2023specimen Documents

DSE 2023
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
文件樣本目錄
List of Specimen Documents
樣本文件名稱
SPECIMEN 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
‘No Unauthorised Entry’ notice
2D. 「遲到考生不得進場」告示牌供聆聽部分用 ( )

‘No latecomers will be admitted’ notice (for Listening components)
2E. 聆聽卷別特別室試場牌
Listening Paper Special Room centre poster
試場座位表樣本：禮堂； B：課室)
： Hall ； B： Classroom)
3A & B. (A
Specimen seating plan (A
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 – 顏色標貼 / 試卷簡稱

Standard packing of Question Papers – 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
Invigilator’s label
10C. 試場監考員名單
Provision of invigilators by school
11(i). 外校監考員證明函
External school invigilator’s identification slip
11(i)A. 交通費用申領表
Travelling Allowance Claim Form
11(ii). 校內監考工作分配證
Internal school invigilator’s assignment slip
樣本文件名稱
12. 監考員出席紀錄表
Invigilators’ attendance record
14. 准考證
Admission Form
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)
考生出席紀錄表：禮堂 (只供「出席紀錄及答卷收集系統」； B：課室)

的應變使用)
16A & B. (A
(A：Hall (For contingency use of ‘Attendance ； B： Classroom)

Candidates’ Attendance Record Form
and Script Tracking System’ only)
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 - 答題簿(A)

Answer book cover - Answer book (A)
18C. 答題簿封面答題簿 - (F)

Answer book cover - Answer book (F)
考試報告書：禮堂核心科目；：課室；：禮堂選修科目

：；：Classroom；：
20A, B& C. (A - B C - )
Sessional report (A Hall-core subjects B C Hall-elective subjects)
21. SR1 報告書 – 考生未能出示准考證 / 身分證明文件

Report form SR1 – Candidate Without Admission Form / Identification Document
22. SR3 報告書考生前往非指定試場應試或准考證未印有與考科目卷別單元應考語文

– / / /
Report form SR3 – Candidate Attended the Wrong Examination Centre or Subject / Paper / Module / Language
Version Not On Admission Form
23A. SR4g 報告書考試異常事項

–
Report form SR4g – Examination Irregularities
23B. SR4b 報告書考試異常事項電腦條碼

– ( )
Report form SR4b – Examination Irregularities (Barcodes)
23C. SR4c 報告書考試異常事項計算機

– ( )
Report form SR4c – Examination Irregularities (Calculators)
23D. SR4p 報告書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 – Examination Irregularities (Mobile Phones / Electronic Devices / Sounding Devices)
23E. SR4t 報告書考生前往洗手間

–
Report form SR4t – Candidates Going to the Toilet
24. SR4i 報告書考試異常事項監考員

– ( )
Report form SR4i – Examination Irregularities (Invigilators)
25. 特別報告書及有關答卷答題紙封套 /

Envelope for special reports & related scripts / answer sheets
26A. 答卷封套
Answer script envelope
樣本文件名稱
26B. 試場答卷封套數目總表按試場 ( )

List of script envelopes by centre
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
32. 手提電話膠套
Mobile phone plastic bag
33. 草稿紙
Rough-work sheet
特別室專用封套：中國語文； B：英國語文)

：Chinese Language ； B：English Language)
34A & B. (A
Envelope for Special Room (A
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. 交回未用已用沒有選答的試題試題答題簿封套

/ / /
Envelope for Return of Unused / Used / Unattempted Question Papers / Question Answer Books
37A. 交回未用已用沒有選答的試題試題答題簿封套只供設計與應用科技用

/ / / ( )
Envelope for Return of Unused / Used / Unattempted Question Papers / Question Answer Books (for DAT only)
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 / / (SR3 (Notes))

Notes for Wrong Centre or Wrong Version Candidates (SR3 (Notes))
41. USB 及錄音稿件回收表考試錄音 ( USB 、備用考試錄音 USB 及試音 USB)

USB and Tapescript Return Form (Examination USB, Reserve Examination USB and Demonstration USB)
42. 考生未能出示准考證及 / 或有效身分證明文件須知 (SR1 (Notes))

Notes for Candidates who cannot produce Admission Form and / or Valid Identification Document (SR1 (Notes))
QSSTN0020R1 HKDSE - DSE_PRD SEP 2023 DATE : 04/01/2023 10:23
PAGE : 1 OF 763
CHECKLIST OF STATIONERY FOR THE CENTRE
JOB NAME : ALL_SUB
CENTRE: A1234 ABC College (SCHOOL CODE: 00000) (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 2 0 0 2 0 1 1
ROUGH WK SUPPLE (A) SUPPLE (B) DSE(C) BOOK DSE(F) BOOK

SHT (SPARE) (SPARE)
PACKET SIZE 200 200 200 10 10
NUMBER OF PACKETS 10 3 1 1 1
樣本 1B
SPECIMEN
2023 年香港中學文憑考試
HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2023
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 (for use during the whole examination period):
1. 考試報告書
Sessional Reports
2. 考生出席紀錄表
Candidates’ Attendance Record Forms
3. 報告書 SR4t
Report Form SR4t
4. 手提電話膠套
Mobile Phone Plastic Bag
5. 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 & white short strings
香港中學文憑
文憑考試試
考試試場
HONG KONG DIPLOMA OF SECONDARY
EDUCATION EXAMINATION
試場編號
CENTRE NO.
樣本
SPECIMEN
2A
只准考生進入
( 請出示准考證 )
NO UNAUTHORISED ENTRY
(PLEASE PRODUCE YOUR ADMISSION FORM)
HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY 樣本
SPECIMEN
2B
聆聽部分
聆聽部分
LISTENING COMPONENT
考試現正進行
EXAMINATION IN PROGRESS
遲到考生不得進場。
遲到考生不得進場。
NO LATECOMERS WILL BE ADMITTED.
請前往特別室應考。
請前往特別室應考。特別室位於 __________ 樓 __________ 室。
PLEASE GO TO THE SPECIAL ROOM (RM _______________,
樣本
_______________ / FL.) TO TAKE YOUR EXAMINATION.

SPECIMEN
2D
試場
EXAMINATION CENTRE
聆聽部分
LISTENING COMPONENT
特別室
SPECIAL ROOM 樣本
SPECIMEN
2E
試場座位表樣本
SPECIMEN SEATING PLAN
以一容額一百人的試場為例
for a centre of capacity 100
講台
STAGE
1 13 25 37 49 61 73 85 97
2 14 26 38 50 62 74 86 98
3 15 27 39 51 63 75 87 99
4 16 28 40 52 64 76 88 100
5 17 29 41 53 65 77 89
6 18 30 42 54 66 78 90
7 19 31 43 55 67 79 91
8 20 32 44 56 68 80 92
9 21 33 45 57 69 81 93
10 22 34 46 58 70 82 94
11 23 35 47 59 71 83 95
12 24 36 48 60 72 84 96
入口／出路入口／出路
Entrance/Exit Entrance/Exit
課室編號試場編號
ROOM NO. CENTRE NO.
監考員席
INVIGILATOR'S DESK
1 5 9 13
2 6 10 14
3 7 11 15
4 8 12
樣本 4
SPECIMEN
座位編號卡
Seat Number Label
HKDSE - DSE_PRD SEP 2023 DATE : 23/12/2022 17:29
QSQRE0110R1 PAGE : 1 OF 789
QUESTION PAPER QUANTITY CHECKLIST
ALL_SUB FINAL VERSION
CENTRE: A1234 ABC College (SCHOOL CODE: 00000) (HALL)
NO. OF NO. OF NO. OF PACKETS NO.OF PACKETS NO.OF PACKETS TOTAL NO.
DATE OF EXAM. SUBJECT PAPER ROOMS CAND. @ 31 @10 @16 OF COPIES
FRI 21 APR A020E Eng Lang 1 96 4 0 0 124
FRI 21 APR A020E Eng Lang 2 96 4 0 0 124
SAT 22 APR A020E Eng Lang 3 96 5 0 0 155
MON 24 APR A030E Math CP-E 1 96 4 0 0 124
MON 24 APR A030E Math CP-E 2 96 4 0 0 124
TUE 25 APR A010C C Lang-CAN 1 96 4 0 0 124
TUE 25 APR A010C C Lang-CAN 2 96 4 0 0 124
WED 26 APR A010C C Lang-CAN 3 96 5 0 0 155
THU 27 APR A040C LS-C 1 96 4 0 0 124
THU 27 APR A040C LS-C 2 96 4 0 0 124

樣本 6A
SPECIMEN
2023 年香港中學文憑
年香港中學文憑考
文憑考試
H K DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2023
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 份
the 1st Session Copies
第二節用試卷
Question Paper for 份
the 2nd Session Copies
試場編號
Centre No.:
簽署
Signed:_____________________________________
(試場主任
試場主任 Centre Supervisor)
日期
Date :____________________________________
2023 Question paper receipt
樣本
7A
SPECIMEN
2023 香港中學文憑考試
HONG KONG DOPLOMA OF SECONDARY EDUCATION EXAMINATION 2023
2023 DSE
試卷或科卷簡稱 BIO
Abbreviated Name PAPER 1A
顏色標貼
(印有科卷名稱)
.
Coloured Label
(with subject paper name)
卡紙
Cardboard
DSE 考生的個人電腦條碼紙（樣本）樣本）樣本 7B(i)
A Candidate’s Personalised Barcode Sheet (Sample) SPECIMEN
○ 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
1
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
○ 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。
answer sheet / graph paper used should also be affixed with a barcode label.
2
○ 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，宣布停筆後，
The candidate number, centre number, seat number and subject/paper name are pre-printed on each barcode label.
3
考生不會獲時間貼上電腦條碼或填畫試題編號方格。
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 “Time is up” announcement to affix the barcode labels or mark the question number box(es).
DSE 電腦條碼紙樣本 7B(ii)
Barcode Sheets SPECIMEN
共分 4 款：
There are 4 types:
(1) 每張2個電腦條碼貼紙 (2) 每張5個電腦條碼貼紙
2 barcode labels per sheet 5 barcode labels per sheet
(3) 每張10個電腦條碼貼紙 (4) 每張15個電腦條碼貼紙

