1

BSE -3.1/4.1/1/1-1

C
H
A
P
T
E
R
I

BAHASA & SASTRA INGGRIS

SEMESTER I (SATU)

3.1 Membedakan fungsi sosial,struktur teks, dan unsur kebahasaan beberapa

teks khusus dalam bentuk formulir isian yang digunakan di
perusahaan/bank/instansi lain,dengan memberi dan meminta informasi terkait
jati diri dan informasi 6yang relevan,
Pertemuan sesuai
x 45 menitdengan konteks
( Menit ) penggunaannya

4.1 Melalui
menangkap makna secara diskusi, tanya-jawab,
kontekstual penugasan,
terkait fungsi presentasi
sosial, struktur danteks,
analisis
dan unsur kebahasaan teksteks
dengan menggunakan
khusus dalam teknik membaca
bentuk visual isian
formulir literacyyang
digunakan di perusahaan/bank/instansi
peserta didik dapat lain, terkait fungsi
membedakan jati diri dan
sosial, informasi
struktur teks,
yang relevan dan unsur kebahasaan, serta menangkap makna secara
kontekstual dari teks menanyakan pendapat dan pikiran,
sehingga peserta didik dapat menghayati dan mengamalkan
ajaranformulir
Teks agama yang dianutnya, mengembangkan sikap jujur,
peduli, dan bertanggung jawab, serta dapat mengembangankan
kemampuan berpikirkritis, berkomunikasi, berkolaborasi,
Agar konsep dan teori yang akan Kalian pelajari pada UKB ini
berkreasi(4C).
dapat Kalian kuasai dengan baik, maka terlebih dahulu bacalah
materi terkait teks menyatakan pendapat dan pikiran dalam
Buku Teks Pelajaran (BTP) berikut: (1): Otong Setiawan Dj,
Supeni, 2016, Bahasa Dan Sastra Inggris Untuk Siswa
SMA/MA Kelas X Peminatan:Jakarta; (2) Sudarwati
M,Th,dkk. 2017 ( K-13 Revisi), Pathway To English:
Jakarta dan sumber atau buku lain yang sekiranya Kalian
temukan berkaitan dengan materi teks menyatakan pendapat
dan pikiran), untuk keperluan ini Anda boleh mencarinya di
internet.
 2

Hannah and Frank will begin their journey to SCIENZA Island; saving their parents
from LAZIO monster, but first of all, they should become the member of
Professor Norman’s warrior, and one of his requirements is by making a good
registration form and completing it by themselves. Poorly, they do not know how to
do! Please help them either to make or fill it. Don’t worry; Professor Norman has
given you a map, so you can explore the map with Hannah and Frank. Ensure
yourself not to get lost because there are so many challenges. Furthermore they
will be glad too if you can give your hand as fast as a lightning! Come and Quickly!

MIND MAPPING

DIRECTIONS

 Read and learn the materials about registration form. You also can take
them from different source
 Complete all the tasks in the UKBM on your own book.
 You can work individually or with your friend(s), and if you have finished
 3

LEARNING ACTIVITY

BRAINSTORMI
NG

LET’S WATCH A VIDEO!

Please click the available link:
(Video 1)
https://www.youtube.com/watch?v=yLuDg9Xmmn0&t=72s
https://www.youtube.com/watch?v=TKWYAt1bAD0&t=211s
(Video 2)
https://www.youtube.com/watch?v=nNcMziNyXIw
After watching the video, answer some questions below into your workbook:
1. What are the purposes of the dialogues (video 1 and 2)?
2. How to register to be a bank costumer? Explain it.
3. Why is having a bank account important?
4. Mention some common expressions (at least 3) at bank based on video 1 . E.g., I
want to open a saving account
5. Mention and find in your dictionary all the banking terms based on video 1.
6. How to reserve a hotel room? Explain it.
7. Mention some common expression at hotel based on video 2.
8. Mention and find in your dictionary all the hotel terms based on video 2.
9. Where can you get registration form besides at hotel and bank? Give 3 examples.
10. Repeat all the expressions in the video with correct pronunciation with your desk
mate

CORE
ACTIVITY

Kegiatan Belajar Mandiri 1

 4

 Read the dialog and write the expressions used for greetings, put a single
underline on the expressions used to ask personal information, and put
double underlines on the expressions used to provide personal
information in your workbook.

 Read again the dialog above and practice with your partner.

Visitor : Good afternoon.

