DEFENSE LANGUAGE PROFICIENCY TEST (DLPT) QUERY



CONTROLLED TEST MATERIAL (When Filled In) | |

|DEFENSE LANGUAGE PROFICIENCY TEST (DLPT) QUERY |

|INSTRUCTIONS TO EXAMINEE |

|Complete PART I below accurately and completely. |

|After completing PART I, move down to PART III and complete both areas. In the PASSAGE/QUESTION CONTENT block, attempt to write out the |

|passage/question from memory. In the QUERY COMPLAINT block, be specific as to the problem you believe exists. |

|After completing this form, give it to the test control officer or test examiner for processing. |

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|YOU ARE PROHIBITED FROM DISCUSSING OR DISCLOSING, EITHER ORAL OR WRITTEN, THE CONTENTS OF THIS FORM WITH ANYONE EXCEPT THE TEST CONTROL OFFICER, TEST |

|EXAMINER OR SPECIAL TEST CONTROL OFFICER. VIOLATIONS OF THIS PROHIBITION ARE PUNISHABLE UNDER THE UCMJ WITH CRIMINAL SANCTIONS OF UP TO TWO YEARS HARD |

|LABOR AND DISHONORABLE DISCHARGE FOR THOSE INVOLVED. |

|PART I: TO BE COMPLETED BY EXAMINEE |

|NAME OF EXAMINEE |EXAMINEE’S GRADE |ORGANIZATION/OFFICE |TODAY’S DATE |

|(Print, Last, First, MI) | | | |

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|SIGNATURE OF EXAMINEE |LANGUAGE |TEST FORM |SKILL |PUB. DATE |

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|PART II: TO BE COMPLETED BY TEST CONTROL OFFICER OR TEST EXAMINER |

|NAME OF TEST CONTROL OFFICER (TCO) |TCO ACCOUNT No. |DSN No. |

|(Print, Last, First, MI) | | |

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|SIGNATURE OF TCO |MAIL COMPLETED QUERY BY CERTIFIED OR REGISTERED MAIL, IN ACCORDANCE WITH AR 611-5, TO: |

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|PART III: TO BE COMPLETED BY EXAMINEE |

|PASSAGE/QUESTION CONTENT (from memory) |

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|QUERY COMPLAINT (Be specific as to the problem you believe exists with the above test passage/question) |

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|PART IV: TO BE COMPLETED BY ATFL-ES |

|ACTION TAKEN: |

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|DLIFLC FORM NO. XXXXXXXXX CONTROLLED TEST MATERIAL (When Filled In) |

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DLIFLC

ATTN: TEST CONTROL OFFICER

660 RIFLE RANGE ROAD, STE 13

MONTEREY, CA 93944-3136

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