INTERNATIONAL ENGLISH LANGUAGE TESTING SYSTEM

Test Report Form ACADEMIC

NOTE Admission to undergraduate and post graduate courses should be based on the
ACADEMIc Reading and writing Modules.
GENERAL TRAINING Readino and w-riting Modules are not iesign,e.a
19ii2tiie_luttffi"-oi'ingrrge skitts required lor academic purposes.
It is recommended that the ca;didate's taiguagi iiiliiy-rs-iiiiriira n this
6
rest atipoi Firi' ,"-urrrrr"d ,fter wo yearc from the date of the test,

Centre Number 1D205 Date 04lAUG|2012 Candidate Number 000352

First Name

Candidate tD

Date of Birth

Country or
Region of
2611211984

INDONESIA
Sex (M/F)
E First
Language
Scheme Code

Origin

Repeating Previous Previous

|ELTS (Y/N) Test Date Test Centre

Test Results
Listenins
llWJ *pfl5*?Tl
Readins
r;.__rwritins .,-s,q
,_l overar I@%#Bl
l;llf,F,;-l I ;'-*?,* l l, ''l Speakins l., Ban<r score l&,..,,.,,1

Administrator Comments
Validation stamp

ffi
Writing Examiner Administrator's
Number 991485
Signature

Speaking Examiner
900508 Date 15108t2012 Test Report Form
Number
Number

OO BRITISH UNIVERSITY o/ CAMBRIDGE

oo couNcll &iHp ESOL Examinations

The validity of this IELTS Test Report Form can be verified

online by recognising organisations at http://ielts.ucles.org.uk
 lll(4(t,(o
E EEE
zul .@'fi
9s >
g ut.9 P
r.,
Z
sEi _oP
EH"o
L.
q)
=lt
HY.^ =E L
(o
z:.ru
HV,{J son:N
(u
co

tb H
o E ftv
1l) u
(,l-
o
F >> UtL)
o(I)k
q)
L
ur=-c +ut f
4J
(u
P,F-
J
a.E
=crLL C
.9
(, u.Etr
'Eg5 a
z (ur-
LIL

J Eg.,o'
EI
ts EE
. o)
F
N
dJul "OEg
-\z

,@\ S
S -EI-s Ees
N=tu.oH =
-,t,,o'iK
i(
(,QsY
$
('iEiYE
X
E ts3= E EF.E
![u=ro
S
s PsG
:sE N
eNb
=Fa Fl

;s.=
oFr
C)
N
oo
O
o ts N{ E
€ ruh Pc.j
.} Er t.P'3 =-
O'(]
E TNfi: ai\{n
z<a:
sS
rYfil
I{ J.-
r-mE
9
.e
E E
8-S=E
=O
a Ns
:d Uil
1=E
lllL(r(o
.0,tnSud.,
-crtr^.'iq=
rYro
ro (u. .d.
a-H(/)= !qE(lJ C I' ,,,::. O
-
F (o (,J
<E
{'lJ>- b s
eEs!'