10 barcode labels per sheet 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：
• 試場沒有該考生的個人電腦條碼紙；
Candidates will have to use spare barcode sheets under the following circumstances:
• 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 personalized barcode sheets are not available at the centre;
Their original barcode sheets are damaged found to have incorrect information or cannot be located.
○ 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。
1
○ 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。
Each spare barcode sheet will have a unique serial number and should be used by one candidate only.
2
○ 備用電腦條碼紙會預印試場編號。
There are designated spaces on each spare barcode label for the candidate to fill in the candidate number and sear number.
3
Spare barcode sheets will be pre-printed with the centre numbers.
樣本
7B(iii)
SPECIMEN
封包標貼 (電腦條碼紙)
Packing Label (Barcode Sheet)
Session
Route No. Exam. Date

BARCODE LABELS
Subject/Paper
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 at 3628 8950 for normal centres and at 3628 8917
for SEN centres.
2023
試考憑文學中港香年
List of items required for the examination
表對核品用試考
4 25
Chinese Language
文語國中）二期星（日月
on Tuesday, 25 April
/
/
Stationery and other materials to be
品物具文的用須生考名每
Examination session Items supplied to a centre on exam day Materials to be returned to HKEAA
數節試考品用卷試的場試給發分日試考品物的局評考回交須
used by each candidate
(1) (1) (1) { }
First session ( 2023-DSE ) 1 Barcode sheet Question-Answer Books (in answer script envelopes for ‘Paper 1’)
節一第張一紙碼條腦電材考力能讀閱）內套封卷答一卷於放（簿題答題試
* (A) (2) ( )< >
材考一卷文語國中：稱簡卷試
(2)
( 2023-DSE ) Supplementary answer sheet (A) Attendance lists (in the original folder) <if any>
紙題答充補簿題答題試有如內夾紙的來原於放單名點
Paper 1
一卷
* (3) ( )< >
一卷文語國中：稱簡卷試
(3) ( 5 )
Barcode sheets (each with 5 barcode labels) Rough-work sheet Candidates′ Attendance Record Forms (in the plastic bag for Attendance
紙稿草紙貼碼條腦電個有張每紙碼條腦電用適如內袋膠單名點入放表錄紀席出生考
8:30 am - 10:00 am Lists) <if applicable>
(4) ( )
Barcode sheets (in barcode sheet envelope)
內套封紙碼條腦電於放紙碼條腦電
(5) ( )
Rough-work sheets (in rough-work sheet envelope)
內套封紙稿草於放紙稿草
(1) (1) DSE(F) (1) DSE(F) { }
Second session ( 2023-DSE ) 1 DSE(F) answer book DSE(F) answer book (in answer script envelopes for ‘Paper 2’)
節二第卷試本一簿題答）內套封卷答二卷於放（簿題答
(2) (2) ( )< >
二卷文語國中：稱簡卷試
(2) ( 5 )
Barcode sheets (each with 5 barcode labels) 2 Rough-work sheets Attendance lists (in the original folder) <if any>
紙貼碼條腦電個有張每紙碼條腦電張兩紙稿草有如內夾紙的來原於放單名點
Paper 2
二卷
(3) (3) ( )< >
1 Barcode sheet Candidates′ Attendance Record Forms (in the plastic bag for Attendance
張一紙碼條腦電用適如內袋膠單名點入放表錄紀席出生考
10:45 am – 12:15 pm Lists) <if applicable>
* (B)
Supplementary answer sheet (B) (4) ( )
紙題答充補
Barcode sheets (in barcode sheet envelope)
內套封紙碼條腦電於放紙碼條腦電
*
Additional rough-work sheet (5) ( )
紙稿草外額
Rough-work sheets (in rough-work sheet envelope)
內套封紙稿草於放紙稿草
* ( : / )
樣本
This item should be supplied to candidates on request. (Note: A short white string should also be provided to the candidates for tying the supplementary answer sheet/graph paper to the answer book)
。內簿題答於繫紙格方紙題答充補將便以，生考給繩短白發派另請意注。發派才時求要生考在應品物項此
SPECIMEN
Note : Stationery required (e.g. answer books, supplementary answer sheets, rough-work sheets, etc.) has been delivered to the centre prior to the examination.
。場試到送前試考於已﹞等紙稿草、紙題答充補、簿題答如﹝具文的用須試考：意注
8
：話電﹝絡聯局核評及試考港香與即立請，﹞少或多論無﹝ 符不者收應與目數包封卷試的到收如 3628 8951 或 3628 8910 。﹞

If there is a shortage or excess of question paper packets, please telephone HKEAA immediately at 3628 8951 or 3628 8910.
1
10A
SPECIMEN
本
樣
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30/04 50 /30 40 /82 40 /72 40 /62 40 /52 40 /42 40 /22 40 /12 ETA D
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樣本 10C
SPECIMEN
Provision of Invigilators by School
Name of School: 12345 ABC College
Exam Date Subject / Exam Time Centre No. / Name No. of Exam Personnel
甲乙丙書院
21 April 2023 English Language Paper 1 & 2 D1998 ABC College 2 Invigilator(s)
[FRI] 08:30 – 13:00 HALL
甲乙丙書院
22 April 2023 English Language Paper 3 D1998 ABC College 2 Invigilator(s)
[SAT] 09:15 - 12:10 HALL
甲乙丙書院
24 April 2023 Mathematics Compulsory Part Paper 1 & 2 D1998 ABC College 1 Invigilator(s)
[MON] 08:30 – 12:45 HALL
甲乙丙書院
25 April 2023 Chinese Language (Cantonese) Paper 1 & 2 D1998 ABC College 2 Invigilator(s)
[TUE] 08:30 – 12:15 HALL
甲乙丙書院
26 April 2023 Chinese Language (Cantonese) Paper 3 D1998 ABC College 2 Invigilator(s)
[WED] 09:15 - 11:40 HALL
甲乙丙書院
27 April 2023 Liberal Studies Paper 1 & 2 D1998 ABC College 1 Invigilator(s)
[THU] 08:30 – 12:30 HALL
2023 年香港中學文憑考試 [For Normal Centre]
HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2023 樣本
外校監考員證明函 SPECIMEN
11(i)
EXTERNAL SCHOOL INVIGILATOR’S IDENTIFICATION SLIP
本校教師獲安排於下列日期擔任下列試場的監考服務：
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/時間科目試場名稱及編號地址報到時間
Exam Date / Time Subject: Centre Name and Code Address Reporting
Time
21 APR 2023 English Language Paper 1 & 2 Lung Kong WFSL Lau Wong Fat Secondary School 66 SYCAMORE STREET TAI KOK
[FRI] 英國語文 (英) 卷一及二世界龍岡學校劉皇發中學 (E1250) TSUI KLN 08:00
08:30 - 13:00 九龍大角咀詩歌舞街66號
22 APR 2023 English Language Paper 3 Lung Kong WFSL Lau Wong Fat Secondary School 66TSUISYCAMORE STREET TAI KOK
[SAT] 英國語文 (英) 卷三世界龍岡學校劉皇發中學 (E1250) KLN 08:45
09:15 - 12:10 九龍大角咀詩歌舞街66號
24 APR 2023 Mathematics Compulsory Part - E 22 HOI FAN ROAD TAI KOK TSUI
[MON] Paper 1 & 2 Sir Ellis Kadoorie Secondary School (West Kowloon) KLN
08:30 - 12:45 數學 (必修) (英) 卷一及二官立嘉道理爵士中學 (西九龍) (E1500) 九龍大角咀西九龍填海區海帆道22 08:00
號
25 APR 2023 Chinese Language (Cantonese) HKTA The Yuen Yuen Institute No. 3 Secondary SHEUNG TAK ESTATE TSEUNG
[TUE] Paper 1 & 2 School KWAN O KLN 08:00
08:30 - 12:15 中國語文 (廣) 卷一及二香港道教聯合會圓玄學院第三中學 (K1500) 九龍將軍澳尚德邨
26 APR 2023 Chinese Language (Cantonese) HKTA The Yuen Yuen Institute No. 3 Secondary SHEUNG TAK ESTATE TSEUNG
[WED] Paper 3 School KWAN O KLN 08:45
09:15 - 11:40 中國語文 (廣) 卷三香港道教聯合會圓玄學院第三中學 (K1500) 九龍將軍澳尚德邨
27 APR 2023 Liberal Studies - C Paper 1 & 2 Ho Lap College (Sponsored By The Sik Sik Yuen) 15SANPOKONG
TSEUK LUK STREET
[THU] 通識教育 (中) 卷一及二可立中學 (嗇色園主辦) (H1250) KLN 08:00
08:30 - 12:30 九龍新蒲崗爵祿街15號
校長簽署:
Principal’s Signature: (80001) 校印
ABC College School Seal
ABC中學
_________________________________________________________________________________________________________________
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監考服務時所獲悉的一切事宜保密，並不論於什麼時候對本人在服務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 the invigilation services, 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 duties.
監考員簽署 / Invigilator’s Signature: 請轉下頁
P.T.O.
樣本 11(i)A
SPECIMEN
HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY 監考員編號 Invigilator No.

