考生的個人電腦條碼紙上均印有指定數目的電腦條碼貼紙[2個(用於多項選擇題答題紙) 5 個10個或15個]考生須於答題簿試題答題簿封面及內頁多項選擇題答題紙的指定位置貼上電腦條碼使用補充答題紙及方格紙的考生亦應在紙上貼上電腦條碼 Each personalised barcode sheet will have a specified number of barcode labels [either with 2 (for multiple-choice每張 answer sheet) 5 10 or 15 barcode labels] Candidates should affix the barcode labels in the designated spaces of the cover and inside pages of their answer book(s) question-answer book(s) and multiple-choice answer sheet Each supplementary answer sheet graph paper used should also be affixed with a barcode label

A2E

A 電腦條碼貼紙已預印考生編號試場編號座位編號及科卷名稱 The candidate number centre number seat number and subjectpaper name are pre-printed on each barcode label

A3E

A 考生必須在完卷前貼上電腦條碼及填畫答題簿封面內頁補充答題紙方格紙上的試題編號方格宣布停筆後考生不會獲時間貼上電腦條碼或填畫試題編號方格 Candidates should affix the barcode labels and mark the question number box(es) on the cover inside pages of the answer books supplementary answer sheets graph papers before the end of the examination session Candidates will not be given time after the ldquoTime is uprdquo announcement to affix the barcode labels or mark the question number box(es)

DSE

每頁均需填畫 試題編號

樣本 SPECIMEN 7B(i)

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 16: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

電腦條碼紙 Barcode Sheets

共分 4 款

There are 4 types (1) 每張2個電腦條碼貼紙

2 barcode labels per sheet (2) 每張5個電腦條碼貼紙

5 barcode labels per sheet

(3) 每張10個電腦條碼貼紙

10 barcode labels per sheet (4) 每張15個電腦條碼貼紙

15 barcode labels per sheet

備用電腦條碼紙 Spare Barcode Sheet

下述情況的考生須使用備用電腦條碼紙 Candidates will have to use spare barcode sheets under the following circumstances bull 試場沒有該考生的個人電腦條碼紙

Their personalized barcode sheets are not available at the centre bull 該考生的原來的電腦條碼紙有損毀資料錯誤或不能找到

Their original barcode sheets are damaged found to have incorrect information or cannot be located A1E

A 每張備用電腦條碼紙印有一個獨立的編號只可給一名考生使用 Each spare barcode sheet will have a unique serial number and should be used by one candidate only A2E

A 每張備用電腦條碼貼紙上已預留位置讓考生填上考生編號及座位編號 There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number

A3E

A 備用電腦條碼紙會預印試場編號 Spare barcode sheets will be pre-printed with the centre numbers

DSE 樣本

SPECIMEN 7B(ii)

C did t

C did t

Candidate Number 3

2

2 1

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

Candidate Number

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 17: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

封包標貼 (電腦條碼紙) Packing Label (Barcode Sheet)

Route No Exam Date Session

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 BARCODE LABELS

SubjectPaper

Centre No

Centre Name

Item Supplied Quantity

No of Barcode Labels (Candidates) sheets

No of Spare Barcode Labels sheets

Note In case of enquiries please contact Mr KW Lok at 3628 8951

樣本

SPECIMEN 7B(iii)

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 18: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

Provision of Invigilators by School

Name of School 12345 ABC College

Exam Date Subject Exam Time Centre No Name No of Exam Personnel 05 April 2016 [TUE]

Chinese Language (Cantonese) Paper 1 amp 2 0830 ndash 1200

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

06 April 2016 [WED]

Chinese Language (Cantonese) Paper 3 0915 - 1140

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

08 April 2016 [FRI]

English Language Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

09 April 2016 [SAT]

English Language Paper 3 0915 - 1210

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

11 April 2016 [MON]

Liberal Studies Paper 1 amp 2 0830 ndash 1230

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

12 April 2016 [TUE]

Mathematics Compulsory Part ndash E Paper 1amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

20 April 2016 [WED]

Biology ndash E Paper 1 amp 2 0830 ndash 1245

D1998 HALL

ABC College 甲乙丙書院

1 Invigilator(s)

30 April 2016 [SAT]

Geography ndash E Paper 1 amp 2 0830 ndash 1300

D1998 HALL

ABC College 甲乙丙書院

2 Invigilator(s)

樣本

SPECIMEN 10C

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 19: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考員證明函 INVIGILATORrsquoS IDENTIFICATION SLIP

本校教師獲安排於下列日期擔任下列試場的監考工作

CHAN TAI MAN PETER from our school is assigned to invigilate at the following centre(s) on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場名稱及編號

Centre Name and Code

地址

Address

報到時間

Reporting

Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

Caritas Tuen Mun Marden Foundation Secondary

School

明愛屯門馬登基金中學 (S1100)

3 WONG YIN STREET TUEN MUN NT

新界屯門新市旺賢街3號 1300

05 APR 2016

[TUE]

0830 - 1200

Chinese Language (Cantonese)

Paper 1 amp 2

中國語文 (廣) 卷一及二

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0800

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

HKTA The Yuen Yuen Institute No 3 Secondary

School

香港道教聯合會圓玄學院第三中學 (K1500)

SHEUNG TAK ESTATE TSEUNG KWAN

O KLN

九龍將軍澳尚德邨

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

Lung Kong WFSL Lau Wong Fat Secondary

School

世界龍岡學校劉皇發中學 (E1250)

66 SYCAMORE STREET TAI KOK TSUI

KLN

九龍大角咀詩歌舞街66號

0845

11 APR 2016

[MON]

0830 - 1230

Liberal Studies - C Paper 1 amp 2

通識教育 (中) 卷一及二

Ho Lap College (Sponsored By The Sik Sik Yuen)

可立中學 (嗇色園主辦) (H1250)

15 TSEUK LUK STREET SANPOKONG

KLN

九龍新蒲崗爵祿街15號

0800

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - E

Paper 1 amp 2

數學 (必修) (中) 卷一及二

Sir Ellis Kadoorie Secondary School (West

Kowloon)

官立嘉道理爵士中學 (西九龍) (E1500)

22 HOI FAN ROAD TAI KOK TSUI KLN

九龍大角咀西九龍填海區海帆道22號 0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

The HKSYCIA Wong Tai Shan Memorial College

香港四邑商工總會黃棣珊紀念中學 (F1850)

250 NAM CHEONG STREET

SHAMSHUIPO KLN

九龍深水埗南昌街250號

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

Christian amp Missionary Alliance Sun Kei Sec Sch

基督教宣道會宣基中學 (K1150)

6 TONG CHUN STREET TSEUNG KWAN

O KLN

九龍將軍澳唐俊街6號

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - E Paper 1 amp 2

綜合科學 (英) 卷一及二

The Salvation Army William Booth Secondary

School

救世軍卜維廉中學 (H1950)

100 YUK WAH STREET TSZWANSHAN

KLN

九龍慈雲山毓華街100號

0800

20 APR 2016

[WED]

0830 - 1245

Biology - C Paper 1 amp 2

生物 (中) 卷一及二

HHCKLA Buddhist Ching Kok Secondary School

香海正覺蓮社佛教正覺中學 (K1350)

38 CHUI LING RD TIU KENG LENG TKO

KLN

九龍將軍澳調景嶺翠嶺路38號

0800

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及

HHCKLA Buddhist Ma Kam Chan Memorial

English Sec School

香海正覺蓮社佛教馬錦燦紀念英文中學

(R1500)

9 LUEN YICK ST LUEN WO MARKET

FANLING NT

新界粉嶺聯和墟聯益街9號

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

Queen Elizabeth School Old Students Assn

Secondary School

伊利沙伯中學舊生會中學 (T2050)

18 TIN SHING RD TIN SHUI WAI

YUENLONG NT

新界元朗天水圍天城路18號

0800

03 MAY 2016

[TUE]

0830 - 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

Wellington Education Organization Chang Pui

Chung Memorial School

威靈頓教育機構張沛松紀念中學 (K1100)

3 WAN LUNG ROAD TSEUNG KWAN O

KLN

九龍將軍澳運隆路3號

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

_________________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator 本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep strictly confidential

of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature請轉下頁

PTO

校印 School Seal

樣本 SPECIMEN 11(i)

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 20: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

香港考試及評核局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

2016 年香港中學文憑考試 - 交通費用申領表

Hong Kong Diploma of Secondary Education Examination 2016 - Travelling Allowance Claim Form

