Lembaga Peperiksaan Kementerian Pendidikan Malaysia
Lembaga Peperiksaan Kementerian Pendidikan Malaysia
Lembaga Peperiksaan Kementerian Pendidikan Malaysia
Please read the instructions in the guideline provided before completing this form. Circle the score in each category.
Centre Number
Centre Name
Year
Communicative Total
Grammar Vocabulary
No. Candidate name Index number Competence score
(Max 5) (Max 5)
(Max 5) (Max 15)
1 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
2 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
3 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
4 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
5 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
6 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
7 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
8 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
9 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
10 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
11 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
12 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
13 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
14 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
15 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
16 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
17 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
18 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
19 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
20 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
21 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
22 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
23 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
24 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
25 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5
Name of
Signature Date
Assessor