2023 年香港中學文憑考試 - 交通費用申領表
80001-001
Hong Kong Diploma of Secondary Education Examination 2023 - Travelling Allowance Claim Form
日期上午或下午試場編號試場試場主任簽署備註〈如適用〉*

Date AM or PM Centre Code Centre Signature of Remarks (if
Centre Supervisor applicable)
1 21 Apr 2023 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School
2 22 Apr 2023 AM E1250 Lung Kong WFSL Lau Wong Fat Secondary School
3 24 Apr 2023 AM E1500 Sir Ellis Kadoorie Secondary School (West Kowloon)
4 25 Apr 2023 AM K1500 HKTA The Yuen Yuen Institute No. 3 Secondary School
5 26 Apr 2023 AM K1500 HKTA The Yuen Yuen Institute No. 3 Secondary School
6 27 Apr 2023 AM H1250 Ho Lap College (Sponsored By The Sik Sik Yuen)
* 如你未能擔任監考服務，請在備註欄填上「ABS」。 Please mark ‘ABS’ ABS’ if 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 his/her school principal before
deadline.
截止申請日期 9 JUNE 2023
2023 請校長彙集申領表於2023年年6月月9日日或以
Deadline for Submission of Application 前寄回香港考試及評核局。
網址/ URL http://epo.hkeaa.edu.hk Principals are requested to collect the claim
登入名稱 / Login Name EAAPP_37 forms and return them to the HKEAA on
登入密碼 / Password F007y746 or before 9 June 2023.
Name in English as printed on Identity Card ID Card no.

(In BLOCK LETTERS) 身分證號碼
身分證上之英文姓名（請用正楷填寫）
Name of School ABC College
學校名稱 ABC 中學
Day Time Contact Tel. No 監考員簽署
日間聯絡電話 Signature
[For Normal Centre]
2023年香港中學文憑考試
校內監考工作分配證
樣本 11(ii)
SPECIMEN
INTERNAL SCHOOL INVIGILATOR’S ASSIGNMENT SLIP
獲安排於下列日期擔任本校試場的監考服務。
CHAN TAI MAN PETER is assigned to invigilate in our school centre on the date specified below.
考試日期/時間科目試場編號及類別報到時間
Exam Date / Time Subject: Centre Code and Centre Type Reporting Time
21 APR 2023 禮堂
English Language Paper 1 & 2
[FRI] Hall 08:00
英國語文 (英) 卷一及二
08:30 - 13:00 (K1500)
22 APR 2023 禮堂–「特別室」監考員
English Language Paper 3
[SAT] Hall – Special Room Invigilator 08:45
英國語文 (英) 卷三
09:15 - 12:10 (K1500)
24 APR 2023 Mathematics Compulsory Part - E 禮堂2
[MON] Paper 1 & 2 Hall 2 08:00
08:30 - 12:45 數學 (必修) (英) 卷一及二 (K1130)
25 APR 2023 Chinese Language (Cantonese) 禮堂2
[TUE] Paper 1 & 2 Hall 08:00
08:30 - 12:15 中國語文 (廣) 卷一及二 (K1130)
26 APR 2023 Chinese Language (Cantonese) 禮堂2
[WED] Paper 3 Hall 08:45
09:15 - 11:40 中國語文 (廣) 卷三 (K1130)
27 APR 2023 禮堂2
Liberal Studies - C Paper 1 & 2
[THU] Hall 2 08:00
通識教育 (中) 卷一及二
08:30 - 12:30 (K1130)
校長簽署:
’
Principal s 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監考服務時所獲悉的一切事宜保密，並不論於什麼時候對本人在服務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 the invigilation services, 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 duties.
’
監考員簽署 / Invigilator s Signature:
樣本
監考員出席紀錄表 SPECIMEN
12
INVIGILATORS’ ATTENDANCE RECORD
本校委派的監考員日期
For invigilators provided by this centre school Date:
出席監考員姓名簽署
(用正楷填寫 )
Signature
Name of Invigilators Present (in BLOCK letters)
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 ) 學校名稱 ∗ 學校編號抵達時間簽署
Name of Invigilators Present Name of Teaching School∗ School Code Time of Arrival Signature
(in BLOCK letters)
∗ 如該監考員由香港考試及評核局委派，請填 HKEAA。
If the invigilator is appointed by the Hong Kong Examinations and Assessment Authority, please write HKEAA.
SESSRE2023
2023
230000001
10000 甲乙丙書院
ABC College
11
陳大文
CHAN TAI MAN
230000001
Z000000(2)
樣本 15A
SPECIMEN
樣本 15B
SPECIMEN
Memo
From : Duty Officer,WCHDIV To : Whom it may concern
Report No. :
Tel.No. : 36607410
Date : 2023-02-01
Report of Lost / Stolen Property
This is to certify that ___________ holder of identity document number __________

reported that at about ______ on __________ in the area of ___________________,
the following item(s) of property were lost/stolen:
Item No. Description

1 Exit-entry permit for Travelling to and from Hong Kong and Macao
往來港澳通行證券(雙程證)
_____________________
(PC ______,___________)
for Duty Officer,WCHDIV
In accordance with Regulation 13 of the Registration of Persons Regulations, Cap 177A,

Laws of Hong Kong, the holder of a Hong Kong Identity Card that has been reported lost
shall report to a registration officer of the Immigration Department within 14 days of
such loss, failure to comply may lead to such person being liable to prosecution.
***This memo cannot be accepted as proof of identity***
考生出席紀錄表樣本第一頁
Page16A
1
禮堂試場 SPECIMEN
Candidates’ Attendance Record Form
Hall Centre
( 只供「出席紀錄及答卷收集系統」的應變使用 )
(For contingency use of ‘Attendance and Script Tracking System’ only)
試場編號科目 /卷別
Centre No. : Subject/Paper:
考生編號考生編號
使用備用
Candidate No. 使用備用
Candidate No.
(請依照出席考生計算機電腦條碼紙 (請依照出席考生計算機電腦條碼紙
座位編號的准考證抄錄 Calculator Use Spare 座位編號的准考證抄錄 Calculator Use Spare
Seat No. Seat No.
Please copy from (/ ) Barcode Sheet Please copy from (/ ) Barcode Sheet
candidates’ Admission () candidates’ Admission ()
Forms) Forms)
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
日期監考員姓名
請用正楷填寫 IN BLOCK LETTERS)
Date: Name of Invigilator:
(
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.
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。
2.
If the candidate is absent, write ‘ABS’ in the column for the candidate number. If the candidate uses a spare barcode sheet, put a
‘’ against the candidate number.
若考生桌上放有計算機，監考員應檢查該計算機是否印有「H.K.E.A.A. APPROVED」或「H.K.E.A.
APPROVED」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
3.
試場主任及塡寫 SR4c 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 candidate’s desk, the invigilator should check if the calculator is pad-printed with the ‘H.K.E.A.A.
APPROVED’ or ‘H.K.E.A. APPROVED’ label. If it is pad-printed with the label, put a ‘ ’ against the candidate number. If not,
put a ‘’ and notify the Centre Supervisor to complete the Report Form SR4c. If no calculator is found on the candidate’s desk,
leave the box blank.
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。
4.
The Centre Supervisor is requested to return the completed Candidates’ Attendance Record Forms in one clear plastic bag and
return it to the HKEAA at the end of each examination day.
RECORD FORM/78
2023 Candidates’ attendance record form (ASTS contingency only)

課室試場
Classroom 考生出席紀錄表
樣本 16B
SPECIMEN
Centre Candidates’ Attendance Record Form
試場編號科目 /卷別
Centre No. : Subject/Paper:
考生編號考生編號
Candidate No. 使用備用電使用備用電腦
Candidate No.
座位編號 ( 請的依准照考出證席抄考錄生計算機腦條碼紙

Calculator Use Spare
(請依照出席考生計算機條碼紙
座位編號的准考證抄錄 Calculator Use Spare
Seat No. Seat No.
Please copy from (/ ) Barcode Sheet Please copy from (/ ) Barcode Sheet
candidates’ Admission () candidates’ Admission ()
Forms) Forms)
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
日期課室監考員姓名
請用正楷填寫
Date: Name of Classroom Invigilator:
( 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 ‘ABS’ in the column for the candidate number. If the candidate uses a spare barcode sheet, put a
‘’ against the candidate number.
若考生桌上放有計算機，監考員應檢查該計算機是否印有「H.K.E.A.A. APPROVED」或「H.K.E.A.
APPROVED」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
3.
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 candidate’s desk, the invigilator should check if the calculator is pad-printed with the ‘H.K.E.A.A.
APPROVED’ or ‘H.K.E.A. APPROVED’ label. If it is pad-printed with the label, put a ‘ ’ against the candidate number. If not,
put a ‘’ and complete the Report Form SR4c. If no calculator is found on the candidate’s desk, leave the box blank.
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。
4.
The Classroom Invigilator is requested to place the completed Candidates’ Attendance Record Forms together with the folder
containing the Attendance Lists in one clear plastic bag and return it to the Classroom Centre Supervisor at the end of each
examination day.
RECORD FORM/2023
樣本 16C
2023 年香港中學文憑考試 SPECIMEN

計算機報告書
CALCULATORS FORM
( 使用「
使用「出席紀錄及答卷收集系統」
出席紀錄及答卷收集系統」的考試適用
(For examinations using ‘Attendance and Script Tracking System’)
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「H.K.E.A.A. APPROVED」或「H.K.E.A. 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 SR4c 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 candidates’ Admission Forms, if a calculator is placed on a candidate’s desk,
the invigilator should check if the calculator is pad-printed with the ‘H.K.E.A.A.
APPROVED’ or ‘H.K.E.A. APPROVED’ 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 candidate’s
desk or the candidate’s calculator is pad-printed (even if the label has faded), the invigilator
need not record the candidate number.
試場編號
Centre No. :
考試日期科目／卷別
Exam Date: Subject/Paper:
考生編號考生編號考生編號考生編號