日期

Date

上午或下午

AM or PM

試場編號

Centre

Code

試場

Centre

試場主任簽署

Signature of

Centre Supervisor

備註 〈如適用〉

Remarks (if

applicable)

1 02 APR 2016 AM S1100 Caritas Tuen Mun Marden Foundation Secondary School

2 02 APR 2016 PM S1100 Caritas Tuen Mun Marden Foundation Secondary School

3 05 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

4 06 APR 2016 AM K1500 HKTA The Yuen Yuen Institute No 3 Secondary School

5 08 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

6 09 APR 2016 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School

7 11 APR 2016 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)

8 12 APR 2016 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)

9 15 APR 2016 AM F1850 The HKSYCIA Wong Tai Shan Memorial College

10 16 APR 2016 AM K1150 Christian amp Missionary Alliance Sun Kei Sec Sch

11 18 APR 2016 AM H1950 The Salvation Army William Booth Secondary School

12 20 APR 2016 AM K1350 HHCKLA Buddhist Ching Kok Secondary School

13 29 APR 2016 AM R1500 HHCKLA Buddhist Ma Kam Chan Memorial English Sec School

14 30 APR 2016 AM T2050 Queen Elizabeth School Old Students Assn Secondary School

15 03 MAY 2016 AM K1100 Wellington Education Organization Chang Pui Chung Memorial School

16

17

18

如你未能擔任監考職務請在備註欄填上「ABS」 Please markldquoABSrdquoif you cannot perform duty

請於以上表格的空白位置填寫你擔任替代監考員的資料如以上空位不敷應用請用另一張紙填寫 Please fill in the details of serving as

replacement invigilator in the blank row of the above table Please use a separate sheet if the space provided above is not sufficient

如擔任外校監考員的教師擬向考評局申領交通費必須於截止日期前使用下列登入名稱及密碼登入「考務人員網上申請系統」填報其個

人資料收款戶口資料以及將本表格交回任教學校校長以寄回考評局處理

School teachers serving as external invigilators who opt to receive the travelling allowance will have to login on the HKEAA Examination Personnel Online

System to enter their personal information (including personal data bank account) The invigilator should also return this form to hisher school principal

before deadline

截止申請日期

Deadline for Submission of Application 25 MAY 2016

網址 URL httpepohkeaaeduhk

登入名稱 Login Name EAAPP_37

登入密碼 Password A757x484

Name in English as printed on HKID Card

(In BLOCK LETTERS)

香港身份證上之英文姓名 (請用正楷填寫)

HKID no

身分證號碼

Name of School

學校名稱

ABC College

ABC 中學

Day Time Contact Tel No

日間聯絡電話

監考員簽署

Signature

請校長彙集申領表於2016年5月25日或

以前寄回香港考試及評核局Principals are requested to collect the claim forms and return them to the HKEAA on or before 25 May 2016

監考員編號 Invigilator No

80001-001

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 21: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2016年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

監考工作分配證 INVIGILATORrsquoS ASSIGNMENT SLIP

教職員獲安排於下列日期擔任本校試場的監考工作

CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below

考試日期時間

Exam Date Time

科目

Subject

試場編號及類別

Centre Code and Centre Type

報到時間

Reporting Time

02 APR 2016

[SAT]

0830 - 1130

Literature in English Paper 1

英國文學 (英) 卷一

禮堂

Hall

(K1100)

0800

02 APR 2016

[SAT]

1330 - 1530

Literature in English Paper 2

英國文學 (英) 卷二

禮堂

Hall

(K1100)

1300

05 APR 2016

[TUE]

1030 - 1200

Chinese Language (Cantonese)

Paper 2

中國語文 (廣) 卷二

禮堂2

Hall 2

(K1130)

1000

06 APR 2016

[WED]

0915 - 1140

Chinese Language (Cantonese)

Paper 3

中國語文 (廣) 卷三

禮堂 ndash「特別室」監考員

Hall - Special Room Invigilator

(K1100)

0845

08 APR 2016

[FRI]

0830 - 1300

English Language Paper 1 amp 2

英國語文 (英) 卷一及二

禮堂2

Hall 2

(K1130)

0800

09 APR 2016

[SAT]

0915 - 1210

English Language Paper 3

英國語文 (英) 卷三

禮堂2

Hall 2

(K1130)

0845

11 APR 2016

[MON]

1115 - 1230

Liberal Studies - C Paper 2

通識教育 (中) 卷二

禮堂2

Hall 2

(K1130)

1045

12 APR 2016

[TUE]

0830 - 1245

Mathematics Compulsory Part - C

Paper 1 amp 2

數學 (必修) (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

15 APR 2016

[FRI]

0830 - 1230

History - C Paper 1 amp 2

歷史 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

16 APR 2016

[SAT]

0830 - 1245

Information and Communication

Technology - C Paper 1 amp 2

資訊及通訊科技 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

18 APR 2016

[MON]

0830 - 1245

Integrated Science - C Paper 1 amp 2

綜合科學 (中) 卷一及二

禮堂2

Hall 2

(K1130)

0800

20 APR 2016

[WED]

1145 - 1245

Biology - C Paper 2

生物 (中) 卷二

禮堂2

Hall 2

(K1130)

1115

29 APR 2016

[FRI]

0830 - 1300

Health Management and Social

Care - C Paper 1 amp 2

健康管理與社會關懷 (中) 卷一及二

禮堂

Hall

(K1100)

0800

30 APR 2016

[SAT]

0830 - 1300

Geography - E Paper 1 amp 2

地理 (英) 卷一及二

禮堂

Hall

(K1100)

0800

03 MAY 2016

[TUE]

0830 ndash 1215

Tourism and Hospitality Studies - E

Paper 1 amp 2

旅遊與款待 (英) 卷一及二

禮堂

Hall

(K1100)

0800

校長簽署

Principalrsquos Signature (80001)

ABC College

______________________________________________________________________________________________________________

此部份由監考員填寫 To be completed by the invigilator

本人承諾對本人在履行職務時所獲悉的一切事宜保密並不論於什麼時候對本人在受聘期間可能取閱的所有資料材料

及文件嚴格保密

I undertake to preserve secrecy with regard to all matters coming to my knowledge in performing my job duties and shall at all times keep

strictly confidential of all information materials and documents which I may have access to in the course of my appointment

監考員簽署 Invigilatorrsquos Signature

樣本 SPECIMEN 11(ii)

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 22: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

樣本

SPECIMEN 12

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 23: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2016

160000000

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 24: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

RECORD FORM78

2016 Candidatesrsquo attendance record form (ASTS contingency only)

禮堂試場Hall Centre

考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form (只供「出席紀錄及答卷收集系統」的應變使用)

(For contingency use of ldquoAttendance Script Tracking Systemrdquo only) 試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用

電腦條碼紙

Use Spare Barcode Sheet

() 001 026 002 027 003 028 004 029 005 030 006 031 007 032 008 033 009 034 010 035 011 036 012 037 013 038 014 039 015 040 016 041 017 042 018 043 019 044 020 045 021 046 022 047 023 048 024 049 025 050

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms 日 期 監 考 員 姓 名Date Name of Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS) 注意Note 1 監 考 員 應 協 助 試 場 主 任 填 寫 考 生 出 席 紀 錄 表 並 將 填 妥 的 紀 錄 表 交 回 試 場 主 任

Invigilators should assist the Centre Supervisor in completing this attendance record form The completed form should be returned to the Centre Supervisor after attendance taking

2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet puta ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤 如 有 標 籤 在 考 生 編 號 旁 加 「 」 號 如 沒 有 標 籤 則 加 「 」 號 並 知 會試 場 主 任 及 塡 寫 S R 4 c 報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAAAPPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number Ifnot put a ldquordquo and notify the Centre Supervisor to complete the Report Form SR4c If no calculator is found on the candidatersquosdesk leave the box blank

4 請 試 場 主 任 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」放 入 一 透 明 膠 袋 內 並 於 考 試 當 日 交 回 考 評局 The Centre Supervisor is requested to return the completed Candidatesrsquo Attendance Record Forms in one clear plastic bag andreturn it to the Hong Kong Examinations and Assessment Authority at the end of each examination day

第一頁

Page 1

樣本

SPECIMEN 16A

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 25: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

課 室 試 場Classroom

Centre 考 生 出 席 紀 錄 表

Candidatesrsquo Attendance Record Form

試場編號

Centre No 科目 卷別 SubjectPaper

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電

腦條碼紙

Use Spare Barcode Sheet

()