Attendant : Good afternoon.
Visitor : Could you help me with this form please? My English is not so good.
Attendant : Of course. Now, what’s your name?
Visitor : Alexander
Attendant : Is that your last name?
Visitor : Yes, obviously
Attendant : And, what’s your first name, Mr. Alexander
Visitor : Jonathan
Attendant : How do you spell that, please?
Visitor : J-O-N-A-T-H-A-N
Attendant : Pardon me?

Visitor : J-O-N-A-T-H-A-N
Attendant : Where do you come from, Mr. Alexander?
Visitor : I am from Surabaya
Attendant : What address do you live in Surabaya

Visitor : 13 Baker Street, Grand City Complex, Gubeng Kertajaya, Surabaya

Attendant : All right. Your occupation, please? What do you do?
Visitor : I am a banker
Attendant : Fine. Now, please sign in here
Visitor : Thank you
Attendant : You are welcome

“My dearly students, have you understood about

having differentiate between asking personal information
and providing personal information? If YES, please follow me
with Hannah and Frank to more comprehend about its
material.

-NAMASTE -

EXPLANATION---------------------------------------------------------------------------------------

General structure

Professor Norman, Hannah and me do not really understand about the

conversation in the dialogue text above, would you mind helping us to explain
 5

Hi Frank, I am so happy that you and Hannah ask me about either the
previous conversation or video. Well, I’ll try to answer your questions one by
one. Firstly you should know that the previous material is called as
registration form. Registration form is a document (printed or electronic)
with spaces in which we can write or enter data.
a. If we talk about the purpose toward both the pervious materials. It can
be classified into some purposes because there are many kinds of forms;
therefore, there will be many different purposes too. Commonly, Form is
having some purposes or functions, such as:
 To record a customer enquiry
 To apply for something
 To make a booking reservation
 To ask people for their opinions ( questionnaires)
b. As I have said before that there are many kinds of form. E.g.,
 Purchase form
 Order form All those form can be used depending on
 Withdrawal slip the situation you deal with. For instance,
 Deposit slip when you want to stay at a hotel, you
 Reservation slip should make a hotel reservation, before
 Medical form staying.

We got it Professor Norman. I think this material is quite interesting for

us, then, I have a question. What should we do to make a form? Should we
know parts of form first?

Nice question, Hannah. Um surely you should know part of a form. I will
explain it for you. Generally there are some formats of the form that
you should know.
a. The name of the organization and/or department. The address is
normally included only if the form will be outside the organization
b. Instructions on how to complete the form. Some forms put the
 6

Name of the bank

Bank product Date

Slip type

Account
information Amount

Oneself
Identity

Signature
Approval

Name of
company

Oneself
Identity

Interest

WOW! It’s clear to be understood. Is that enough

information for us to start making and completing a
form Prof?
 7

Not yet, Frank, both of you should know

some more things.
a. The rules when you make a form
b. The rules when you completing a form

I see…Could you please give us those explanations?

Absolutely, dear.
a. There are several rules when you want to make a form:
 You should give clear instructions. Most forms state if black pen
should be used. They may also specify block capitals because
the form is then much easier to read.
 Include a space for a mobile phone number and email address.
It is sensible if you may want to contact the person who
completed it. Long forms are normally divided into sections,
under headings, so that people can focus their mind on the
different types of information that is required.
 Option choices are often given.
To select an option, we can use:
- By putting a tick or cross on a dotted line or in a box.
- By deleting the option that does not apply
- By writing “yes” or “no” as appropriate
Generally these options should be never mixed on one form.
Choose one method and stick to it and put an appropriate
instruction at the top of the form.
An alternative is to put an asterisk (*) against all the options
with the instructions at the bottom.
Example: *Delete an appropriate.

Moreover, if you want to complete a form, you should:

a. Read the form through first
b. Study all the instructions carefully. Make sure you have the right
type of pen, know whether you must print everything and have
 8

I got it Prof, I have merely understood now!

Hannah Have you understood too?

Oh yeah, sure! I have. How about you guys? If you

have understood, then we should have more
practices, Frank, so we can make the most perfect
form and complete it correctly. Do you agree with
me?

AHA! Yes, 100% agree with you. Let’s have

practices as many as we can, Hannah, I can’t wait
to be a warrior saving our parents!

Sure! Let’s go

PRACTICE IS FUN!
 9

LISTENING SECTION zOee

1

Listen to the three conversations. Choose the correct names, addresses, phone numbers,
and occupations. Write the correct answer on your choice.