Candidate Number Candidate Number Candidate Number Candidate Number
監考員姓名監考員簽署
Name of Invigilator: Signature of Invigilator:
注意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
Note:
Report Form SR4c to the HKEAA.
樣本
SPECIMEN
17
2023
A010C CHIN LANG (CAN) 1

DSE A1234 1 001-015
APR 25 8:30AM
2023DSE0A010C0010A123404070100012
(001) 232027 (011) 23017
(002) 23711 (012) 23018
(003) 23499 (013) 23024
(004) 23516 (014) 23026
(005) 23000 (015) 23030
(006) 23002
(007) 23002
(008) 23005
(009) 23006
(010) 23010
D23 MR08
樣本 18B
SPECIMEN
2023 DSE (A) 請在此貼上電腦條碼

Please stick the barcode label here.
考生編號
答題簿 Candidate Number
ANSWER BOOK
考生須知由考生填寫
( 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 To be filled in
號，並在第 1、3、5、7、9 及 11 頁之適當位置貼上電腦 by the candidate
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)，
並在第一頁之適當位置填寫作答的試題編號。
( 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。試題編號
( 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。 Question No.
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
‘X’ in the corresponding question number box on each page to
indicate the appropriate question number (see the example
below), and write the question number(s) of the question(s)
attempted in the space provided on Page 1.
(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
‘Time is up’ 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 ≥25
1
樣本 18C
SPECIMEN
香港中學文憑考試 DSE (F) 請在此貼上電腦條碼
Please stick the barcode label here.
考生編號
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 ≥25
2023 DSE(F) 答題簿

考生須知
( 一 ) 宣布開考後，考生須首先在第 1 頁的指定位置填寫考生編號，貼上電腦條碼，並在相應試題編號方格填畫
「X」號，以表示選答的題號。
( 二 ) 不可在邊界以外位置書寫。寫於邊界以外的答案，將不予評閱。
( 三 ) 如有需要，可要求派發補充答題紙。考生必須於每頁補充答題紙填寫考生編號，貼上電腦條碼，填畫試題
編號方格，並用繩縛於本答題簿內。
( 四 ) 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。
寫寫
於於
邊邊
界界
以以
外外
的的
答答
案案
，，
將將
不不
予予
評評
閱閱
。。
寫於邊界以外的答案，將不予評閱。
● ● ●
20X15=300
1
香港中學文憑考試 DSE 2023
考試報告書（禮堂試場適用）– 核心科目適用樣本 20A
SESSIONAL REPORT (for Hall Centres) – For core subjects SPECIMEN
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）及試場主任填寫及簽署
To be completed and signed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor
茲證明只適用於中國語文卷三／英國語文卷三

確實的開考時間是
We certify, in our capacity as invigilators, that
(1) Applicable to Chinese Language Paper 3 /
the actual starting time is English Language Paper 3 only
確實的完卷時間是錄音播放完畢的時間
Time when the broadcast finished:
the actual finishing time is
(2) 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;
(3) 每包試卷均在考生面前開拆；
the above packets were opened in the presence of the candidates;
(4) 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 ‘Notes for the Guidance of Invigilators’;
(5) 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;
(6) 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）
(7)
考試期間禮堂試場的 *收音機／紅外線接收系統／學校廣播系統 (*請刪去不適用者 ) 接收情況（請在適當方格

內加「 」）：
Reception of the *radio/Infra-red (IR) Transmission System/Public Address (PA) System (*delete if not applicable) in the hall
centre during the examination (please put a ‘’ 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 & Signature of Invigilator (1) 監考員 (二 )姓名及簽署 Name & 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
SESSRE2023
監考員出席紀錄表
(用正楷填寫 )
Signature
(in BLOCK letters)
∗ 如該監考員由香港考試及評核局委派，請填 HKEAA 。
SESSRE2023
考試報告書課室試場適用
( ) 樣本 20B
SESSIONAL REPORT (for Classroom Centres) SPECIMEN
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 只適用於中國語文卷三／英國語文卷三
Applicable to Chinese Language Paper 3 /
(1) 確實的開考時間是 English Language Paper 3 only
the actual starting time is
錄音播放完畢的時間
確實的完卷時間是
Time when the broadcast finished:
(4) 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 ‘Notes for the Guidance of Classroom Invigilators’;

present;
（只適用於聆聽部分）
（ Applicable to Listening Component only）
(7)
考試期間課室試場的收音機／ USB 播放機／電腦接收情況（請在適當方格內加「 」）：

Reception of the radio/USB player/computer in the classroom centre during the examination (please put a ‘’ in the appropriate
box) :
良好
Satisfactory
課室監考員姓名 Name of Classroom Invigilator 課室監考員簽署 Signature of Classroom Invigilator

SESSRE2023
考試報告書（禮堂試場適用）– 選修科目適用樣本 20C
SESSIONAL REPORT (for Hall Centres) – For elective subjects SPECIMEN
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）及試場主任填寫及簽署
To be completed and signed by any two invigilators (including one invigilator not provided by the centre school) and the centre supervisor
茲證明
確實的開考時間是
We certify, in our capacity as invigilators, that
(1)
the actual starting time is
確實的完卷時間是
(4) 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 ‘Notes for the Guidance of Invigilators’;

present;
（只適用於音樂科試卷一（聆聽））
（ Applicable to Music Paper 1 (Listening) only）
(7)
考試期間禮堂試場的學校廣播系統接收情況（請在適當方格內加「 」）：
Reception of the Public Address (PA) System in the hall centre during the examination (please put a ‘’ in the appropriate box) :
良好
Satisfactory
監考員 (一 )姓名及簽署 Name & Signature of Invigilator (1) 監考員 (二 )姓名及簽署 Name & 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
SESSRE2023
監考員出席紀錄表
(用正楷填寫 )
Signature
(in BLOCK letters)
∗ 如該監考員由香港考試及評核局委派，請填 HKEAA 。
SESSRE2023
Candidate Without Admission Form / Identification Document SR1
# Please put a ‘√ ’ in the appropriate box. For Office Use
Part A (To be completed by the candidate)
To: Manager (School Examinations and Assessment Division)
樣本 21
SPECIMEN
I took the following examination without producing my
#  Admission Form
#  Identity Card (or valid identification document with a photograph) because I lost / forgot to bring it / them.
Centre Number: Candidate Number:

Subject: Paper: Language Version: #  Chinese /  English
Home Address:
Daytime Contact Tel. No.: Email Address:
Type of Identification Document: Identification Document No.:
I understand that I have to go to the HKEAA office during office hours within 14 days after the examination
to have my documents / and photograph checked. If I fail to do so, my answer script will not be marked.
Signature of candidate: VERIFIED
Yes / No
Name of Candidate :
Date :
Part B (To be completed by the centre supervisor / invigilator)
To : Manager (School Examinations and Assessment Division)
(1)
# The candidate cannot produce Admission Form and Identity Card (or valid identification document with a photograph).
1. Action taken: SR1 Report completed and photograph taken via PECSS / PESS2 ^ SEAD
2. The candidate’s answer script / sheet is placed in: Envelope for Special Reports and Related Scripts Answer Sheets ESU
# The candidate cannot produce Admission Form. However, I have checked the candidate’s ORIGINAL Identity Card (or valid
identification document with a photograph) [Identification Document No. as indicated in Part A].
Please put a ‘√’ in the appropriate box under both A1 and A2.
Photograph on identification document resembles the A1. Action taken:
candidate
Yes SR1 Report completed ONLY
No SR1 Report completed and photograph taken via PECSS / PESS2 ^ SEAD
Personalised barcode sheet can be found at centre A2. The candidate’s answer script / sheet is placed in
Yes Normal Script Envelope / Multiple-choice Answer Sheet Folder
No Envelope for Special Reports and Related Scripts Answer Sheets ESU
# The candidate cannot produce Identity Card (or valid identification document with a photograph). However, I have checked the
candidate’s ORIGINAL Admission Form; or
# The candidate can produce both Admission Form and Identity Card (or valid identification document with a photograph) but the
photograph does not resemble the candidate.
Please put a ‘√’ in the appropriate box under both B1 and B2. (If the photograph on Admission Form resembles the candidate, the
candidate should be admitted as normal and need not complete this report.)
Photograph resembles the candidate B1. Action taken:
No (or Admission Form bears no photograph) SR1 Report completed and photograph taken via PECSS / PESS2 ^ SEAD
Personalised barcode sheet can be found at centre B2. The candidate’s answer script / sheet is placed in
Yes Normal Script Envelope / Multiple-choice Answer Sheet Folder
No Envelope for Special Reports and Related Scripts Answer Sheets ESU
^Remark: If any photograph taken via PECSS / PESS2, please place the completed ‘Notes for Candidates who cannot produce Admission Form
and/or Valid Identification Document’ in the ‘Envelope for Special Reports and Related Scripts Answer Sheets’ with this form.
(2) I have instructed the candidate to copy a paragraph / and have a photograph taken so that his / her handwriting / and photograph will be checked
by the HKEAA. VERIFIED
Yes / No
Candidate’s handwriting (The candidate should copy one of the paragraphs in Part B (1) above in the following space provided.)
Date : Name & Signature :

