Reference request form

CONFIDENTIAL
Please complete this form and return to:

Email: examrecruit@ibo.org
Mail: Peterson House, Malthouse Avenue, Cardiff Gate, Cardiff, CF23 8GL, UK

Examiners are appointed by the International Baccalaureate (IB) to mark candidates’ work according to a
well-defined markscheme or set of criteria. An examiner may be appointed either as a moderator of internal
assessment to review the original marking of teachers or as a script marker. The IB places great emphasis
on the professional integrity and academic expertise of its assistant examiners/moderators.
Indonesian A: Lang And Literature in the
Applicant: Lea Setyaningrum Surjantoro Subject:
Diploma Programme

Department Head of Bahasa

Referee: Francina Carolina Position:
Indonesia

Address:
Boulevard Palem Raya 2500, Lippo Village, Karawaci, Tangerang – Banten, Indonesia

How long have you known the applicant? 16 years

In what capacity do you know the applicant? Bahasa Indonesia Teacher in SPH LV

Please write your comments as to:

The applicant’s academic qualifications and suitability to undertake examining work, particularly in an
international context.
She graduated from literature and has been teaching DP Indonesian Language and Literature more than 5 years.

Reliability, efficiency and accuracy of the applicant in meeting deadlines, following procedures.
She is always committed to the task assigned to her and completed every single task with precision and delivers on
time.

Any other relevant information.

She’s a hard working person.

Signature: Date: 19 March 2023

Contact us: Telephone: +44 29 2054 7777
Mail: Peterson House, Malthouse Avenue, Cardiff Gate, Cardiff, CF23 8GL, UK