WYPEŁNIA ZDAJĄCY
PESEL
Miejsce na naklejkę z nr PESEL
Data urodzenia zdającego
dzień miesiąc rok
Nr zadania
WYPEŁNIA EGZAMINATOR
0 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
13 |
w |
15 |
16 |
17 |
18 |
19 |
X |
21 |
22 |
23 |
24 |
25 |
PUNKTY | |
I |
0 m |
0 |
0 B [U |
0 |
0 0 0 |
0 |
0 |
0 0 |
0 |
0 |
0 |
0 |
0 |
0 |
m |
0 |
B |
0 |
0 |
B |
□ □ | |||||
1 @ |
1 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 | ||
II |
E3 m |
0 |
0 |
B |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
O |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
□ □ |
m 0 |
0 |
0 |
0 |
□ |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
O |
s |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 | ||
III |
0 0 |
0 |
0 B 0 |
0 |
0 0 0 |
0 |
0 |
0 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
B |
0 |
0 |
1 |
□ □ | |||||
0 E |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 | ||
IV |
0 ED |
0 |
0 |
B |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
□ □ |
0 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 | ||
0 m |
0 |
0 B 0 |
0 |
0 0 0 |
0 |
0 |
0 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
□ □ | ||||||
s 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 | ||
VI |
0 m |
0 |
0 |
B |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
E |
0 |
□ □ |
0 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 | ||
VII |
0 0 |
0 |
0 B 0 |
0 |
0 0 0 |
0 |
0 |
0 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
E |
0 |
□ □ | |||||
0 0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 0 0 |
0 |
0 |
0 0 0 0 0 |
0 |
0 | ||||||||
VIII |
0 0 |
0 |
0 |
B |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
□ □ |
0 0 |
0 |
0 |
0 |
□ |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
o |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 | ||
28 27 |
28 |
29 |
X |
31 |
32 |
X |
34 |
35 |
X |
37 |
X |
X |
40 |
41 |
42 |
43 |
u |
45 |
46 |
47 |
46 |
49 |
50 |
51 |
SUMA
PUNKTÓW
sann o 1 2
□□□□□□□□□□□ 0 123456789 J □□□□□□□□□□ 0123456789
KOD EGZAMINATORA