(Centre Supervisor / Invigilator)
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Part C (To be completed by the centre supervisor / invigilator and issued to the candidate) DSE
Centre No. : Exam Date : *
Name of Candidate : Subject / Paper :
Candidate No. / Identification Document No. :
* You must go to the HKEAA office (Address: 12/F, Southorn Centre, 130 Hennessy Road, Wan Chai, Hong Kong) during office hours
within 14 days after the examination to have your document/and photograph checked, or your answer script will not be marked.
You should bring your Admission Form, identification document and this slip. If you have lost your Admission Form, you should
immediately apply for a new one. The fee is $278.
SR1-E/79
考生未能出示准考證／身分證明文件
SR1
＃請在適當方格內加「 」號
甲部（
甲部（由有關考生填寫）
由有關考生填寫） For Office Use
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(或附有照片的有效身分證明文件)。
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：電郵地址：
身分證明文件類別：身分證明文件號碼：
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╱及照片
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：考生簽署： VERIFIED
Yes / No
日期：
乙部（
乙部（由試場主任／
由試場主任／監考員填寫）
監考員填寫）
致：學校考試及評核部經理
該考生未能
該考生未能出示准考
未能出示准考證
出示准考證及身分證（
及身分證（或附有照片的有效身分證明文件）
或附有照片的有效身分證明文件）
(1)
#
1. 已跟進的事項 : 填寫 SR1 報告書並透過禮堂的試場通訊及支援系統（ PECSS）／第二代公開考試支援系統（ PESS2） SEAD
拍攝照片一張^ ESU
2. 該考生的答卷 ╱ 答題紙已放入 : 特別報告書及有關答卷／答題紙封套內
# 該考生未能
考生未能出示
未能出示准
出示准考證，惟本人已
惟本人已查閱該考生的身分證
查閱該考生的身分證（
的身分證（或附有照片的有效身分證明文件）
或附有照片的有效身分證明文件）之正本
[身分證明文件號碼如甲部所示]
身分證明文件號碼如甲部所示 ]
請在下方甲 (1)及
(1) 及甲 (2)的
(2) 的適當方格內加上「  」號
身份證明文件上的照片與考生本人相符
身份證明文件上的照片與考生本人相符甲 (1) 已跟進的事項 :
SEAD
是只填寫 SR1 報告書
否填寫 SR1 報告書並透過禮堂的 PECSS / PESS2 拍攝照片一張 ^
個人電腦條碼紙可在試場內
個人電腦條碼紙可在試場內找到甲 (2) 該考生的答卷 ╱ 答題紙已放入 ESU
是一般答卷封套╱紙夾內
否特別報告書及有關答卷／答題紙封套內
# 該考生未能
該考生未能出示身分證
未能出示身分證（
出示身分證（或附有照片的有效身分證明文件）
或附有照片的有效身分證明文件），惟本人已
惟本人已查閱該考生的准考證
查閱該考生的准考證正本；
正本；或
該考生能
該考生能出示准考證
出示准考證及身分證（
及身分證（或附有照片的有效身分證明文件），
或附有照片的有效身分證明文件），惟
），惟照片與考生本人不
照片與考生本人不相符。
相符。
\
\ #
請在下方乙 (1)及
(1) 及乙 (2)的
(2) 的適當方格內加上「  」號（若准考證上的照片與該考生本人相符，該考生應依照一
般程序點名而毋需填寫此報告書。）
照片與考生
照片與考生本人相符
考生本人相符乙 (1) 已跟進的事項 :
SEAD
否 (或准考證上並未附有照片 ) 填寫 SR1 報告書並透過禮堂的 PECSS / PESS2 拍攝照片一張 ^
個人電腦條碼紙可在試場內
個人電腦條碼紙可在試場內找到乙 (2) 該考生的答卷 ╱ 答題紙已放入
是一般答卷封套╱紙夾內 ESU
否特別報告書及有關答卷／答題紙封套內
^ 注意：若透過禮堂的 PECSS / PESS2 拍攝照片，請把已填寫的「考生未能出示准考證及／或有效身分證明文件須知」
連同本報告書一併放入「特別報告書及有關答卷／答題紙封套」內。
(2) 本人已指示考生抄錄文字一段 ╱ 及拍攝照片一張以便考評局日後鑑辨其字跡 ╱ 及照片。
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
Yes / No
日期：試場主任／監考員姓名及簽署：
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
丙部（
丙部（由試場主任或監考員填寫後交予有關考生）
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：＿＿＿＿ *
科目／卷別：＿＿＿＿
考生姓名： ______________________________________
考生編號／身分證明文件號碼：
考生須在考試後的十四日內於辦公時間攜同其准考證、身分證明文件及本便條，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╱及照片以作核對，否則其答卷將不獲評閱否則其答卷將不獲評閱。考生如遺失准考證，須立即向考評局
*
申請補發，費用為 $278 。
SR1-C/080
Candidate Attended The Wrong Examination Centre or SR3
Subject/Paper/Module/Language Version Not On Admission Form
樣本 22
SPECIMEN
# Please put a ‘  ’ in the appropriate box.
Part A (to be completed by the Centre Supervisor/ Invigilator)

Centre Number : Candidate Number :
Name of Centre :
Subject : Paper/Module : Language Version : #  Chinese (  Cantonese /  Putonghua, if applicable) /

 English
# The above candidate was not allocated to my centre today, but I have permitted him/her to take the examination here.
This candidate took the subject/paper/module/language version which is not listed on his/her Admission Form. The
# candidate has been informed that the HKEAA may not accept his/her scripts of that subject/paper.
His/Her answer script is to be returned to the HKEAA in the ‘Envelope For Special Reports and Related Scripts/Answer Sheets’.
Date: Name & Signature:

(Centre Supervisor/Invigilator)
--------------------------------------------------------------------------------------------------
Part B (to be completed by the candidate after the examination session)
# 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: Paper/Module:
Language Version: #  Chinese (  Cantonese /  Putonghua, if applicable) /  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 his/her 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:
Identification Document No.:
I took the subject/paper/module/language 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 $642 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 PAID/UNPAID
SR3-E/79
SR3
考生前往非指定試場應試或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（
甲部（由試場主任
由試場主任／／監考員填寫）
監考員填寫）
試場編號：考生編號：
試場名稱：
科目：卷別／單元：應考語文：＃ □中文（□廣東話／□普通話，如適用）／
□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
考生已獲告知考評局可能不接納
考評局可能不接納其
可能不接納其答卷。
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（
乙部（完卷後由有關考生填寫）
完卷後由有關考生填寫）
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
＃ □ 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（□廣東話／□普通話，如適用）／ □ 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：
身分證明文件號碼：
＃ □ 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
本人明白考評局可能不
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＄ 642 及有關的科目費。
考生姓名：考生簽署：
（用英文正楷填寫）
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
丙部（
丙部（由考評局填寫）
考評局填寫）
SC
□ script to be marked □ script not to be accepted
□ supplementary fee to be collected PAID/UNPAID

SR3-C/80
Examination Irregularities SR4g
Centre Number:
樣本 23A
Listening Paper Special Room (Room number: )
SPECIMEN
Name of Centre: Date:
Subject: Paper: Examination Time: From To
Note: If any irregularity occurs during an examination session, a report should be made by the centre supervisor/invigilator/classroom
invigilator/special room invigilator on this form. The completed form should be returned to the HKEAA in an ‘Envelope For
Special Reports and Related Scripts/Answer Sheets’ together with the candidate's answer script or answer sheet or article(s) if
suspected cheating is involved. 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 )
□ □ During the examination □ After the examination

Time of reporting by the candidate:
Before the examination (Please put a ‘’ in the appropriate box.)
Candidate’s 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 he/she
leaves 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

 Classroom Invigilator /  Special Room Invigilator (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 complaint requiring follow up.
# This is a report for information only. # This is a report for information only.
Signature : Signature :
# Please put a ‘’ in the appropriate box.
SR4g-E/79
SR4g
考試異常事項
試場編號：聆聽卷別特別室 (課室編號：___________ )

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／監考員／課室監考員／特別室監考員須在此表格上填報，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 SR1、 SR3、 SR4b、 SR4c、 SR4p 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／ □ 課室監考員處理上述個案的監考員（如有關個案並非由試場主任處理）
□ 特別室監考員
姓名：簽署：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 # 是項投訴需考評局跟進
# 是項報告供考評局參考 # 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-C/80
Examination Irregularities (Barcodes) SR4b
樣本 23B
Centre Number: Name of Centre:
SPECIMEN
Subject: Paper: Date :
Part A Use of spare barcode sheets

Reasons for * Reasons for issuing spare barcode sheets:
issuing spare
Candidate Number Name of Candidate barcode sheets* A: Wrong-centre candidate (with SR3 Report)
B: Subject not on Admission Form (with SR3
Report)
C: The candidate could not produce his/her
admission form and his/her personalised
barcode sheet was not found at the centre
(with SR1 Report)
D: The candidate’s original barcode sheet was
damaged/found to include incorrect
information/could not be located
E: The candidate took the Listening paper 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 hall/classroom
without bringing along his/her original
barcode sheet
G: Others (Please specify)
Part B Candidates without sticking barcode labels on the MC answer sheet/on the cover of the answer
book/question-answer book ( # Please put a ‘’ in the box below if the candidate was allowed to stick the
barcode label on the MC answer sheet/on the cover of the answer book/question-answer book under the
supervision of an invigilator to facilitate the scanning of the answer scripts.)
# Candidate Number Name of Candidate Signature of Candidate
Part C Other irregularities concerning barcode sheet/label (if any)
Note: The answer scripts of candidates concerned should be returned to the Scripts Collection Centre in an
Envelope For Special Reports and Related Scripts/Answer Sheets together with this report.
There are ______________________ answer scripts returned to the HKEAA together with this Report.
 Centre Supervisor /  Invigilator (Please put a ‘’ in the appropriate box.)
Name: Signature:
SR4b-E/79
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
派發備用 * 使用備用電腦條碼紙的原因：
電腦條碼 A: 考生前往非指定試場應試（另有 SR3 報
考生編號考生姓名紙的原因* 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卷別
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）
# 考生編號考生姓名考生簽署
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-C/80
Examination Irregularities (Calculators) SR4c
Centre Number : Name of Centre: 樣本 23C
SPECIMEN
Subject: Paper: Date:
Note: If a candidate is found in possession of a calculator which is not pad-printed with the ‘H.K.E.A.A. APPROVED’ or
‘H.K.E.A. APPROVED’ label, he/she should be allowed to use the calculator to continue with his/her 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.
Calculator collected Remarks