座 位 編 號

Seat No 考 生 編 號 lowast Candidate No

計算機

Calculator ( )

使用備用電腦

條碼紙

Use Spare Barcode Sheet

() 001 016

002 017

003 018

004 019

005 020

006 021

007 022

008 023

009 024

010 025

011 026

012 027

013 028

014 029

015 030

lowast 請 依 照 出 席 考 生 的 准 考 證 抄 錄 Please copy from candidatesrsquo Admission Forms

日 期 課 室 監 考 員 姓 名Date Name of Classroom Invigilator

(請 用 正 楷 填 寫 IN BLOCK LETTERS)

注意Note 1 課 室 監 考 員 應 填 寫 考 生 出 席 紀 錄 表

Classroom Invigilators should complete this attendance record form 2 若 考 生 缺 席 應 在 考 生 編 號 一 欄 填 上「 ABS」 若 考 生 使 用 備 用 電 腦 條 碼 紙 應 在 其 編 號 旁 加

「 」 號 If the candidate is absent write ldquoABSrdquo in the column for the candidate number If the candidate uses a spare barcode sheet put a ldquordquo against the candidate number

3 若 考 生 桌 上 放 有 計 算 機 監 考 員 應 檢 查 該 計 算 機 是 否 印 有 「HKEAA APPROVED」 或 「HKEAAPPROVED」標 籤如 有 標 籤在 考 生 編 號 旁 加「 」號如 沒 有 標 籤則 加「 」號 及 塡 寫 S R 4 c報 告 書 若 考 生 桌 上 沒 有 計 算 機 此 欄 可 留 空 If a calculator is found on the candidatersquos desk the invigilator should check if the calculator is pad-printed with the ldquoHKEAA APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is pad-printed with the label put a ldquo rdquo against the candidate number If not put a ldquordquo and complete the Report Form SR4c If no calculator is found on the candidatersquos desk leave the box blank

4 請 課 室 監 考 員 將 已 填 妥 的 本 節「 考 生 出 席 紀 錄 表 」 及 載 有「 點 名 單 」的 紙 夾 放 入 同 一 透 明 膠袋 內 並 於 考 試 當 日 交 予 課 室 試 場 主 任 The Classroom Invigilator is requested to place the completed Candidatesrsquo Attendance Record Forms together with the foldercontaining the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of eachexamination day

RECORD FORM2016

樣本

SPECIMEN 16B

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 26: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2 0 1 6 年 香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

計算機報告書

CALCULATORS FORM

(使用「出席紀錄及答卷收集系統」的考試適用

(For examinations using ldquoAttendance Script Tracking Systemrdquo)

於檢查考生的准考證時若考生桌上放有計算機監考員應檢查該

計算機是否印有「HKEAA APPROVED」或「HKEA APPROVED」標 籤

如沒有標籤監考員須在此表格記錄其考生編號並知會試場主任

塡寫 S R 4 c 報告書若考生桌上沒有計算機或考生的計算機印有標

籤(即使標籤已褪色)監考員無需作記錄

When checking candidatesrsquo Admission Forms if a calculator is placed on a candidatersquos desk

the invigilator should check if the calculator is pad-printed with the ldquoHKEAA

APPROVEDrdquo or ldquoHKEA APPROVEDrdquo label If it is not pad-printed with the label the

invigilators should record the candidate number on this form and notify the Centre

Supervisor to complete the Report Form SR4c If there is no calculator on the candidatersquos

desk or the candidatersquos calculator is pad-printed (even if the label has faded) the invigilator

need not record the candidate number

試場編號

Centre No

考試日期

Exam Date

科目卷別

SubjectPaper

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

考生編號

Candidate Number

監考員姓名

Name of Invigilator

監考員簽署

Signature of Invigilator

注意

Note

試場主任須將此表格連同有關的 SR4c 報告書交予考評局

The Centre Supervisor should return this form together with the

Report Form SR4c to the HKEAA

樣本

SPECIMEN 16C

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 27: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本

SPECIMEN 17

2016DSE0A010C0010A123404070100012

(001) 16027

(002) 16711

(003) 16499

(004) 16516

(005) 16000

(006) 16002

(008) 16005

(007) 16002

(012) 16018 (022) 16047

(023) 16048

(024) 16049

(025) 16052

(026) 16061

(027) 16062

(028) 16072

(029) 16075

(030) 16077

(015) 16030

(016) 16030

(017) 15034

(018) 16037

(019) 16037

(020) 16038 (010) 16010

(009) 16006

(011) 16017

(013) 16024

(014) 16026

(021) 16045

DSE A1234 1 001-030 A010C CHIN LANG (CAN) 1

APR 5 830AM

D16 MR08

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 28: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本

SPECIMEN 18A

樣本

SAMPLE

D16 MR01

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 29: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

1

考生編號

Candidate Number

由考生 填寫

To be filled in by the

candidate

由閱卷員填寫

Markerrsquos Use Only

由試卷主席

填寫

Examinerrsquos Use Only

閱卷員編號Marker No

試卷主席編號 Examiner No

試題編號

Question No

各頁積分

Marks 積分

Marks 積分

Marks

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

+ + =

總分

Total

2016 DSE (A) 香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

答 題 簿

ANSWER BOOK 考生須知

(一) 宣布開考後考生須首先在第 1 頁之適當位置填寫考生編

號並在第 13579 及 11 頁之適當位置貼上電腦

條碼

(二) 每題(非指分題)必須另起新頁作答並須在每一頁的相應

試題編號方格填畫「X」號以表示選答的題號(見下例) (三) 紙張兩面均應使用並應每行書寫不可在各頁邊界以外

位置書寫寫於邊界以外的答案將不予評閱

(四) 如有需要可要求派發方格紙及補充答題紙每一紙張均

須填寫考生編號填畫試題編號方格貼上電腦條碼並

用繩縛於簿內

(五) 試場主任宣布停筆後考生不會獲得額外時間貼上電腦條

碼及填畫試題編號方格

INSTRUCTIONS

(1) After the announcement of the start of the examination you should first write your Candidate Number in the space provided on Page 1 and stick barcode labels in the spaces provided on Pages 1 3 5 7 9 and 11

(2) Start each question (not part of a question) on a new page Put lsquoXrsquo in the corresponding question number box on each page to indicate the appropriate question number (see the example below)

(3) Write on both sides using each line Do not write in the margins Answers written in the margins will not be marked

(4) Graph paper and supplementary answer sheets will be supplied on request Write your Candidate Number mark the question number box and stick a barcode label on each sheet and fasten them with string INSIDE this book

(5) No extra time will be given to candidates for sticking on the barcode labels or filling in the question number boxes after the lsquoTime is uprsquo announcement

例 Example 試題編號 Question No = 3 試題編號 Question No 1 2 3 4 5 6 7 8 9 10 11 12

13 14 15 16 17 18 19 20 21 22 23 24 ge25

請在此貼上電腦條碼Please stick the barcode label here

樣本SPECIMEN

18B

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 30: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (禮 堂 試 場 適 用 ) SESSIONAL REPORT (for Hall Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 兩 位 監 考 員 ( 包 括 一 位 非 試 場 學 校 委 派 的 監 考 員 ) 及 試 場 主 任 簽 署To be completed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor

茲 證 明We certify in our capacity as invigilators that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 監 考 員 須 知 」 內 的 規 定 this examination was conducted in strict accordance with the ldquoNotes for the Guidance of Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間禮堂試場的收音機紅外線接收系統 (請刪去不適用者 ) 接收情況(請在適當方格內加「」) Reception of the radioInfra-red Transmission System (delete if not applicable) in the hall centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

監考員(一)姓名及簽署 Name amp Signature of Invigilator (1) 監考員(二)姓名及簽署 Name amp Signature of Invigilator (2)

校名 Name of School 校名 Name of School

試場主任姓名 Name of Centre Supervisor 試場主任簽署 Signature of Centre Supervisor

SESSRE2016

DSE 2016

樣本

SPECIMEN 20A

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 31: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

監考員出席紀錄表

INVIGILATORSrsquo ATTENDANCE RECORD

本校委派的監考員 日期For invigilators provided by this centre school Date

出席監考員姓名

(用正楷填寫 ) Name of Invigilators Present (in BLOCK letters)

簽署Signature

非本校委派的監考員For invigilators not provided by this centre school

出席監考員姓名(用正楷填寫 )

Name of Invigilators Present (in BLOCK letters)

