IELTS Test Report Form ACADEMIC NOTE Aamisson o undergraduate and post gradute courses shouls be based onthe ACADEMIC Reacting and Uting Module ‘GENERAL TRANING Reading and Wing Necuies are mot cesgnedo test el range of lrguage sls Yequtea fv scedemic purposes. ‘Nievecommanded tha he canada lnguoge sty asndestedm ths est apo Porm Ge assessed ater two year rom the Gate he tet Candidate Number 007020 Candidate Details Family Name Rroees [pean Candidate ID Date of Birth 09/01/1996 Sex (WF) | F Scheme Code | Private Candidate Country or Region | of Origin Country of Natorey INDONESIA First Language | INDONESIAN Test Results creel: CEFR Listening Reading Writing Speaking Band CED Score Administrator Comments Centre stamp Validation stamp Administrator's Signature Date 28/08/2019 @@ BRITISH i Cambridge Assessment COUN Seidp Sy eaien = The validity of this IELTS Test Report Form can be verified online by recognising organisations at https ucles.org.uk