Manufacturer of the
Model Number Candidate Number and sent to HKEAA?
Calculator
(Yes/No) (Mark A or B)*
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.
Name: Signature:
Details of the candidates being reported: [to be completed by the candidate(s) concerned – one box for each candidate]
1 Candidate No.: 2 Candidate No.:
Name : Name :
Address: Address:
Daytime Contact Telephone No.: Daytime Contact Telephone No.:
3 Candidate No.: 4 Candidate No.:
Name : Name :
Address: Address:
Daytime Contact Telephone No.: Daytime Contact Telephone No.:
SR4c-E/79
2023 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：
注意：試場主任或監考員如發現考生使用未印有「 H.K.E.A.A. APPROVED」或「 H.K.E.A. 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
該計算機須在當日最後一節考試後連同本
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。
計算機交予考評局？ ( 請填備註
有否將
計算機製造商型號考生編號 ( 有／否 )
A 或 B) *
4
該計算機並未印有標籤，但在准用計算機型號名單內。
該計算機並未印有標籤，且不在准用計算機型號名單內。
* A:
B:

姓名：簽署：
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：
3 考生編號： 4 考生編號：
姓名：姓名：
地址：地址：
SR4c-C/80
Examination Irregularities (Mobile Phones/Electronic Devices/Sounding Devices) SR4p
Centre Number: □ Listening Paper Special Room (Room number: ____________ )23D 樣本
SPECIMEN
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, multimedia players,
electronic dictionaries, databank watches, smart watches or other wearable technologies with communication or data storage functions,
etc.) or articles that can emit sound, and put them inside their bags.
* For candidates sitting at the examination centres using the Second Generation Public Examinations Support System (PESS2), they are required to
complete self check-in using ‘Check-in Smart’ application, then switch off their mobile phones (including the alarm function) according to the
instructions of the Centre Supervisor in the ‘Checking of Personal Belongings’ announcement.
(2) For irregularities concerning mobile phones/electronic devices/sounding devices, a report should be made by the Centre Supervisor/
Invigilator/Classroom Invigilator/Special Room Invigilator on this form. The completed form should be returned to the HKEAA in an
Envelope For Special Reports and Related Scripts/Answer Sheets.
Please put a ‘’ in the appropriate box; *delete if inapplicable.
Part 1
1. During the examination (time: am/pm), the:
□ mobile phone [please specify brand name: model no (if available): ]
□ in operating mode □ rang.
□ other electronic device / radio (please also complete Part 2) □ vibrated/with
[please specify: ] monitor on*.
of the candidate below was found ; it
□ not in operating mode □ did not ring nor
□ sounding device vibrate/with
[please specify: ] monitor on*.
2. The mobile phone/electronic device/sounding device was found:
□ under the candidate’s chair / □ on the candidate’s desk. □ in other location
inside the candidate’s bag. [please specify: ].
□ inside the drawer of the candidate’s desk. □ on the candidate’s body

[please specify (e.g. in the pocket): ].
Part 2 (To be completed if the mobile phone/electronic device is found in operating mode)
1. Did the candidate agree to voluntarily show the mobile phone call log(s) / SMS / MMS log(s)? □ Yes □ No
If 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 □ No
3. If yes, please provide details of the caller, and 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 □ No
If yes, please provide the details (e.g. contents of the conversation):
Other relevant information:
 Centre Supervisor  Invigilator  Classroom Invigilator  Special Room Invigilator (Please put a ‘’ in the
appropriate box.)
Name: Signature:
Details of the candidate(s) being reported:

Candidate’s explanation (if any):
(To be completed by the candidate)
Candidate No.:
Name :
Address :
Daytime Contact Telephone No. :

Email Address :
Signature:
SR4p-E/79
2023 年香港中學文憑考試 SR4p
考試異常事項 ( 手提電話／電子器材／
電子器材／備有響鬧功能物品 )
試場編號： □ 聆聽卷別特別室 (課室編號： )
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、多媒體播放器、電子字典、具文字顯示功能的手錶、
智能手錶或其他穿戴式附有通訊或資料貯存功能之科技用品等 ] 或任何可發出響鬧的物品，並放
在手提包內。
* 於使用「第二代公開考試支援系統（ P E S S 2 ）」的試場應考的考生必須先透過「報到易」應用程式完成自行
簽到，然後根據試場主任所作出「檢查個人物品」宣布的指示下將手提電話的響鬧功能及電源關掉。
（ 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／監考員／課室監考員／特別
室監考員須在此表格上填報，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； *刪除不適用者
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）：）
□ 處於啟動模式 □ 發出聲響。
□ 其他電子器材／收音機 ﹝請填寫第（
請填寫第（二）部分﹞
[ 請註明： ] ；並 □ 震動／屏幕發光 * 。
□ 備有響鬧功能的物品 □ 處於關機模式 □ 沒有發出聲響或震動／屏幕
[ 請註明： ] 發光 * 。
2 有關的物品放在：
. □ 考生的座椅下／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：
其他相關資料：
試場主任  監考員  課室監考員  特別室監考員 ( 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-C/80
樣本 23E
SPECIMEN
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
Name: Signature:
Note: For any irregularities happening in the toilet, please report the details on Report Form SR4g.
SR4t-E/79
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
下列考生於考試期間前往洗手間：
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
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-C/80
樣本 24
SPECIMEN
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 (CS) is expected to delegate the invigilation duties to
other invigilators or appoint his/her own staff/colleagues as a replacement and record the details in Part A.
■ If an invigilator was late or behaved in such a way that had affected the conduct of the examination (e.g. 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 ‘Irregularity’ column in Part B.
■ Hall invigilators are required to declare to the CS if they find any candidate they know at the centre. Under such
circumstances, the CS will exercise his/her discretion and arrange, as far as possible, another invigilator 1) to respond to
any requests from the candidate concerned and collect his/her scripts and 2) to accompany the candidate concerned to the
toilet. The CS should record the verbal declarations made by invigilators and confirm if the above follow-up actions# (i.e. 1
and/or 2) have been taken in Part C. For classroom centres/listening paper special rooms, if a classroom/special
room/cross invigilator finds any candidate he/she knows at the centre, he/she should report the details in Part D which
should be forwarded to the HKEAA via the CS.
Part A
(1) Number of invigilators assigned to this centre: (See Invigilators’ List)
(2) Number of invigilators present:
(3) Details of the absent invigilators:
School of the invigilator Name of absent invigilator

School Remarks
Name of School (to be completed by HKEAA)
Code
See Invigilators’ List
(4) # I have appointed Mr. / Ms. of my school to replace the above absent invigilator(s).
# The HKEAA need not pay him/her any service fee.
# Please pay the service fee into our school’s bank account as detailed below:
Bank: Branch:
Name of account holder:
Account number:
Signature : Name:
(Centre Supervisor)
# Please put a ‘’ in the appropriate box.
Part B
School of the invigilator
Name of invigilator Irregularity
present * School (use a separate sheet if necessary)
Name of School * Code *
SR4i-E/79
Part C (Verbal declarations made by hall invigilators) (Note: For schools operating as ‘Home Centres’ or ‘Home cum District Centres’ in
Chinese Language, English Language, Mathematics (Compulsory Part) and Liberal Studies, declarations are only required by external invigilators.)
School of the invigilator Follow-up
The candidate number(s) and
(if not from the same centre actions# taken
Name of invigilator name(s) of the candidate(s) whom
school) Relationship ’)
(‘
present * the invigilator knows
School 1 2
Name of School * Code * (use a separate sheet if necessary)
Part D (For classroom centres/listening paper special rooms only) (Note: For schools operating as ‘Home Centres’ or ‘Home cum District
Centres’ in Chinese Language, English Language, Mathematics (Compulsory Part) and Liberal Studies, declarations are only required by
classroom/special room invigilators for candidates not coming from the same centre school.)
School of the invigilator The candidate number(s) and name(s)
Name of invigilator (if not from the same centre school) of the candidate(s) whom the
Relationship Signature
present * School invigilator knows
Name of School * (use a separate sheet if necessary)
Code *
* Please refer to Invigilators’ Identification Slips or Invigilators’ Assignment Slips.

