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IELTS Test Report Form NOTE. Adnsson to underraguato and post gradite courses should be based on th ACADEMIC Reacng and Wing Modus GENERAL TRAINING Reading ond Wing Module ae not desgred to fat ofl ange o anquope sls requ fe academic purposes, Tre veeermavaoytartneconsoat’sanauege ently as nclcaled tha Test Report Form be reassessed afer hwo years fom the dl fo tt GENERAL TRAINING Centre Number { BD001 Date | 10/DEC/2023 Candidate Number 012132 A; Date of Birth 06/08/2000 Sex(MF) | F ‘Scheme Code | Private Candidate Country or Region of Origin Country of Nationality INDONESIA FirstLanguage | INDONESIA Test Results Teks paragraf Anda Overall Listening Reading Writing Speaking Band ‘Score ‘Administrator Comments Centre stamp Administrator's Signature & Test Report Form Date | 13/DEC/2023 | jena! CAMBRIDGE ENGLISH Language Assessment fort the Uses of Cambie SSE eidp ‘The validity ofthis IELTS Test Report Form can be verified online by recognising crganisations at hifp:/elts.ucles.org.uk

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