學校名稱 lowast Name of Teaching Schoollowast

學校編號School Code

抵達時間Time of Arrival

簽署Signature

lowast 如 該 監 考 員 由 香 港 考 試 及 評 核 局 委 派 請 填 H KE A A

If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority please write HKEAA

SESSRE2016

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 32: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

香港中學文憑考試HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

考 試 報 告 書 (課 室 試 場 適 用 ) SESSIONAL REPORT (for Classroom Centres)

試 場 編 號 試 場 名 稱Centre No Name of Centre

科 目 卷 別Subject Paper

日 期Date

本 報 告 書 須 由 課 室 監 考 員 填 寫 及 簽 署To be completed and signed by Classroom Invigilator

茲 證 明I certify in my capacity as Classroom Invigilator that

(1)

(2)

(3)

(4)

(5)

(6)

(7)

確 實 的 開 考 時 間 是the actual starting time is

確 實 的 完 卷 時 間 是the actual finishing time is

本試場本節考試共收到 包 試 卷 ( 包 括 各 類 型 試 卷 ) 在 開 考 前 每 包 試 卷 的 包 裝 均 屬 完 整 this centre received packets of question papers (including all types of question papers) for this session the packets containing the question papers were sealed at the time of opening and appeared not to have been physically interfered with

每 包 試 卷 均 在 考 生 面 前 開 拆 the above packets were opened in the presence of the candidates

是 次 考 試 的 各 項 程 序 均 符 合 「 課 室 監 考 員 須 知 」 內 的 規 定 this examination was conducted strictly in accordance with the ldquoNotes for the Guidance of Classroom Invigilatorsrdquo

在 試 後 收 回 的 答 卷 數 目 ( 共 份 ) 與 考 生 出 席 人 數 相 同 the number of answer scripts collected at the end of the session (Total scripts) tallies with the number of candidates present

有關下列 考生監考員( 請刪去不適用者)的「特別報告書」已連同答卷交予香港考試及評核局 a Special Report on irregularities concerning the following candidate(s) invigilator(s) (delete if not applicable) is submitted along with the answer scripts to the Hong Kong Examinations and Assessment Authority

( 只 適 用 於 聆 聽 部 分 )( Applicable to Listening Component only)

考試期間課室試場的收音機接收情況(請在適當方格內加「」) Reception of the radio in the classroom centre during the examination (please put a ldquordquo in the appropriate box)

良 好Satisfactory

大 致 良 好 間 中 出 現 少 許 干 擾 但 不 影 響 整 體 接 收 Generally acceptable with occasional minor interferences which did not affect the general reception

曾 出 現 接 收 問 題 ( 請 詳 述 )With reception problem (Please give details)

課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2016

DSE 2016 樣本

SPECIMEN 20B

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 33: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Without Admission Form Identity Card SR1

Please put a ldquoradic rdquo in the appropriate box

For Office Use Part A (to be completed by the candidate) To Manager (SEAD)

I took the following examination without producing my

Admission Form Identity Card because I lostforgot to bring itthem

Centre Number Candidate Number

Subject Paper Language Medium Chinese English

Home Address

Daytime Contact Tel No HK Identity Card No ( )

Email address I understand that I have to go to the HKEAA office during office hours within 14 days after the

examination to have my documents checked If I fail to do so my answer script will not be marked

Signature of candidate VERIFIED Yes No Name Date Part B (to be completed by the centre supervisor invigilator) To Manager (SEAD) (1) I have checked the candidatersquos

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form but the candidatersquos personalised barcode sheet can be found at the centre

Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form bears hisher photograph The candidatersquos personalised barcode sheet can be found at the centre Admission Form However the candidate cannot produce hisher Identity Card and hisher Admission Form does not bear hisher photograph The candidatersquos personalised barcode sheet cannot be found at the centre

The candidatersquos answer script sheet is placed in the normal Script Envelope Multiple-choice Answer Sheet Folder

AR SEAD

Identity Card and the number is indicated in Part A The candidate cannot produce hisher Admission Form and the candidatersquos personalised barcode sheet cannot be found at the centre I havenrsquot checked the candidatersquos Admission Form nor Identity Card because the candidate cannot produce these documents but the candidatersquos personalised barcode sheet can be found at the centre

The candidatersquos answer script sheet is placed in an ldquoEnvelope For Special Reports And Related Scripts Answer Sheetsrdquo

AR ESU

SEAD

I havenrsquot checked the candidatersquos Admission Form nor Identity Card because

the candidate cannot produce these documents The candidatersquos personalised barcode sheet cannot be found at the centre

(2) I have instructed himher to copy a paragraph so that hisher handwriting can be checked by the HKEAA

Candidatersquos handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided)

VERIFIED

YesNo

Date Name amp Signature

(Centre Supervisor Invigilator) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Part C (to be completed by the centre supervisor invigilator and issued to the candidate) DSE Centre No Date To Name of candidate Paper Candidate No Identity Card No You must go to the HKEAA office (Address Southorn Centre 12F 130 Hennessy Road Wan Chai Hong Kong) during office

hours within 14 days after the examination to have your documents checked You should bring your Admission Form Identity Card and this slip If you have lost your Admission Form you should immediately apply for a new one The fee is $231 School candidates should bring a certification letter issued by their school and one recent photograph showing the head and shoulder only

SR1-E79

樣本 SPECIMEN 21

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 34: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2 0 1 6 年 香 港 中 學 文 憑 考 試

考生未能出示准考證身分證

SR1 請在適當方格內加「」號 甲部(由有關考生填寫) 致學校考試及評核部經理 准考證

本人於下列科目考試時由於遺失忘記攜帶而未能出示 身分證

For Office Use

試場編號 考生編號

科目 卷別 應考語文 中文 英文

考生住址

日間聯絡電話號碼 香港身分證號碼 ( )

電郵地址 本人明白須在考試後的十四日內於辦公時間前往香港考試及評核局辦事處呈交身分證明文件以作核

對本人明白若未有如期辦妥有關手續答卷將不獲評閱

考生姓名 日 期

考生簽署

VERIFIED YesNo

乙部(由試場主任監考員填寫)

致學校考試及評核部經理 (1) 本人曾查閱該考生的

身分證其身分證號碼列於本表甲部考生未能出示准考

證但其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證已貼有考

生的相片其個人電腦條碼紙可在試場找到 准考證惟該考生未能出示身分證而其准考證亦未貼有

考生的相片試場亦沒有其個人電腦條碼紙 身分證其身分證號碼列於本表甲部考生未能出示准考

證而試場亦沒有其個人電腦條碼紙 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件但其個人電腦條碼紙可在試場找到 本人不曾查閱該考生的准考證及身分證因該考生不能出

示這些證明文件而試場亦沒有其個人電腦條碼紙

AR SEAD

AR ESU

SEAD

(2) 本人已指示其抄錄文字一段以便考評局日後鑑辨其字跡

考生的字跡 (考生須在下方抄錄上述乙 (1)部其中一段文字 )

VERIFIED

YesNo

日期 試場主任 監考員姓名及簽署 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由試場主任或監考員填寫後交予有關考生) DSE 試場編號 考試日期

卷 別

考生姓名 ______________________________________

考生編號 或 身分證號碼 ______________________ 考生須在考試後的十四日內於辦公時間攜同其准考證身分證及本便條前往香港灣仔軒尼詩道 130 號修頓中心 12 樓考

評局辦事處呈交身分證明文件以作核對 考生如遺失准考證需立即向考評局申請補發費用為$231學校考生另須攜同學校發出的證明信及繳交半身近照一張

SR1-C080

該考生的答卷與其他出

席考生的答卷已一併放

入「答卷封套紙夾」

該考生的答卷已放入一 「特別報告書及有關答

卷答題紙封套」內

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 35: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidate Attended The Wrong Examination CentreSubjectPaperModule

Language Version Not On Admission Form SR3

Please put a in the appropriate box Part A (to be completed by the Centre Supervisor Invigilator) To Manager (SEAD)

Centre Number Candidate Number

Name of Centre

Subject PaperModule Language Version Chinese English

The above candidate was not allocated to my centre today but I have permitted himher to take the examination here

This candidate took the subjectpapermodulelanguage version which is not listed on hisher Admission Form The

candidate has been informed that the HKEAA may not accept hisher scripts of that subjectpaper

HisHer answer script is to be returned to the HKEAA in the Envelope For Special Reports and Related ScriptsAnswer Sheets Date Name amp Signature (Centre SupervisorInvigilator) -------------------------------------------------------------------------------------------------- Part B (to be completed by the candidate after the examination session) To Manager (SEAD)