SR4i-E/79
2023 年香港中學文憑考試 SR4i
考試異常事項（監考員）
試場編號：
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並填寫甲部。
 如遇監考員遲到或在試場內作出任何影響考試進行的行為（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），請於乙部的「異常事項」欄內註明。
 禮堂監考員如發覺試場內有其認識的考生，必須即時向試場主任申報。試場主任須因應實際情況，盡量安
排其他監考員 1）回答該考生的查詢和收集該考生的答卷及 2）陪同該考生前往洗手間。試場主任必須於丙
部記錄監考員的口頭申報並確認是否已作出上述的跟進行動（即 1 及／或 2）。在課室試場／聆聽卷別特
#
別室，課室／特別室／外校監考員若於試場內碰見其認識的考生，必須填寫丁部申報此事，報告書須經由
試場主任轉交考評局。
甲部
（1）本試場應有監考員的人數：人（請參閱監考員名單）
（2）出席監考員人數：人
（3）缺席監考員的資料：
任教學校缺席監考員姓名
備註 (由考評局填寫)
學校名稱學校編號
可參閱
監考員名單
（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。
＃ □ 考評局毋須支付服務費予上述教職員。
＃ □ 請將服務費存入本校銀行戶口，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。
乙部
出席監考員姓名* 任教學校異常事項
異常事項
學校名稱* 學校編號* （如有需要，可另加紙張填寫）
SR4i-C/80
丙部（禮堂監考員作
禮堂監考員作出的口頭申報）
口頭申報）（註：就中國語文科、
就中國語文科、英國語文科、
英國語文科、數學科（
數學科（必修部分）
必修部分）和通識教育
和通識教育科的
教育科的「
科的「原校試場」
原校試場」或
「原校及地區試場」
原校及地區試場」，只有外派
只有外派監考員方需要作出申報
監考員方需要作出申報。
作出申報。）
任教學校（
任教學校（如非本試場學校）
如非本試場學校）監考員認識考生的考生編號
監考員認識考生的考生編號及
考生編號及姓名是否已作出跟
是否已作出跟
出席監考員姓名* 學校名稱* 學校編號* （如有需要，可另加紙張填寫）關係進行動 (‘’)
＃
1 2
丁部（只適用於課室試場
只適用於課室試場／
試場／聆聽卷別特別室
聆聽卷別特別室）
特別室）（註：就中國語文科、
中國語文科、英國語文科、
英國語文科、數學科（
數學科（必修部分）
必修部分）和通識教育
和通識教育科
教育科的「原
校試場」
校試場」或「原校及地區試場」
原校及地區試場」，課室／
課室／特別室監考員只需申報
特別室監考員只需申報其
監考員只需申報其認識的非本
認識的非本校考生
非本校考生。
校考生。）
出席監考員姓名* 任教學校（
任教學校（如非本試場學校）
如非本試場學校）
學校名稱*
監考員認識考生的考生編號
監考員認識考生的考生編號及
考生編號及姓名關係簽署
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」。
SR4i-C/80
樣本 25
香港考試及評核局 SPECIMEN
DSE
* 如考生能出示身份證明文件，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明文件。
* If the candidate could produce his/her identification document and his/her candidate number can be verified from
the ASTS/ attendance list with his/her personalised barcode sheet available at the centre, the candidate’s answer
script or answer sheet should NOT be put in this envelope.
The candidate’s answer script or answer sheet should be put in this envelope when:
(i) the candidate could not remember his/her candidate number and his/her personalised barcode sheet could
not be found at the centre;
(ii) the candidate could not produce his/her identification document.

樣本
26A
SPECIMEN
26 APR 2023
A1234 HKEAA San Po Kong Office

QSENV0445R1 HKDSE - DSE_PRD SEP 2023 DATE : 13/02/2023 15:01
LIST OF SCRIPT ENVELOPES BY CENTRE PAGE : 1 OF 747
CENTRE NUMBER: A1000 (HALL)
NAME OF CENTRE: King's College
EXAM. COMM. SUBJECT PAPER NO. OF ENVELOPES

DATE TIME
21/04 08:30 ENGLISH LANGUAGE 1 3

24/04 08:30 MATHEMATICS CP-E 1 4
25/04 08:30 CHIN LANG (CAN) 1 3
25/04 10:45 CHIN LANG (CAN) 2 3
26/04 09:15 CHIN LANG (CAN) 3 3
27/04 08:30 LIBERAL STUD-C 1 3
27/04 11:15 LIBERAL STUD-C 2 3
TOTAL NO. OF ENVELOPES: 28

樣本 28
SPECIMEN
樣本 29
SPECIMEN
樣本
30A
SPECIMEN
樣本
30B
SPECIMEN
樣本 32
SPECIMEN
樣本
34A
SPECIMEN
樣
本
34B
SPECIMEN
2 0 2 3 年香港中學文憑考試 SR
# #
English Language Paper 3
2023 4 26 9 15 11 40 22 April 2023 (9:15 am – approx. 12:10 pm)
三卷科文語國中
分時午上約至分時午上日月年
Sessional Report (Special Room)
書告報試考室別特
Part 1
分部一第
A.
Name of Centre: Centre No.: Classroom No.:
稱名場試號編場試號編室課
B. I certify that
實證人本
(1)
the actual starting time is the actual finishing time is Time when the broadcast finished is
是間時考開的實確是間時卷完的實確間時的畢完放播音錄
(2) ; the packet containing the examination question papers for this session was sealed until the time of opening and appeared not to
have been physically interfered with;
缺無整完前拆開在包封卷試的試考節本
(3) 9 45 the above packet was opened by me at/after 9:45 am in front of the candidate(s).
# C. No candidate attended the examination in this Special Room.
。拆開前面生考在後之或分時於人本由包封卷試述上
。考應」室別特「此在生考無並試考節此
# D. candidate(s) was/were admitted in this Special Room.
(1)
。考應」室別特「此在生考名有共試考節此
This examination was conducted in strict accordance with the Notes for the Guidance of Special Room Invigilators.
。定規的內」知須員考監室別特「合符均序程項各的試考次是
(2)
The answer scripts of the candidates attending the examination in this Special Room have been properly counted and put in the ‘Return Envelope for Listening Paper Special
。內」套封卷答及書告報試考室別特別卷聽聆「在放已後當妥算點經卷答其，生考的試應」室別特「在
Room Sessional Report and Answer Scripts’.
(3)
The candidate number of the candidates who attended the examination in this Special Room are shown in Part 2 of this report.
。分部二第的告報本於列號編生考的生考試應」室別特「在
E. * USB (* )
*Radio reception /quality of broadcast of the USB player/computer (*delete if not applicable) in the Special Room during the examination:
：者用適不去刪請況情放播的腦電／機放播／收接機音收的室別特間期試考
# Satisfactory
#
好良
Generally acceptable with occasional minor interferences which did not affect the general reception / quality of broadcast.
。果效放播／收接體整響影不但，擾干許少現出中間，好良致大
# 述詳請題問放播／收接現出曾( ) With reception / broadcast problem (Please give details)
USB USB SR4g

Note: If the examination USB was defective or the reserve examination USB was used, the Special Room Invigilator must record the details in the Report Form SR4g.
試考若：意注試考用備用使曾或效失在錄記況情關有將須員考監」室別特「，。內書告報
Name of Special Room Invigilator: Signature:

名姓員考監室別特署簽樣本
SPECIMEN
# √ Please put a ‘√’ in the appropriate box

35
。號」「加內格方當適在請
香港考試及評核局 DSE
聆聽卷別
聆聽卷別特別室考試報告書及答卷封套
卷別特別室
聆聽卷別特別室
Return Envelope for Listening Paper Special Room Sessional Report and Answer Scripts
試場編號科目
Centre No. : Subject :
試場名稱
Name of Centre :
Listening Paper Special Room

出席人數本封包內答卷數目
No. of Candidates Present : No. of Scripts Enclosed :
封套編號
試場特別室總數 : ( )
Return Envelope(s): _______ of _______
特別室
Total Number of Special Rooms in this centre: ( )
(每個特別室應使用一個獨立封套)
注意 : 如沒有考生在「特別室」應考，仍須將此封套交回。
卷別特別室
卷別
(please use one envelope for each Special Room)
Note : This envelope must be returned even if no candidates took the Listening Component in the Special Room.
聆聽卷別
Listening Paper Special Room
聆聽
樣本
SPECIMEN
36
樣本
37
SPECIMEN
for DAT only
樣本
SPECIMEN
37A
聆聽卷別特別室（座位表）
試場編號 CENTRE NO. Listening Paper Special Room (Seating Plan) 課室編號 ROOM NO.
科目
Subject：
特別室監考員席
SPECIAL ROOM INVIGILATOR’S DESK
Candidate No.:__________ Candidate No.:__________ Candidate No.:__________ Candidate No.:__________ Candidate No.:__________ Candidate No.:__________
號編生考號編生考號編生考號編生考號編生考號編生考
Time : Time : Time : Time : Time : Time :

間時間時間時間時間時間時





樣本
SPECIMEN
38
請以‘’表示收音機／USB 播放機／電腦的擺放位置。 Please indicate the location of the radio/USB player/computer with the symbol ‘’.
樣本 39
SPECIMEN
SR3(Notes)
考生前往非指定試場或
或錯誤報考 Notes for Wrong Centre or
應考語文／卷別／單元須知 Wrong Version Candidates
這試場未能提供你所需要的應考語文／卷別／單元試 This exam centre cannot provide the question papers for the
卷，你可選擇：
： language version / paper / module that you need, and you can
choose to:
1. 前往准考證上指定的試場，但若你遲到你並不會獲 1. go to the correct centre as stated on the Admission Form but
得額外時間作答；或 no extra time will be given if you arrive late; or
# 2. # remain in this centre and sit the exam in the Language

2. 留在本試場並以本試場提供試卷的應考語文／卷 Version / Paper / Module (if applicable) which this centre
別／單元(如適用)應考，但你可選擇以你擬報考的 provides but your answers can be written in the language you
應考語文作答；或 intended to register for; or
# 3. # go to the nearest exam centre that provides the question