1.

a. Setiawan Djuharie a. 002-7180790

b. Sriawan Johari b. 021 – 7080190
c. Suriawan Juhardi c. 022-7810790
d. Supriawan Dupari d. 22-7801970
e. Saniawan Gumari e. 201-7817009

a. 150 Sipadan street a. A teacher

b. 115 Cibandung street b. A businessman
c. 15 Sumur Bandung Street c. A government officer
d. 105 Cipadung Street d. An entrepreneur
e. 150 Cipadung Street e. A lecturer

2. .

a. Seanu Kadita a. 081323330457

b. Siane Kadita b. 081322235047
c. Siane Raditya c. 081323330547
d. Seanu Kediata d. 08132223057
e. Sianu Naditia e. 081333230547

a. Badung
b. Bandung a. A laundry woman
c. Bandang b. An architect
d. Padang c. A fashion designer
e. Pandang d. A hairdresser
e. A lecturer

3.

a. Pujja Sholehah d. Ujung Pandang, Makassar

b. Pugen Shaleh e. Ujung Berung, Bandung
c. Fygeen Salah
d. Fujiaan Soleha
e. Pujaan Solehah
a. 085629860535
b. 085860536592
c. 085860553699
a. Ujung Genteng, Sukabumi d. 085860535628
b. Ujung Barang, Padang e. 085680535629
c. Nunjung Burung, Pulau Tidung
 10

a. A headmaster d. A student
b. A guide e. A phone operator
c. A librarian

LISTENING SECTION tCda

2

Listen to the conversation and answer the questions correctly.

1. How many people are in the conversation?
2. Where does the conversation take place
3. What are they talking about?
4. How many instructions are given by a customer service?
5. What information do you need to write in a deposit form based on the conversation?

1
Complete the definitions with the words provided on the right

a. Orders forms are used by business or (1)_______ as a  Information

convenient way of (2)______ from customers. They contain  Companies
(3)________ about exactly how much a particular order will  Taking orders
cost.

b. Feedback forms are documents used to maximize response in an  Organization

unobtrusive and intuitive way from clients or (4)_______. The  Quality
forms are used to provide feedback on performance,  Customers
(5)_______ and general opinions about an (6)_________.

c. Purchase forms are used to make legally binding purchase  Cost

agreements between the (7)____ and the buyers. They contain  Sellers
essential information such as the (8)_____ of the purchase,  Payment
the terms of (9)________ and warranties.

d. Medical forms are used to keep (10)________ information  Medical

about a patient that is (11)________ of a hospital or a doctor.  Documentation
They also contain (12)_____ of a patient’s medical history and  Under the care
care.

e. Reservation forms are an important type of which are used  Hotel rooms
when a person wants to (13)_____ his place or position at a  Reserve
(14)______ or an event. For example a reservation for a plane  Place
seat, (15)_____ a table in a restaurant.
2
Complete the following sentences with the suitable words in the box.
 11

1. When you buy a car, you must fill out_________________________________________

2. If you want to get a job, you need to fill out____________________________________
3. If you rent an apartment, you need to sign a____________________________________
4. If you want to get credit at a store, you need to complete a________________________
5. If you are at least 17 years old and want to drive a car, you need a ___________________
6. If you make a purchase and the item has warranty on it, you must fill out a/an___________
7. If you want to take money out of your saving account, you must fill out a/an_____________
8. If you want to put money in your saving account, you must fill out a___________________
9. If you are 17 years and 5 months old, and have learned the rules of driving, you can
get_________
10. When you enter high school, you must complete_________ to show what courses will be
taking.

a. class scheduler f. rental agreement of lease

b. application for certificate of title g. driving license
c. driving permit h. deposit slip
d. withdrawal slip i. credit application form
e. warranty or registration form j. job application form

3
Find at least 3 – 5 different forms which may use in your daily life. Stick the forms on
your workbook then answer the questions below.

1. Have you ever filled the form that you’ve brought?

2. When did you fill them in?
3. What do you usually fill in the form with?
4. What kind of forms have you brought? Mention them.
5. What is the function of each form that you have brought? Explain it.
6. Identify each part (structure) of the form.
7. What is commonly instructions used in the form? ( observe vocabulary based on the forms
that you bring)
8. What similarities do you find between Indonesia and English form? ( it should be with the
same type e.g., BRI Bank and
9. What differences do you find between Indonesia and English form?
10. In your opinion, which one is simpler form, Indonesia or English form? Why?

4
 12

Observe the forms and answer the question.

A.

