UH I Peminatan KD 3.

1 ODD Semester X A
I. Your mom wants to withdraw her money at the Bank. She asks you to fill in the form below :

……………1 …….( Name )

…………2 ……( street)…
………..3 ……( city )
……4……..( province )
….5 …. ( date ,month, year) also write in letters

PAY TO THE
ORDER OF $ 3.425

….(6) ………( write the amount above in word )

Halal Bank
22 West Avenue
AbuDhabi 1667

….( 7 ) ….Signature

…..( 8) ….complete name

II.
English Community Club Application FORM
Full Name
Nick name
Marital status
Sex
Date of birth( d/m/y )
Also write in words
Town /city of birth
Country of birth
Nationality
Email Adress
Mobile/cell number
Occupation
Why do you want to join or What is the purpose of joining this program? (4 reasons)
1.
2.
3.
4.
…………… :

…………………………………………………………………………………………………..
 Please rewrite this sentence into English and put them into box above.

Catatan :
1. Formulir harus diserahkan pada Ketua Klub

III. Please complete an order form based on the situation Given :

o Guru Ilmu Book Store, located at Perintis Kemerdekaan Street 80, on 15 June 2017 order a
number of story books from PT. GRAMEDIA which is located at Sudirman Street 80.
o The books are following.
1. 20 Copies of “THE OLD MAN AND THE SEA“ @Rp. 35.000
2. 20 Copies of “Siti Nurbaya : Kasih Tak Sampai” @Rp. 50.000
3. 12 Copies of “Sherlock Holmes’s Old Cases” @Rp. 40.000
4. 40 Copies of “The Mystery of The Express Train” @Rp. 17.000
o Include 30% discount, delivery cost Rp. 115.000 and Packing charge Rp. 50.000. The good s are sent
via DHL Express air Cargo

Items Quantity Price/Unit Total Price