\documentclass[10pt]{article}

\usepackage{russcorr}

\usepackage{psboxit}

\pagestyle{empty}

\addtolength{\topmargin}{-30mm}
\addtolength{\textheight}{70mm}
\addtolength{\oddsidemargin}{-30mm}
\addtolength{\textwidth}{50mm}

\def\spp{$\underline{\hspace{50mm}}$}
\def\spq{$\underline{\hspace{20mm}}$}
\def\spr{$\underline{\hspace{36mm}}$}

\def\mc{\multicolumn{2}{|c|}}

\def\dtt{{Дата\hspace{1em}}}
\def\pdp{{Подпись\hspace{1em}}}

\def\grd{\psboxit{box .7 setgray fill}{\phantom{\dtt}}\vphantom{666}}
\def\grp{\psboxit{box .7 setgray fill}{\phantom{\pdp}}\vphantom{666}}

\def\cl{\cline{2-4}}

\begin{document}

{\bf\large Фамилия\spp Школа, город\spp}

\medskip

{\bf\large Год окончания школы\spq Где учитесь днем\spr}

\bigskip

\begin{center}

\begin{tabular}{cccc}

{\large Алгебра 5}&{\large Алгебра 6}
&\multicolumn{2}{c}{\large Геометрия 5}\\[3mm]

\small

\begin{tabular}[t]
{|c|c|@{}c@{}|@{}c@{}|}
\hline
\mc{$N^0$} & \dtt & \pdp\\
\hline
\mc{1} &&\\
\hline 
\mc{2} &&\\
\hline 
\mc{3} &&\\
\hline 
\mc{4*} &\grd&\grp\\
\hline 
\mc{5} &&\\
\hline 
\mc{6} &&\\
\hline 
&а &&\\
\cl
7 &б* &\grd&\grp\\
\cl
&в** &\grd&\grp\\
\hline 
\mc{8!} &\grd&\grp\\
\hline 
\mc{9} &&\\
\hline 
\mc{10!} &\grd&\grp\\
\hline 
\mc{11} &&\\
\hline 
\mc{12!} &\grd&\grp\\
\hline 
\mc{13} &&\\
\hline 
\mc{14*} &\grd&\grp\\
\hline 
\mc{15} &&\\
\hline 
\mc{16} &&\\
\hline 
\mc{17} &&\\
\hline 
\mc{18!} &\grd&\grp\\
\hline 
\mc{19} &&\\
\hline 
\mc{20!} &\grd&\grp\\
\hline 
\mc{21!} &\grd&\grp\\
\hline 
\mc{22*} &\grd&\grp\\
\hline 
\mc{23!} &\grd&\grp\\
\hline 
\mc{24!} &\grd&\grp\\
\hline 
\mc{25} &&\\
\hline 
\mc{26} &&\\
\hline 
\mc{27*} &\grd&\grp\\
\hline 
\mc{28} &&\\
\hline
\mc{29} &&\\
\hline
\mc{30} &&\\
\hline
\mc{31} &&\\
\hline
\mc{32!} &\grd&\grp\\
\hline
\mc{33*} &\grd&\grp\\
\hline
\mc{34**} &\grd&\grp\\
\hline
\end{tabular}&

\small

\begin{tabular}[t]
{|c|c|@{}c@{}|@{}c@{}|}
\hline
\mc{$N^0$} & \dtt & \pdp\\
\hline 
\mc{1} &&\\
\hline 
\mc{2!} &\grd&\grp\\
\hline 
\mc{3} &&\\
\hline 
\mc{4} &&\\
\hline 
\mc{5} &&\\
\hline 
\mc{6} &&\\
\hline 
\mc{7!} &\grd&\grp\\
\hline 
\mc{8*} &\grd&\grp\\
\hline 
\mc{9} &&\\
\hline 
\mc{10!} &\grd&\grp\\
\hline 
\mc{11!} &\grd&\grp\\
\hline 
\mc{12!} &\grd&\grp\\
\hline 
\mc{13} &&\\
\hline 
\mc{14} &&\\
\hline 
\mc{15!} &\grd&\grp\\
\hline 
\mc{16!} &\grd&\grp\\
\hline 
\mc{17} &&\\
\hline 
\mc{18} &&\\
\hline 
\mc{19!} &\grd&\grp\\
\hline 
\mc{20!} &\grd&\grp\\
\hline 
\mc{21} &&\\
\hline 
\mc{22!} &\grd&\grp\\
\hline 
\mc{23} &&\\
\hline 
\mc{24*} &\grd&\grp\\
\hline 
\mc{25*} &\grd&\grp\\
\hline 
\mc{26*} &\grd&\grp\\
\hline 
\mc{27} &&\\
\hline 
\mc{28!} &\grd&\grp\\
\hline 
\mc{29!} &\grd&\grp\\
\hline 
\mc{30} &&\\
\hline 
\mc{31} &&\\
\hline 
\mc{32!} &\grd&\grp\\
\hline
\mc{33!} &\grd&\grp\\
\hline
\mc{34} &&\\
\hline 
&а &\grd&\grp\\
\cl
35* &б &\grd&\grp\\
\cl
&в** &\grd&\grp\\
\hline
\end{tabular}&

