RECOMENDATION LETTER

Asssessment on the applicant’s academic ability.

1. Applicant’s Name :
Country :
Courses Applied :

2. In what capacity do you know the applicant ?

(E.g Teacher, Supervisor, Principal etc)

3. How long have you know the applicant ?

4. Please evalue the applicant’s performance by putting an X in the appropiate spaces below.
Extra boxes are available for you to add, if you wish, up to three other qualities which
you may find the relevant to the assessment of the candidate ( E.g. All – round ability,
ingenulty, accountability, manual dexterity etc.)

Very Below
No Assessment On Excellent Good Average
Good Average
1. Academic Record
2. English Proficiency
3. Creative Thinking
4. Research Ability
Industry/Applicatio
5.
n
6. Judgement
7. Independent
8. Honesty
9. Motivation
10. Self Discipline

5. Is the applicant’s proficiency in English Language ( oral and written ) adequate to meet
the standard required? Please comment.

6. Please give your overall assessment on the applicant’s academic ability.

Referee’s name :

Designation :

Address :

E-mail :

Phone number :

Date : ____________ Signature,

(____________)

RECOMENDATION LETTER
Asssessment on the applicant’s academic ability.

1. Applicant’s Name :
Country :
Courses Applied :

2. In what capacity do you know the applicant ? // Dalam hal apa anda mengenal pemohon ?
(E.g Teacher, Supervisor, Principal etc)

3. How long have you know the applicant ? // Sudah berapa lama anda mengenal pemohon?

4. Please evalue the applicant’s performance by putting an X in the appropiate spaces below.
Extra boxes are available for you to add, if you wish, up to three other qualities which
you may find the relevant to the assessment of the candidate ( E.g. All – round ability,
ingenulty, accountability, manual dexterity etc.)

Very Below
No. Assessment On Excellent Good Average
Good Average
1. Riwayat
akademis
2. Kemampuan B.
Inggris
3. Berfikir Kreatif
4. Kemampuan
menganalisa
5. Ketekunan
6. Kemampuan
untuk
memutuskan
7. Kemandirian
8. Kejujuran
9. Semangat &
Motivasi
10. Kedisiplinan

5. Is the applicant’s proficiency in English Language ( oral and written ) adequate to meet
the standard required? Please comment. // Apakah kemampuan bahasa inggris ( lisan dan
tulis ) pemohon telah mencapai standart yang telah ditentukan ? Beri saran anda.
 6. Please give your overall assessment on the applicant’s academic ability. //Harap berikan
penilaian tentang kemampuan pemohon secara keseluruhan .

Referee’s name (nama perekomendasi) :

Designation (jabatan) :

Address (alamat) :

E-mail (email) :

Phone number (No.telp) :

Date (tanggal) : ____________ Signature (ttd)

(____________)