I took the examination at a centre which was different from the one specified on my Admission Form The information printed on my Admission Form is

Subject PaperModule

Language Version Chinese English

Original Centre Number Seat Number printed on the Admission Form

Name of Original Examination Centre I understand that any candidate who deliberately takes an examination at an examination centre other than the one

specified on hisher Admission Form will risk a mark penalty Therefore I provide the following information for your consideration

Home Address

Daytime Contact Tel No

Email Address

Type of transport used (from home to centre)

Reasons for attending a wrong centre

HK Identity Card No ( )

I took the subjectpapermodulelanguage version indicated in Part A which is not listed on my Admission Form I understand that the HKEAA may not accept my scripts If approval is subsequently given I have to pay a supplementary fee of $532 and the subject fee concerned

Name of Candidate Signature (in BLOCK letters) (Candidate) -------------------------------------------------------------------------------------------------- Part C (For Office Use)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID

SR3-E79

樣本 SPECIMEN

22

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 36: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

SR3 2 0 1 6 年 香 港 中 學 文 憑 考 試

考生前往非指定試場應試准考證未印有與考科目卷別單元應考語文 請在適當方格內加「」號 甲部(由試場主任監考員填寫) 致學校考試及評核部經理

試場編號 考生編號

試場名稱

科目 卷別單元 應考語文 中文 英文 上述考生原非編在本試場應試惟本人予以容納

上述考生的准考證未印有上列科目卷別單元應考語文考生已獲告知考評局可能不接納其答卷 其答卷已放入「特別報告書及有關答卷答題紙封套」內一併交回考評局

日期 試場主任監考員姓名及簽署 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 乙部(完卷後由有關考生填寫) 致學校考試及評核部經理

本人沒有依照准考證上指定的試場應試本人准考證上所列的資料如下 科目 卷別單元 應考語文 中文 英文 原來試場編號 印在准考證上的座位編號 原來試場名稱

本人知悉如故意違犯規則在非指定試場應試可被扣分下列資料請予以考慮

考生住址

日間聯絡電話 電郵地址

由住所前往試場所使用的交通工具

前往非指定試場應試的原因

香港身分證號碼 ( )

本人應考的甲部所列科目卷別單元應考語文並沒有列於准考證上本人明白考評局可能不

接納該份答卷倘考評局事後批准本人的應考資格本人須繳交附加費$532 及有關的科目費

考生姓名 考生簽署 (用英文正楷填寫) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

丙部(由考評局填寫)

SC

script to be marked script not to be accepted supplementary fee to be collected PAIDUNPAID SR3-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 37: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities SR4g

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note If any irregularity occurs during an examination session a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with the candidates answer script or answer sheet or article(s) involved in suspected cheating (if any) There is no need to report on this Form those cases which have already been stated in Report Forms SR1 SR3 SR4b SR4c SR4p or SR4i

Time of the incident From to

Details of the incident

Follow-up action taken by invigilation staff (Time From to )

Time of reporting by the candidate Before the examination During the examination After the examination (Please put a ldquordquo in the appropriate box)

Candidatersquos explanation (to be completed by the candidate at the end of the examination if any)

If the case involves suspected cheating the candidate(s) concerned should be asked to provide a written explanation before hesheleaves the centre If the candidate refuses this should be stated on the form

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator Invigilator handling the case (if the case is not handled by the Centre Supervisor)

Name Signature Name Signature

Details of the candidates being reported (one box ONLY to be completed by each candidate)

(FIRST CANDIDATE) (SECOND CANDIDATE) (if any) Candidate No Candidate No

Name Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

This is a complaint requiring follow up

This is a report for information only

This is a complaint requiring follow up

This is a report for information only

Signature Signature Please put a ldquordquo in the appropriate box

SR4g-E79

樣本

SPECIMEN 23A

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 38: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

SR4g 2 0 1 6 年 香 港 中 學 文 憑 考 試

考試異常事項

試場編號

試場名稱 日 期

科 目 卷別 考試時間由 至 注意 如遇試場發生特別事故試場主任須在此表格上填報並將之放在「特別報告書及有關答卷答題紙封

套」內交回香港考試及評核局如該事故涉及考生的答卷答題紙甚至作弊用的物品等亦應將之一

併交回已記錄在 SR1SR3SR4bSR4cSR4p 及 SR4i 報告書內的事項不須在此重複

事件發生時間 由 至

事件經過

監考人員曾作的跟進工作 (時間 由 至 )

考生報告事件時間 開考前 考試進行期間 完卷後 (請在適當方格內加「」號)

考生解釋 (完卷後由考生填寫如有的話)

如事件涉及懷疑考生作弊監考人員應要求有關考生於離開試場前作一書面解釋倘考生拒絶應在此表上註明

連同此報告交回考評局的考生答卷共 _______________ 份 試場主任 監考員

姓名 簽署

處理上述個案的監考員(如有關個案並非由試場主任處理) 姓名 簽署

有關的考生資料如下(每考生只須填寫一格) 由第一名考生填寫 由第二名考生填寫(如有第二名考生)

考生編號 考生編號

姓名 姓名

地址 地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

是項投訴需考評局跟進

是項報告供考評局參考

是項投訴需考評局跟進

是項報告供考評局參考

考生簽署 考生簽署 請在適當方格內加「」號 SR4g-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 39: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Barcodes) SR4b

Centre Number Name of Centre

Subject Paper Date

Part A Use of spare barcode sheets

Candidate Number Reasons for issuing spare barcode sheets Reasons for issuing spare barcode sheets A Wrong-centre candidate (with SR3 Report) B Subject not on Admission Form (with SR3

Report) C The candidate could not produce hisher

admission form and hisher personalised barcode sheet was not found at the centre (with SR1 Report)

D The candidatersquos original barcode sheet was damaged found to include incorrect information could not be located

E The candidate took the Listening Component in the special room due to late arrival (see Special Room Sessional Report)

F The candidate went to the listening paper special room from the exam hallclassroom without bringing along hisher original barcode sheet

G Others (Please specify)

Part B Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquordquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)

Candidate Number Signature of Candidate

Part C Other irregularities concerning barcode sheetlabel (if any)

Notes The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an Envelope For Special Reports and Related ScriptsAnswer Sheets together with this report

There are ______________________ answer scripts returned to the HKEAA together with this Report

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

SR4b-E79

樣本 SPECIMEN

23B

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 40: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (電腦條碼 )

SR4b

試場編號 試場名稱

科目 卷別 日期

甲部 使用備用電腦條碼紙的考生

考生編號 派發備用電腦條碼紙的原因 使用備用電腦條碼紙的原因

A 考生前往非指定試場應試(另有 SR3 報告書)

B 考生的准考證上未印上與考科目(另有SR3報告書)

C 考生未能出示准考證而試場又沒有其個人電腦條碼紙(另有 SR1報告書)

D 考生原來的電腦條碼紙損毁資料有誤不能找到

E 考生因遲到(請參閱特別室考試報告書)需到特別室應考聆聽部分

F 考生沒有由禮堂課室攜帶原來的電腦條碼紙到聆聽卷別特別室

G 其他原因(請註明)

乙部 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生

(若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「」號)

考生編號 考生簽署

丙部 與電腦條碼紙貼紙有關的其他異常事項(如有的話)

注意上述考生的答卷應連同本報告書放在「特別報告書及有關答卷答題紙封套」內交回答卷

收集中心

連同此報告交回考評局的考生答卷共 ________________ 份

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署 SR4b-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 41: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Calculators) SR4c

Centre Number Name of Centre

Subject Paper Date

Note If a candidate is found in possession of a calculator which is not pad-printed with the HKEAA APPROVED or HKEA APPROVED label heshe should be allowed to use the calculator to continue with hisher work until the end of the last examination session of the day (1) If the calculator is not on the permitted list the calculator must be collected after the last examination session of

the day and returned to the Scripts Collection Centre together with this report (2) If the calculator is on the permitted list but not pad-printed the case should be reported on this form but the

calculator needs not be collected (3) If the calculator was pad-printed but the label has faded it is not necessary to report such a case

Manufacturer of the

Calculator Model Number Candidate Number Calculator collected

and sent to HKEAA (YesNo)

Remarks

(Mark A or B)

1

2

3

4

A The calculator has not been pad-printed with the label but is on the permitted list

B The calculator has not been pad-printed with the label and is not on the permitted list

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Details of the candidates being reported [to be completed by the candidate(s) concerned ndash one box for each candidate]

