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