\small
\begin{tabular}[t]
{|c|c|@{}c@{}|@{}c@{}|}
\hline
\mc{$N^0$} & \dtt & \pdp\\
\hline
\mc{1} &&\\
\hline 
\mc{2!} &\grd&\grp\\
\hline 
\mc{3!} &\grd&\grp\\
\hline 
\mc{4} &&\\
\hline 
5&а  &&\\
\cl
&б* &\grd&\grp\\
\hline 
\mc{6} &&\\
\hline 
\mc{7} &&\\
\hline 
\mc{8} &&\\
\hline 
\mc{9} &&\\
\hline 
\mc{10!} &\grd&\grp\\
\hline 
\mc{11} &&\\
\hline 
\mc{12*} &\grd&\grp\\
\hline 
\mc{13*} &\grd&\grp\\
\hline 
\mc{14**} &\grd&\grp\\
\hline 
&а &&\\
\cl
15 &б &&\\
\cl
&в &&\\
\cl
&г &&\\
\hline 
\mc{16} &&\\
\hline 
\mc{17} &&\\
\hline 
\mc{18} &&\\
\hline 
\mc{19} &&\\
\hline 
\mc{20} &&\\
\hline 
&а &&\\
\cl
21 &б &&\\
\cl
&в &&\\
\cl
&г &&\\
\hline 
\mc{22} &&\\
\hline 
\mc{23} &&\\
\hline 
\mc{24} &&\\
\hline 
\mc{25} &&\\
\hline 
\mc{26*} &\grd&\grp\\
\hline 
\mc{27*} &\grd&\grp\\
\hline 
\mc{28*} &\grd&\grp\\
\hline 
\mc{29} &&\\
\hline 
\mc{30*} &\grd&\grp\\
\hline 
\end{tabular}&

\small
\begin{tabular}[t]
{|c|c|@{}c@{}|@{}c@{}|}
\hline
\mc{$N^0$} & \dtt & \pdp\\
\hline
&а &\grd&\grp\\
\cl
31* &б &\grd&\grp\\
\cl
&в &\grd&\grp\\
\hline 
32* &а &\grd&\grp\\
\cl
&б &\grd&\grp\\
\hline 
\mc{33!} &\grd&\grp\\
\hline 
\mc{34} &&\\
\hline 
\mc{35} &&\\
\hline 
\mc{36!} &\grd&\grp\\
\hline 
\mc{37*} &\grd&\grp\\
\hline 
\mc{38} &&\\
\hline 
\mc{39} &&\\
\hline 
\mc{40} &&\\
\hline 
\mc{41} &&\\
\hline 
\mc{42} &&\\
\hline 
\mc{43!} &\grd&\grp\\
\hline 
\mc{44} &&\\
\hline 
\mc{45*} &\grd&\grp\\
\hline 
\mc{46} &&\\
\hline
\mc{47} &&\\
\hline
\mc{48*} &\grd&\grp\\
\hline
\mc{49} &&\\
\hline
\mc{50} &&\\
\hline
\mc{51!} &\grd&\grp\\
\hline
\mc{52} &&\\
\hline
\mc{53!} &\grd&\grp\\
\hline
\mc{54*} &\grd&\grp\\
\hline
&а &\grd&\grp\\
\cl
55*& б &\grd&\grp\\
\cl
&в &\grd&\grp\\
\cl
&г &\grd&\grp\\
\hline
\end{tabular}
\end{tabular}

\vspace{7mm}

\begin{tabular}{ccc}

\multicolumn{3}{c}{\large Геометрия 6}\\

\small
\begin{tabular}[t]
{|c|c|@{}c@{}|@{}c@{}|}
\hline
\mc{$N^0$} & \dtt & \pdp\\
\hline
\mc{1} &&\\
\hline 
\mc{2!} &\grd&\grp\\
\hline 
\mc{3*} &\grd&\grp\\
\hline 
\mc{4} &&\\
\hline 
\mc{5} &&\\
\hline 
\mc{6} &&\\
\hline 
\mc{7} &&\\
\hline
&а &&\\ 
\cl
&б! &\grd&\grp\\ 
\cl
8&в &&\\ 
\cl
&г &&\\ 
\cl
&д! &\grd&\grp\\ 
\cl
&е &&\\ 
\hline
\mc{9**} &\grd&\grp\\
\hline 
\end{tabular}&

\small
\begin{tabular}[t]
{|c|c|@{}c@{}|@{}c@{}|}
\hline
\mc{$N^0$} & \dtt & \pdp\\
\hline 
\mc{10} &&\\
\hline 
\mc{11} &&\\
\hline 
\mc{12!} &\grd&\grp\\
\hline 
\mc{13} &&\\
\hline 
\mc{14!} &\grd&\grp\\
\hline
&а &&\\
\cl 
15& б &&\\
\cl
&в! &\grd&\grp\\
\hline 
\mc{16!} &\grd&\grp\\
\hline 
\mc{17!} &\grd&\grp\\
\hline 
\mc{18} &&\\
\hline 
\mc{19} &&\\
\hline 
\mc{20*} &\grd&\grp\\
\hline 
\mc{21!} &\grd&\grp\\
\hline 
\end{tabular}&

\small
\begin{tabular}[t]
{|c|c|@{}c@{}|@{}c@{}|}
\hline
\mc{$N^0$} & \dtt & \pdp\\
\hline
\mc{22*} &\grd&\grp\\
\hline 
\mc{23!} &\grd&\grp\\
\hline 
\mc{24!} &\grd&\grp\\
\hline 
\mc{25*} &\grd&\grp\\
\hline 
\mc{26*} &\grd&\grp\\
\hline 
\mc{27} &&\\
\hline 
\mc{28} &&\\
\hline 
\mc{29*} &\grd&\grp\\
\hline 
\mc{30*} &\grd&\grp\\
\hline 
\mc{31*} &\grd&\grp\\
\hline 
\mc{32*} &\grd&\grp\\
\hline 
\mc{33*} &\grd&\grp\\
\hline 
\mc{34} &&\\
\hline 
\mc{35*} &\grd&\grp\\
\hline 
\end{tabular}
\end{tabular}

\end{center}

\end{document}