1 Candidate No 2 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature

3 Candidate No 4 Candidate No

Name

Name

Address Address

Daytime Contact Telephone No Daytime Contact Telephone No

Email Address Email Address

Signature Signature SR4c-E79

樣本 SPECIMEN 23C

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 42: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2 0 1 6 年 香 港 中 學 文 憑 考 試 SR4c 考試異常事項 (計算機 )

試場編號 試場名稱

科 目 卷別 日期

有關考生的資料如下 [ 由考生填寫 每名考生填寫一方格 ]

1 考生編號 2 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

3 考生編號 4 考生編號

姓名

姓名

地址

地址

日間聯絡電話 日間聯絡電話

電郵地址 電郵地址

考生簽署 考生簽署

SR4c-C80

注 意

試場主任或監考員如發現考生使用未印有「HKEAA APPROVED」 或「HKEA APPROVED」 標籤的計算機應准許其使用該計算機至當日最後一節考試完卷為止 (1) 若該計算機的型號不在准用計算機型號名單 內該計算機須在當日最後一節考試後連同本

報告書一併交回答卷收集中心 (2) 若考生的計算機在准用計算機型號名單 內但未印有標籤試場主任或監考員須在此報告書

內呈報有關個案但無須將計算機呈交考評局 (3) 若考生的計算機曾印上標籤但因長期使用以致褪色試場主任或監考員無須填報此類個案

計算機製造商 型號 考生編號

有否將 計算機交予考評局

(有否 )

備註

(請填 A 或 B)

1

2

3

4

A 該計算機並未印有標籤但在准用計算機型號名單內 B 該計算機並未印有標籤且不在准用計算機型號名單內

試場主任 監考員 (請在適當方格內加「」號)

姓名 簽署

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 43: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices) SR4p

Centre Number

Name of Centre Date

Subject Paper Examination Time From To

Note (1) Candidates are required to switch off their mobile phones (including the alarm function) and put them under their chairs in a position

clearly visible to the invigilators They are also required to switch off other electronic devices such as tablet PDA pagers multimedia players electronic dictionaries databank watches smart watches with mobile application installed or wireless technologies supported and articles that can store information or emit sound and put them inside their bags

(2) For irregularities concerning mobile phoneselectronic devicessounding devices a report should be made on this form The completed form should be returned to the HKEAA in an Envelope For Special Reports and Related ScriptsAnswer Sheets

Please put a ldquordquo in the appropriate box Part 1

1 During the examination (time ampm) the

mobile phone [please specify brand name model no (if available) ]

other electronic device[please specify ]

sounding device[please specify ]

of the candidate below was found

in operating mode(please also complete Part 2)

not in operating mode

in a mode that could not beconfirmed

it

rang

vibrated

did not ringnor vibrate

2 The mobile phoneelectronic devicesounding device was found

under the candidatersquos chair inside the candidatersquos bag

on the candidatersquos desk in other location[please specify ]

inside the drawer of thecandidatersquos desk

on the candidatersquos body[please specify (eg in the pocket) ]

Part 2 (To be completed if the mobile phoneelectronic device is found in operating mode)

1 Did the candidate agree to voluntarily show the mobile phone call log SMS MMS log Yes NoIf not ask the candidate to give an explanation on this form

2 After checking did the log(s) show that any call or message was received during the examination session Yes No3 If yes please provide details of the caller please provide further information if cheating is suspected (use a separate sheet if necessary)

4 Did the candidate attend to the call message during the examination Yes NoIf yes please provide the details (eg contents of the conversation)

Other relevant information

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

(To be completed by the candidate being reported) Candidatersquos explanation (if any)

Candidate No

Name

Address

Daytime Contact Telephone No

Email Address

Signature SR4p-E79

樣本

SPECIMEN 23D

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 44: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2 0 1 6 年 香 港 中 學 文 憑 考 試 考試異常事項 (手提電話電子器材備有響鬧功能物品 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至

注 意

( 1) 考生必須將手提電話的響鬧功能及電源關掉並放在座位下的當眼處讓監考員清楚看見考生亦

須關掉其他電子器材 [例如平板電腦電子手帳傳呼機多媒體播放器電子字典具文字

顯示功能裝有流動應用程式或支援無線技術的手錶等 ] 及備有儲存資料或響鬧功能的物品並

放在手提包內

( 2) 與手提電話電子器材及備有響鬧功能物品有關的事故試場主任須在此表格上填報並將之放

在「特別報告書及有關答卷答題紙封套」內交回香港考試及評核局

請在適當方格內加「」號 第(一)部分

1 考試進行期間(時間上午下午 )下述考生的

手提電話(請註明牌子名稱 型號(如有的話) )

其他電子器材 [請註明 ] 備有響鬧功能的物品 [請註明 ]

處於啟動模式 ﹝請填寫第(二)部分﹞ 處於關機模式 未能確定處於哪種模式

發出聲響 震動 沒有發出聲響或震動

2

有關的物品放在

考生的座位下手提包內 考生桌上 其他位置 [請註明 ]

考生桌子的抽屜內 考生身上 [請註明(例如衣袋內) ]

第(二)部分(只在考生的手提電話電子器材處於啟動模式的情況下塡寫)

1 考生是否自願展示手提電話的通訊紀錄短訊及多媒體短訊紀錄 是 否

如否請考生在此表格上寫上解釋

2 經檢查後有否發現該手提電話於考試期間曾收到來電或訊息 有 否

3 如有請提供來電者的資料若懷疑涉及作弊請提供詳細資料 (可另加紙張填寫 )

4 考生在考試期間有否接聽來電或查看訊息 有 無 如有請提供資料(例如通話內容)

其他相關資料

試場主任 監考員( 請在適當方格內加「」號)

姓名 簽署

有關的考生資料如下(由考生填寫) 考生解釋(完卷後填寫如有的話)

考生編號

姓名

地址

日間聯絡電話

電郵地址

簽署 SR4p-C80

SR4p

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 45: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Candidates Going to the Toilet SR4t

Centre Number

Name of Centre

Subject Paper

Date

The following candidates went to the toilet during the examination

Candidate Number Time Candidate Number Time

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

From To From To

Centre Supervisor Invigilator (Please put a ldquordquo in the appropriate box)

Name Signature

Note For any irregularities happening in the toilet please report the details on Report Form SR4g

SR4t-E79

樣本

SPECIMEN 23E

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 46: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2 0 1 6 年 香 港 中 學 文 憑 考 試 考生前往洗手間

SR4t

試場編號

試場名稱

科 目 卷別

日 期

下列考生於考試期間前往洗手間

考生編號 時間 考生編號 時間

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

由 至 由 至

試場主任 監考員(請在適當方格內加「」號)

姓名 簽署

註但凡在洗手間內發生的異常情況請在 SR4g 報告書詳列有關情況 SR4t-C80

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 47: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016 Examination Irregularities (Invigilators) SR4i

Centre Number

Name of Centre Date

Subject Paper Examination Time From to

Note In the event of the absence of an invigilator the Centre Supervisor is expected to delegate the invigilation duties to otherinvigilators or appoint hisher own staffcolleagues as a replacement If an invigilator was late or behaved in such a way that had affected the smooth running of the examination (eg giving improper instructions to candidates not vigilant in performing invigilation duties reading question papers or other articles chatting with another person) the details should be recorded in the Remarks column

(1) Number of invigilators assigned to this centre (See Invigilatorsrsquo List)

(2) Number of invigilators present

Name of invigilator present School of the invigilator Remarks

(use a separate sheet if necessary) Name of School School

Code

Please refer to Invigilatorsrsquo Identification Slips or Invigilatorsrsquo Assignment Slips

(3) Details of the absent invigilators

School of the invigilator Remarks Name of absent invigilator

(to be completed by HKEAA) Name of School School Code

See Invigilatorsrsquo List

(4) I have appointed Mr Ms of my school to replace the above absent invigilator

HKEAA needs not pay himher any invigilation fee

Please pay the invigilation fee into our schoolrsquos bank account as detailed below

Bank Branch

Name of account holder

Account number

Signature (Centre Supervisor)

Please put a ldquordquo in the appropriate box Name

SR4i-E79

樣本

SPECIMEN 24

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 48: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2016 年 香 港 中 學 文 憑 考 試 SR4i 考試異常事項 (監考員 )