3. 前往最就近的試場，以該試場提供你擬報考的應
papers of the language version / paper / module which you
考語文／卷別／單元的試卷應考。[請致電考評局 intended to register for. [Please call the HKEAA at 3628 8860
( 電話： 3628 8860) 或瀏覽考評局網頁 or browse the HKEAA website (www.hkeaa.edu.hk 
(www.hkeaa.edu.hk  香港中學文憑考試  考務 Examination Administration  Examination Centres) for
安排  試場一覽表) 查詢相關試場資料。] related centre information.]
Note: Candidates who have entered for a wrong language version will not be allowed
to move to a suitable centre after they have read the question paper.
#
。試應場試的適合往轉後卷試閱翻於准獲會不生考的文語考應考報誤錯：意注
 The centre will ONLY provide the Language Version / Paper / Module as
#  scheduled. The HKEAA will NOT provide faxed copies of different question
papers.
真傳供提會不局評考，卷試元單／別卷／文語考應的設預供提會只場試
 SR3  Candidates may be asked to fill in the Report Form SR3 at the end of the exam.
。排安的卷試同不
Candidates sitting an exam in a wrong centre more than once without an
況情的釋解理合供提能未在。書告報寫填後畢完試考於需或生考
acceptable explanation will receive a mark penalty in the second and subsequent
試定指非於後之及次二第其，次一過超考應場試定指非往前如生考，下
subjects/papers.
 If the Language Version / Paper / Module that the candidates sat is different from
。分扣被會別卷／目科的考應場

that stated on the Admission Form, the candidates must seek special approval
於須必生考，符不的列所上證考准其與元單／別卷／文語的考應生考如樣本
from the HKEAA immediately after the exam. The application, if approved by
SPECIMEN
，納接獲請申若倘，元單／別卷／文語考應改更請申局評考向即立後試

the HKEAA, is subject to the payment of related supplementary fee and subject
。費目科及費加附關有交繳須生考
40
fee.
普通試場
Normal Centre
202 3 年香港中學文憑考試
USB 及錄音稿件回收表
USB and Tapescript Return Form
科目試場編號
Subject ： Centre No. ：
試場名稱
Centre Name ：
已提供數目交回數目試場主任簽署

No. of items No. of items Signature of Centre
provided returned Supervisor:
考試錄音 USB Examination USB 2
備用考試錄音 USB Reserve Examination USB 2
樣本
錄音稿件 Tapescript 4
SPECIMEN
41
SR1(Notes)
考生未能出示准考證及／或 Notes for Candidates who cannot
有效身分證明文件須知 produce Admission Form and/or Va
Valid
Identification Document
除非有特殊情況，考生未能出示准考證及／或附有照片 Unless there are extenuating circumstances, candidates who
的身分證明文件將不獲准應考。由於你未能出示准考證 cannot produce Admission Form and/or any identification
document with photograph will NOT be allowed to sit the
或有效身分證明文件（例如：香港身分證），你必須： examination. Since you cannot produce Admission Form or
valid identification document (e.g. Hong Kong Identity Card),
1. 於離開試場前，在試場主任的監督下填寫並簽署 SR1 you must:
報告書；及
1. complete and sign the SR1 report form under the supervision
2. 填寫本須知背頁的資料並透過禮堂的試場通訊及支 of the Centre Supervisor before you leave the examination
援系統（PECSS）／第二代公開考試支援系統（PESS2） centre; and
拍攝一張照片（如適用），以作日後核對身分之用； 2. if applicable, complete the information on the back of this
及 note and have a photograph taken via the Public
Examinations Communication and Support System (PECSS) /
3. 考試後 14 天內，於辦公時間前往考評局修頓中心辦 the 2nd Generation Public Examinations Support System
事處核對有關文件／及照片。 (PESS2) for future verification purposes; and
3. go to the HKEAA Southorn Centre office during office hours

4. 如有查詢，請聯絡公開考試資訊中心（電話：3628
within 14 days after the examination to have your
8860）。 document/and photograph checked.
4. In case of enquiries, please contact our Public Examinations

備註： Information Centre at 3628 8860.
1. 如未能遵從以上要求，你的答卷將不獲考評局評閱。 Remarks:
2. 如未能核實你的身分，試場主任可拒絕你應考下一節考試。 1. Failure to comply with the above requirements will result in your answer
scripts not being marked by the HKEAA.
2. If your identification cannot be verified, the Centre Supervisor may refuse
to admit you to sit the next examination session.
英文全名 English Full Name:
__________________________________________
中文全名 Chinese Full Name:
__________________________________________
考生編號 Candidate Number:
__________________________________________
身分證明文件號碼 Identification Document Number:
__________________________________________

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DSE 2023

2D. 「遲到考生不得進場」告示牌 供聆聽部分用 ( )

7A. 標準試卷包裝 – 顏色標貼 / 試卷簡稱

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 )

15B. 警署報失紙 由警務處發出( )

考生出席紀錄表 ：禮堂 (只供「出席紀錄及答卷收集系統」 ； B： 課室)

(A：Hall (For contingency use of ‘Attendance ； B： Classroom)

and Script Tracking System’ only)

18B. 答題簿封面 - 答題簿(A)

18C. 答題簿封面 答題簿 - (F)

考試報告書 ：禮堂 核心科目； ：課室 ； ：禮堂 選修科目

21. SR1 報告書 – 考生未能出示准考證 / 身分證明文件

22. SR3 報告書 考生前往非指定試場應試或准考證未印有與考科目 卷別 單元 應考語文

23A. SR4g 報告書 考試異常事項

23B. SR4b 報告書 考試異常事項 電腦條碼

23C. SR4c 報告書 考試異常事項 計算機

23D. SR4p 報告書 考試異常事項 手提電話 電子器材 備有響鬧功能物品

23E. SR4t 報告書 考生前往洗手間

24. SR4i 報告書 考試異常事項 監考員

25. 特別報告書及有關答卷 答題紙封套 /

26B. 試場答卷封套數目總表 按試場 ( )

特別室專用封套 ：中國語文 ； B：英國語文)

37. 交回未用 已用 沒有選答的試題 試題答題簿封套

37A. 交回未用 已用 沒有選答的試題 試題答題簿封套 只供設計與應用科技用

38. 聆聽卷別特別室 (座位表)

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 / / (SR3 (Notes))

41. USB 及錄音稿件回收表 考試錄音 ( USB 、備用考試錄音 USB 及試音 USB)

42. 考生未能出示准考證及 / 或有效身分證明文件須知 (SR1 (Notes))

CENTRE: A1234 ABC College (SCHOOL CODE: 00000) (HALL)

PACKET SIZE 50 50 50 50 50 50 50 200 100

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

PACKET SIZE 200 200 200 10 10

_______________ / FL.) TO TAKE YOUR EXAMINATION.

FRI 21 APR A020E Eng Lang 1 96 4 0 0 124

FRI 21 APR A020E Eng Lang 2 96 4 0 0 124

SAT 22 APR A020E Eng Lang 3 96 5 0 0 155

MON 24 APR A030E Math CP-E 1 96 4 0 0 124

MON 24 APR A030E Math CP-E 2 96 4 0 0 124

TUE 25 APR A010C C Lang-CAN 1 96 4 0 0 124

TUE 25 APR A010C C Lang-CAN 2 96 4 0 0 124

WED 26 APR A010C C Lang-CAN 3 96 5 0 0 155

THU 27 APR A040C LS-C 1 96 4 0 0 124

THU 27 APR A040C LS-C 2 96 4 0 0 124

Abbreviated Name PAPER 1A

(3) 每張10個電腦條碼貼紙 (4) 每張15個電腦條碼貼紙

HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION 2023

Item Supplied Quantity

No. of Barcode Labels (Candidates) sheets

No. of Spare Barcode Labels sheets

：話電﹝絡聯局核評及試考港香與即立請，﹞少或多論無﹝ 符不者收應與目數包封卷試的到收如 3628 8951 或 3628 8910 。﹞

Provision of Invigilators by School

Name of School: 12345 ABC College

HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY 監考員編號 Invigilator No.

日期 上午或下午 試場編號 試場 試場主任簽署 備註 〈如適用〉*

* 如你未能擔任監考服務，請在備註欄填上「ABS」。 Please mark ‘ABS’ ABS’ if you cannot perform duty.

Name in English as printed on Identity Card ID Card no.

考試日期/時間 科目 試場編號及類別 報到時間

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

2D. 「遲到考生不得進場」告示牌供聆聽部分用 ( )

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 )

15B. 警署報失紙由警務處發出( )

考生出席紀錄表：禮堂 (只供「出席紀錄及答卷收集系統」； B：課室)

18C. 答題簿封面答題簿 - (F)

考試報告書：禮堂核心科目；：課室；：禮堂選修科目

22. SR3 報告書考生前往非指定試場應試或准考證未印有與考科目卷別單元應考語文

23A. SR4g 報告書考試異常事項

23B. SR4b 報告書考試異常事項電腦條碼

23C. SR4c 報告書考試異常事項計算機

23D. SR4p 報告書考試異常事項手提電話電子器材備有響鬧功能物品

23E. SR4t 報告書考生前往洗手間

24. SR4i 報告書考試異常事項監考員

25. 特別報告書及有關答卷答題紙封套 /

26B. 試場答卷封套數目總表按試場 ( )

特別室專用封套：中國語文； B：英國語文)

37. 交回未用已用沒有選答的試題試題答題簿封套

37A. 交回未用已用沒有選答的試題試題答題簿封套只供設計與應用科技用

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 / / (SR3 (Notes))

41. USB 及錄音稿件回收表考試錄音 ( USB 、備用考試錄音 USB 及試音 USB)

日期上午或下午試場編號試場試場主任簽署備註〈如適用〉*

考試日期/時間科目試場編號及類別報到時間

This is to certify that _ holder of identity document number

座位編號 ( 請的依准照考出證席抄考錄生計算機腦條碼紙

考生編號考生編號考生編號考生編號

注意試場主任須將此表格連同有關的 SR4c 報告書交予考評局。

茲證明只適用於中國語文卷三／英國語文卷三

(5) 在試後收回的答卷數目（共份）與考生出席人數相同；

考試期間禮堂試場的收音機／紅外線接收系統／學校廣播系統 (請刪去不適用者 ) 接收情況（請在適當方格

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

(5) 在試後收回的答卷數目（共份）與考生出席人數相同；

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

(5) 在試後收回的答卷數目（共份）與考生出席人數相同；

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

試場編號：聆聽卷別特別室 (課室編號：___________ )

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)

科目：卷別：日期：

□ 試場主任／ □ 監考員（請在適當方格內加「 」號）

試場主任  監考員  課室監考員  特別室監考員 ( 請在適當方格內加「  」號