Form 95 - Alcpt

| Form | Raw Score | Change | |------|-----------|--------| | Form 90 | 71 | – | | Form 95 | 79 | |

Signature: __________________________ Date: 16 April 2026 alcpt form 95

INDIVIDUAL SCORE REPORT

I certify that the ALCPT Form 95 was administered and scored according to DLIELC standardized procedures. | Form | Raw Score | Change |