試場編號

試場名稱 日 期

科 目 卷別 考試時間 由 至 注意 如遇監考員缺席請將監考工作分配給其他監考員或由試場主任委派其教職員代替

如遇監考員遲到或在試場內作出任何影響考試順利進行的行為(例如給予考生錯誤的指示沒有執

行監考工作閱讀試卷或其他物品或與他人閒聊等)請在「備註」欄內註明 (1) 本試場應有監考員的人數 人 (請參閱 Invigilatorsrsquo List) (2) 出席監考員人數 人

出席監考員姓名

任教學校 備註

學校名稱 學校編號 (如有需要可另加 紙張填寫)

請參閱「監考員證明函」 或 「監考員工作分配證」

(3) 缺席監考員的資料

任教學校 備註

缺席監考員姓名 (由考評局填寫) 學校名稱 學校編號

可參閱

Invigilatorsrsquo List

(4) 本 試 場 已 委 派 本 校 教 職 員 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _先 生 女 士 代 替 上 述 缺 席 監

考 員 考 評 局 無 須 支 付 監 考 費 用 予 上 述 教 職 員 請 將 監 考 費 用 存 入 本 校 銀 行 戶 口 詳 情 如 下 銀行 分行 戶口持有人姓名 戶口號碼 試場主任簽署 姓 名 請在適當方格內加「」號 SR4i-C80

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 49: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

如有考生出示身份證所填寫的考生編號可在「出席紀錄及答卷收集系統」點名單上核實而試場亦

有其個人的電腦條碼紙則考生的答卷或答題紙不應放入本封套內

遇以下情況考生的答卷或答題紙必須放入本封套內

(i) 考生忘記其考生編號而試場亦沒有其個人的電腦條碼紙 (ii) 考生未能出示其本人的身份證

If the candidate could produce hisher identity card and hisher candidate number was verifiable from the ASTSattendance list with hisher personalized barcode sheet available at the centre the candidatersquos answer script oranswer sheet should NOT be put in this envelope

The candidatersquos answer script or answer sheet should be put in this envelope when(i) the candidate could not remember hisher candidate number and hisher personalized barcode sheet could

not be found at the centre

(ii) the candidate could not produce hisher identity card

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

樣本

SPECIMEN25

DSE

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 50: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本

SPECIMEN 26A

5 APR 2016 830AM

001

A1234 HKEAA San Po Kong Office (HALL)

(160012345) (160045645)

A010C CHIN LANG (CAN)

050

(本試場共 4 包)

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 51: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

DATE 1000

PAGE 1 OF 755

A1234 (HALL)

HKEAA San Po Kong Office

EXAM COMM SUBJECT PAPER

DATE TIME

0504 0830 CHIN LANG (CAN) 1

0504 1030 CHIN LANG (CAN) 2

0604 0915 CHIN LANG (CAN) 3

1104 0830 LIBERAL STUD-C 1

1104 1115 LIBERAL STUD-C 2

TOTAL NO OF ENVELOPES 20

NO OF ENVELOPES

1012016HKDSE - DSEPRD SEP 2016LIST OF SCRIPT ENVELOPES BY CENTRE

4

4

4

4

4

QSENV0445R1

CENTRE NUMBER

NAME OF CENTRE

樣本

SP

EC

IME

N

26B

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 52: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本

SPECIMEN 28

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 53: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本

SPECIM

EN

29

Mathematics 1 amp 2 12 April 2016

6 3 2 1

ABC College

聆聽卷別特別室考試報告書及答卷封套

Return Envelope for Listening Paper Special Room Sessional Report

and Answer Scripts

考試錄音備用

Examination 試音USB

Reserve Demonstration USB

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 54: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本

SPECIM

EN

30A

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 55: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本

SPECIM

EN

30B

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 56: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本

SPECIMEN32

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 57: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本

SPECIMEN33

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 58: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本

SPECIM

EN

34A

香 港 中 學 文 憑 考 試

中國語文卷三(聆聽及綜合能力)

6) 聆聽卷別特別室考試報告書及答卷封套

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 59: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本

SPECIM

EN

34B

English Language Paper 3 (Listening and Integrated Skills)

6) A Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

4) 30 Rough-work Sheets

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 60: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

香 港 考 試 及 評 核 局

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY

香 港 中 學 文 憑 考 試

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION

試場編號

Centre No 科目

Subject

試場名稱

Name of Centre

出席人數 本封包內答卷數目

No of Candidates Present No of Scripts Enclosed

此校特別室總數 ( )

Total Number of Special Room in this school ( )

注意 如沒有考生在「特別室」應考仍須將此封套交回

Note This envelope must be returned even if no candidates took the Listening Test in the special room

聆 聽 卷 別 特 別 室 考 試 報告 書 及 答 卷 封 套

Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts

聆聽

卷別

特別

Lis

teni

ng P

aper

Spe

cial

Roo

m

樣本

SPECIM

EN

36

聆聽

卷別

特別

室 Listening Paper Special R

oom

DSE

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 61: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本

SPECIM

EN

37

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 62: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

2016 年香港中學文憑考試 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016

聆聽卷別特別室(座位表)

Listening Paper Special Room (Seating Plan) 科目

Subject

監考員席

INVIGILATORrsquoS DESK

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

考生編號

Candidate No__________

請以ldquordquo表示收音機光碟USB 播放機的擺放位置 Please indicate the location of the radioCDUSB player with the symbol ldquordquo

試場編號 CENTRE NO 課室編號 ROOM NO

樣本

SPECIM

EN

38

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 63: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

樣本

SPECIMEN39

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 64: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

考生前往非指定試場或錯誤報考應考語文卷別單元須知

這試場未能提供你所需要的應考語文卷別單元試卷你可選擇

1 前往准考證上指定的試場但若你遲到你並不會獲

得額外時間作答或

2 留在本試場並以本試場提供試卷的應考語文卷別單元(如適用)應考但你可選擇以你擬報考的應考語文作答或

3 前往最就近的試場以該試場提供你擬報考的應考語文卷別單元的試卷應考[請致電考評局( 電 話 3628 8860) 或 瀏 覽 考 評 局 網 頁(wwwhkeaaeduhk 香港中學文憑考試 考務安排 試場一覽表) 查詢相關試場資料]

試場只會提供預設的應考語文卷別單元試卷考評局不會提供傳真

不同試卷的安排

考生或需於考試完畢後填寫 SR3 報告書在未能提供合理解釋的情況

下考生如前往非指定試場應考超過一次其第二次及之後於非指定試

場應考的科目卷別會被扣分

如考生應考的語文卷別單元與其准考證上所列的不符考生必須於

試後立即向考評局申請更改應考語文卷別單元倘若申請獲接納

考生須繳交有關附加費及科目費

Notes for Wrong Centre or Wrong Version Candidates

This exam centre cannot provide the question papers for the language version paper module that you need and you can choose to

1 go to the correct centre as stated on the Admission Form butno extra time will be given if you arrive late or

2 remain in this centre and sit the exam in the LanguageVersion Paper Module (if applicable) which this centreprovides but your answers can be written in the language youintended to register for or

3 go to the nearest exam centre that provides the questionpapers of the language version paper module which youintended to register for [Please call the HKEAA at 3628 8860or browse the HKEAA website (wwwhkeaaeduhk Examination Administration Examination Centres) forrelated centre information]

The centre will ONLY provide the Language Version Paper Module as scheduled The HKEAA will NOT provide faxed copies of different question papers

Candidates may be asked to fill in the Report Form SR3 at the end of the examCandidates sitting an exam in a wrong centre more than once without an acceptable explanation will receive a mark penalty in the second and subsequent subjectspapers

If the Language Version Paper Module that the candidates sat is different fromthat stated on the Admission Form the candidates must seek special approval from the HKEAA immediately after the exam The application if approved by the HKEAA is subject to the payment of related supplementary fee and subject fee

樣本

SPEC

IMEN

40

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i
Page 65: SPECIMEN DOCUMENTS - HKEAASPECIMEN DOCUMENTS 文件樣本目錄 List of Specimen Documents 樣本 SPECIMEN 文件名稱 NAME OF DOCUMENTS 1A. 考試文具核對表 Checklist of stationery

