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Worksheets

FILL IN FORM AND DISCUSSION TEXT

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Look at this picture!

I want to save money to the bank. So, I must fill..........

a)

Reservation Form

b)

Deposit slip

c)

Purchase order

d)

Withdrawal slip

2.

The doctor wants to know the information about our health. So, we should fill.....

a)

Purchase Order

b)

Enrollment form

c)

Reservation Form

d)

Medical Form

3.

I want to order some clothes for next month. So, I must fill.....

a)

Withdrawal slip

b)

Deposit Slip

c)

Reservation form

d)

Purchase Order

4.

I want to join their team. So I should fill......

a)

Reservation form

b)

Enrollment form

c)

Medical form

d)

Purchase order

5.

I want to order Batik from PT Batik Pekalongan. What should I fill in,


Item description:----------

a)

100

b)

Rp 8.000.000

c)

Street Cibatu, Bandung Barat

d)

Long dress Batik mix colors

6.

Internet has been the most outstanding invention in the history of mankind. With internet, out earth has become a global village. Yet, like many other human made technologies, it has its own advantages and disadvantages.


There are plenty of software that can entertain us or help us to communicate with our beloved ones. In a mere second, we can chat for hours with a person who is sitting at the other parts of the world, read our e-mail in our smart phone or listen to our favorite radio broadcast by streaming it on our table.


With its easy access, internet also has its disadvantages . one of them is children may be exposed to violence and explicit contexts that only suitable for adults. There are thousands of such inappropriate contents on the internet which can be easily found. It is a very serious issue and may harm children well-being.


Although, internet can create havoc and destruction, its advantages are more important than its disadvantages.


What is one disadvantage of the internet?

a)

It exposes children to violence.

b)

It helps us chat with our beloved ones.

c)

It helps us communicate from faraway.

d)

It streams our favorite radio broadcast.

7.

Nowadays, the police have been applying the new regulation concerning the use of seat belts. In European countries, this regulation has been applied for a long time. However, this new regulation has become controversial and is an interesting topic to discuss. Here are some of the arguments.


The use of seat belts has been proven to reduce the risk of injury or death in an accident. Seat belt has become standard component in cars. The research shows that most car accident will cause an injury to the head. Frequently, drivers or the passengers driving without seat belts die because of this. By wearing the seat belts, the injury will not happen since belts restrain our body on the car seat when the accident happens.


Unfortunately, many cars, especially the old ones, don't have seat belts. This is because the traffic conditions in the past were unlike the recent traffic conditions. The designer of old cars didn't consider a seat belt as an important part. Besides, the drivers wearing the seat belt will think that they are completely safe, so they may drive carelessly. They are safe, indeed, but how about safety of other?


The seat belt is only one of the ways to reduce the risk of car accidents. It doesn't mean that we are completely safe In short, our safety depends on ourselves.


What is the main idea of paragraph 3?

a)

Old cars do not use seat belts.

b)

The old cars have seat belts for their safety.

c)

The drivers wear seat belts may drive carefully.

d)

The old cars' designer considered a seat belt as an important part.

8.

Ecologists commented that H5N 1 virus still remains a bird virus and has no scientific evidences of human‑to‑human transmission. They said there are billions of people across Asia which only 118 are reported being affected by avian flu. So, how do they calculate to show that 150 million or more deaths will come from avian flu. The global panic, according to the Ecologist, is the result of “scare tactics" created by politicians, medical officers, and the media.


The underlined word refers to ....

a)

Human

b)

Scare tactics

c)

ecologists

d)

Bird viruses

e)

Medical officers

9.

What is the generic structure of the text?

a)

Arguments-Recommendation-Thesis

b)

Recommendation-Issue-Arguments-Thesis

c)

Issue-Supporting Points-Contrasting Points-Conclusion

d)

Thesis-Supporting Points-Contrasting Points-Reiteration

e)

Reiteration-Arguments-Thesis

10.

“Another advantage is that they are really useful in emergency situations.

The similar meaning of the underlined word is . . .

a)

busy

b)

spare

c)

critical

d)

important

e)

impossible

11.

I want to join Englih Extracuricular in my school. What should I fill in...


Extracuricular:-----------

a)

Davika Rahayu

b)

X IPS 1

c)

I want to speak English well

d)

English

12.

I want to book hotel. What should I fill in....


Types of room:---------

a)

1 person

b)

single room

c)

Two nights

d)

at 12 pm

13.

I want to save money into my account bank. What should I fill in....


Amount :--------

a)

Rp 500.000

b)

075532144597

c)

Dara Safira

d)

Cidahu, Sukabumi

14.

Identifying the form

a)

Withdrawal form

b)

Enrollment Form

c)

Deposit Slip Form

d)

Purchase Order Form

e)

Room Reservation Form

15.

What is the question asked by shop assistant to the customer?

a)

I'm just looking. Thanks.

b)

Excuse me? Do you need any help?

c)

Hello. Can I help you?

d)

None of the above.

16.

What do you understand from the conversation between the customer and the shop assistant?

a)

The customer asks for jumper in black only.

b)

She asks him whether they have black jumper in extra small size.

c)

The shop assistant says that the black jumpers are out of stock.

d)

He helps the customer by giving her black jumper in extra large size.

17.

How much the customer spends for her shopping?

a)

£19

b)

£29

c)

£39

d)

£9

18.

The customer uses _________________ to pay for her clothes.

a)

cash

b)

credit card

c)

debit card

d)

coins

19.

The shop assistant offers ___________________ to her.

a)

a plastic bag

b)

a recycle bag

c)

a bag

d)

none of the above.

20.

What is the man's problem?

a)

He does not have a checking account.

b)

He does not have any checks.

c)

He does not have the money to pay his rent.

d)

There is a line at the cashier's window.