Daily Assessment 1

Filling Out Forms

Choose the correct answer !
This text is for questions 1 to 4

Raya Library
Membership Application Form

Resident/Visitor (cross as applicable)

MR/MS Dedy Mahendra Surname Dedy
ADDRESS Flamboyan Street No 93 Palembang
TELEPHONE NO (0711) 99238 102
MOBILE NO. 0819273829831
EMAIL ADDRESS dedymahendra@yess.co.id
DATE OF BIRTH OF (if under 18*) 9 June 2004
I hereby apply to borrow books (printed and audio)
From the Raya Library at the current charge.
I agree to:
Pay the required charge for books kept beyond
the due return date.
Pay for any item which may be damaged or lost
whilst issued to me.
Borrow only 2 new books and 4 others at any one
time.
Abide by the rules as laid down by the staff.
SIGNED Dedy
DATED Mach 27, 2019

1. The purpose of the text is .....

To apply for borrowing a book
To apply to join a library
To give information for the census
To ask for permission to buy a book
To apply for a job as a librarian
2. How old is the applicant when he is filling out the form?
Fifteen
Sixteen
Seventeen
Eighteen
Nineteen
3. Based on the form, Dedy should pay when .....
He borrows a book
He wants to borrow more than 3 books
He wants to be a librarian
He loses the book he borrowed
He can`t go to the library
4. “Abide by the rules as laid down by the staff.”
The phrase “abide by” has similar in meaning ton....
Obey
Ignore
 Leave
Read
Disagree
5. Most forms use capital letters because ....
They are easier to write
They have no difference
They can be used by many people
They have many different types of letters
They are easier to read
6. We can see forename on a form. The synonym of “forename” is .....
Full name
Nickname
First name
Middle name
Last name
7. A purchase order form usually contains ....
Types,quantities, and prices of orders
Personal details and interests
Ful name, account number, and checks
Contact name, number of people, and booking date
Title, author, and publication year
8. There is DOB on a form. What does it stand for?
Date of Birth
Due Order Bill
Date of Block
Done Before
Destination of Bus
9. Which of the following statement is false?
Forms always needed to be signed and dated
Forms canbe witten manually or computerized
Questionnaires can be used for conducting a research
Medical forms are used to keep medical information about a patient
If the request for a reservation is accepted, the clerk will complete a reservation form

This text is for questions 10 to 12

 Subscription Magazine
Gals Fashion
www.galsfashionmag.com
Get each issue sent to your home or business!
More than 60% off each issue!
V 1 year 12 issues V
For Rp.180.000 Payment Encloced

2 year 12 issues Bill Me

For Rp.330.000
Name : Lisa Kirana
Address : Jln. Mendung 381
City/State/ZIP : Surakarta,Indonesia,57149
Cell : 08293010230
Email : lisakirana@yessmail.com
Comments : This magazine helps me a lot to be a
fashionable woman

Please send a check payable to Gals Magazine.

Mail toPO Box 3333, Jakarta
Visit www.galsfashionmag.com/subscribe to pay with
paypal or credit card

10. Why does Lisa fill that form?

She wants to be a fashionable woman
She wants to be a model
She wants to buy the magazine monthly
She wants to subscribe the magazines
She wants to apply for a job in the magazine
11. When will Lisa get the magazine if the form is accepted?
Every day in a month
Every week in a month
Every month in a year
Every month in two years
Every week in a year
12. From the form, we know that Lisa .....
Has paid for the subscription
Wants to get the bill
Subscribes the magazine for two years
Will pay by the credit card
Will get the magazine every week

This incomplete text is for numbers 13 to 15

Today, many people complete forms online when they are using the internet and want to register on a
website or order goods. Some government sites also include application forms. For example, anyone who is
working can (13) ___________ a form online to find out how much state pension they will get when they
retire. People who design online formsbuild in safeguards to prevent problems. Unless allthe key
information has been entered in the (14) _________ way, the form is not accepted. Instead itreappears on
the screen with an error message. For example, if you tried to type letters into a box for a number (such as
(15)_________ ) you would find these weren`t accepted. This helps to prevent errors and is a useful
safeguard. Unfortunately, the samedoesn`t apply when you are completing paperbased forms.

13. Fill up
Change
Make
Complete
Write
14. Good
Different
Unique
False
Correct
15. Date of birth
Address
Hobbies
Surname
Signature