DSE-CS0916

  • 00 - 2016 Specimen Documents Cover
    • DSE 2016
      • 01 - 2016_SDlist
        • List of Specimen Documents
          • 1A_Checklist of stationery for the centre
          • 1B - 2016 DSE_供應試場應用文具及用品總覽_CRs
          • 2A - 香港中學會考試場
          • 2B - 只准考生進入
          • 2D_2016 DSE_LT_ExamInProgress (ester)
          • 2E_2016 DSE_LT_SpecialRoomPoster (ester)
            • Sheet1
              • 3A - Seating plan (Hall)
              • 3B - 2015 DSE_CRsSeatingPlan
                • Sheet1
                  • 4 - Seat number label
                  • 5 - Question Paper Quantity Checklist
                  • 6A - QP Collection Slip
                  • 6B - QP receipt
                  • 7A - standard packing of question papers
                  • 7B(iii) - Packing Label (Barcode sheet)
                    • Exam Date
                      • SubjectPaper
                      • Item Supplied
                      • Quantity
                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                          • BARCODE LABELS
                              • 8_2016 DSE_Menu_AD(CatA)
                              • 9 - Envelop for Special Notice
                              • 10A - Invigilators List
                              • 10B - Invigilators label
                              • 10C
                              • 11(i) - Annex 1a amp 2a_Invigilator Identification Slips (for Normal Centre)
                              • 11(ii) - Annex 3a_Invigilator Assignment Slips (for Normal Centre)
                              • 12 - 2016 INVIGILATORSrsquo ATTENDANCE RECORD
                              • 14 - Sch AF
                              • 15A - Acknowledgement of application for HKID
                              • 15B - Loss Memo
                              • 16A_2016 DSE_CandAttnRecForm_Hall
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                • 考生出席紀錄表
                                • Candidatesrsquo Attendance Record Form
                                  • 16B_2016 DSE_CandAttnRecForm_CRs
                                    • 考生出席紀錄表
                                    • Candidatesrsquo Attendance Record Form
                                      • 16C_2016 DSE_CalculatorsForm
                                      • 17 - Attendance List
                                      • 18A - MC ans sheet
                                      • 18B_2016 DSE(A) 20151023 (2)
                                        • ANSWER BOOK
                                        • INSTRUCTIONS
                                          • 19 - Backing sheet
                                          • 20A_2016 DSE_SessRep_Hall
                                          • 20B_2016 DSE_SessRep_CRs
                                          • 23A_2016 DSE_SR4g-C_p2
                                          • 23A_2016 DSE_SR4g-E_p1
                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                              • Examination Irregularities
                                                • SR4g
                                                  • 23B_2016 DSE_SR4b-C_p2_cc
                                                    • 派發備用電腦條碼紙的原因
                                                    • 考生編號
                                                    • G 其他原因(請註明)
                                                    • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                    • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                    • 考生簽署
                                                    • 考生編號
                                                      • 23B_2016 DSE_SR4b-E_p1_cc
                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                          • SR4b
                                                            • Reasons for issuing spare barcode sheets
                                                            • Candidate Number
                                                            • G Others (Please specify)
                                                            • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                            • Signature of Candidate
                                                            • Candidate Number
                                                            • Other irregularities concerning barcode sheetlabel (if any)
                                                              • 23C_2016 DSE_SR4c-C_p2
                                                              • 23C_2016 DSE_SR4c-E_p1
                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                  • SR4c
                                                                    • Manufacturer of the Calculator
                                                                      • Model Number
                                                                      • Candidate Number
                                                                      • Calculator collected and sent to HKEAA
                                                                      • Remarks
                                                                          • 23D_2016 DSE_SR4p-C_p2_cc
                                                                            • 2016年香港中學文憑考試
                                                                              • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                  • 23D_2016 DSE_SR4p-E_p1_cc
                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                      • Examination Irregularities (Mobile PhonesElectronic DevicesSounding Devices)
                                                                                        • SR4p
                                                                                          • 23E_2016 DSE_SR4t-C_p2
                                                                                          • 23E_2016 DSE_SR4t-E_p1
                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                              • SR4t
                                                                                                  • 24_2016 DSE_SR4i-C_p2
                                                                                                    • 2016年香港中學文憑考試 SR4i
                                                                                                      • 24_2016 DSE_SR4i-E_p1
                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                          • SR4i
                                                                                                            • Remarks
                                                                                                            • School of the invigilator
                                                                                                            • (use a separate sheet if necessary)
                                                                                                            • School
                                                                                                            • Name of School
                                                                                                            • Code
                                                                                                              • School of the invigilator
                                                                                                              • Remarks
                                                                                                                • Name of absent invigilator
                                                                                                                • School Code
                                                                                                                • Name of School
                                                                                                                  • 25 - EnvelopeforSRreports
                                                                                                                  • 26A - 答卷封套
                                                                                                                  • 26B
                                                                                                                  • 27 - Security adhesive tape
                                                                                                                  • 28 - MCFolder_2016DSE
                                                                                                                  • 29 - 交回答卷及文件收據
                                                                                                                  • 30A - Rough WS envelope
                                                                                                                  • 30B - Barcode sheet envelope
                                                                                                                  • 31 - Mobile phone reminder card
                                                                                                                  • 32 - Mobile phone plastic bag
                                                                                                                  • 33 - Rough WS
                                                                                                                  • 34A - Envelope for Special Room (Chi Lang)
                                                                                                                  • 34B - Envelope for Special Room (Eng Lang)
                                                                                                                  • 35_2016 DSE_LT(SR)_SessReport_cc
                                                                                                                  • 36 - Return Envelope for LT Sp Rm Sessional Report amp Ans Scripts-C
                                                                                                                  • 37 - 2015 DSE_UnusedReturnEnvelope
                                                                                                                  • 38_2016 DSE_LT_SpecialRm_SeatingPlan
                                                                                                                  • 39 - Special Room Reminder Card
                                                                                                                  • 40 - Notes to Wrong Centre or version Candidates(vertical)1_20160105V1
                                                                                                                  • 41 - 2016 - Back Cover
                                                                                                                  • 21_2016 DSE_SR1-E_p1_ccpdf
                                                                                                                    • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                      • Candidate Without Admission Form Identity Card
                                                                                                                        • SR1
                                                                                                                          • Part C
                                                                                                                          • DSE
                                                                                                                              • 21_2016 DSE_SR1-C_p2_ccpdf
                                                                                                                                • SR1
                                                                                                                                  • For Office Use
                                                                                                                                      • 22_2016 DSE_SR3-E_p1_ccpdf
                                                                                                                                        • SR3
                                                                                                                                        • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                          • Candidate Attended The Wrong Examination CentreSubjectPaperModule
                                                                                                                                          • Language Version Not On Admission Form
                                                                                                                                              • 23B_2016 DSE_SR4b-E_p1_ccpdf
                                                                                                                                                • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                  • SR4b
                                                                                                                                                    • Reasons for issuing spare barcode sheets
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • G Others (Please specify)
                                                                                                                                                    • Candidates without sticking barcode labels on the MC answer sheeton the cover of the answer bookquestion-answer book ( Please put a ldquo(rdquo in the box below if the candidate was allowed to stick the barcode label on the MC answer sheeton the cover of the answer bookquestion-answer book under the supervision of an invigilator to facilitate the scanning of the answer scripts)
                                                                                                                                                    • Signature of Candidate
                                                                                                                                                    • Candidate Number
                                                                                                                                                    • Other irregularities concerning barcode sheetlabel (if any)
                                                                                                                                                      • 23B_2016 DSE_SR4b-C_p2_ccpdf
                                                                                                                                                        • 派發備用電腦條碼紙的原因
                                                                                                                                                        • 考生編號
                                                                                                                                                        • G 其他原因(請註明)
                                                                                                                                                        • 沒有在答題簿試題答題簿的封面或多項選擇題答題紙貼上電腦條碼貼紙的考生
                                                                                                                                                        • (若監考員因需進行答卷掃描而允許考生在其監督下在答題簿試題答題簿的封面或多項選擇題答題紙補貼電腦條碼貼紙請在下列方格內加上「(」號)
                                                                                                                                                        • 考生簽署
                                                                                                                                                        • 考生編號
                                                                                                                                                          • 23C_2016 DSE_SR4c-E_p1pdf
                                                                                                                                                            • HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2016
                                                                                                                                                              • SR4c
                                                                                                                                                                • Manufacturer of the Calculator
                                                                                                                                                                  • Model Number
                                                                                                                                                                  • Candidate Number
                                                                                                                                                                  • Calculator collected and sent to HKEAA
                                                                                                                                                                  • Remarks
                                                                                                                                                                      • 23D_2016 DSE_SR4p-C_p2_ccpdf
                                                                                                                                                                        • 2016年香港中學文憑考試
                                                                                                                                                                          • 考試異常事項(手提電話電子器材備有響鬧功能物品)
                                                                                                                                                                              • 24_2016 DSE_SR4i-C_p2pdf
                                                                                                                                                                                • 2016年香港中學文憑考試 SR4i