1. What do you call this kind of form?

2. What institution issued this form?
3. Why did Crayon Shincan have to fill out this form?
4. What would happen if she didn’t fill out this form?
5. How much did Shincan withdraw from her savings?
6. When did Shincan withdraw her money from the bank?
B.

SPECIAL SUBSCRIPTION OFFER FORM

Subscribe to “WOMAN’S LIBERTY” magazine that recently received the TOP Brand
Award from the Society of Fashion Designers.

YES! Send me “WOMAN’S LIBERTY” magazine for 1 year (12 issues) at just
Rp 288,00.00, saving of 20% off the full cover price of Rp 30,000.00

Payment enclosed

Bill me

Name : Intan Permata

Title : Batik Designer
Company : Kencana Sari Batik Boutique
Address : Bancar Asri Street II/16 Semarang

Please allow four weeks for first issue

1. Why did Intan complete this form?

2. How much is the full cover price for each issue?
3. How long will it take for the first issue to be delivered?
4. When does the magazine come?
C.
 13

1. Which bank issued this deposit slip?

2. Is the deposit in cash or by cheque? How do you know?
3. How much is the amount?
4. When was the slip printed

5
Look at the information given in each box. Which form does the information belong in?
Write in the correct forms.

INFORMATION 1 INFORMATION 2

 Cotton table clothes US $ 60.00  2 children

 Order No.632/B/17  Condominium
 1 Dozen  Director of “Macro” company
 Small Cotton towels US $ 24.00  231 Maple Street, New York, NY 30394
 Date of purchase: 5 Oct. 2017  I would like to live in a private house with
 Invoice No.7899 a large garden and a swimming pool.
 1 Dozen  2 big rooms and 2 small rooms
 Packing Charge: US $5.50  married
 Discount 10%  Daniel Springfield
 Woollen socks US $ 36.00
 US $ 5.00 US $ 2.00 US $
3.00
 1 Dozen
 Delivery charge: US $ 10.00
 Total Amount: US $ 123.50

INFORMATION 3
 14

Dear Sir,

I read about your hotel in an advertisement in “people” magazine. The most attractive
thing to me is that I want to spend this year’s vacation at a seaside area and get involved
in some water-sports activities, because your hotel has a good sea view with plenty of
water-sport activities, like diving, surfing, jet skiing and water football, which is what I’m
most interested in.

This is to inquire about the availability of accommodation in your hotel in August this year.
My wife, my son and I are scheduled to visit Bali for 3 days from 13 th to 16th August and
wish to stay at your hotel. I am looking for a well-furnished double-deluxe balcony room
suite, batch attached.

Please let me know your tariff and availability of the dates I have mentioned and a cost
comparison with other weekdays.

I would appreciate it if you would call me regarding this reservation as soon as you can

I look forward to hearing from you soon

INFORMATION 4

Danias Haryanto is in the bank now to withdraw some money from his saving account (999
– 6723-5577)
 12/03/2017
 999-6723 – 5577
 Saving accounts
 Five hundred thousand rupiah
 Enter signature and full name
 Rp 500.000,00
15
16
 17

6
 18

Read the following letter

Homedise Hotel
Confirmation #8927 August 3rd,
2019
Mrs. Bella Smith
12 Riverside Avenue
Sydney, Australia
Dear Mrs. Bella,
I am sending you this letter to confirm your telephone booking for two
double rooms here from May 14 to 19 (5 nights). The two rooms are on the
third floor. There is a connecting door and the rooms have balconies with sea
views.
The price of the accommodation is $50 per person per night for demi
pension (Half board). This includes taxes and service.
In case you are interested, I enclose a brochure about the hotel. This tells
you all you need to know about the hotel and what it has to offer.
You must let me know if you plan to arrive at the hotel after 7 a.m.
Your Sincerely,

Hannah Billy

Mrs. Bella Smith is interested in the rooms. Now, make a form based on the
result of the confirmation in your workbook. You may browse the example form
from internet.

Read the following conversation, and fill the form based on the conversation.

Receptionis : Good afternoon, Sir. Can I help you?

t
Guest : Yes. I think you have a room preserved for me. My name is Peter Berger, from
ADC.
Receptionis : That’s right, Sir. We have a single room for you.
t
Guest : Does it have a bath or shower?
Receptionis : The room has a shower
t
Guest : I’d like a room with a bath, if that’s possible.
Receptionis : Sure. Would you like a room with or without a balcony?
t
Guest : It doesn’t matter.
Receptionis : Here you are, Sir, Room 341, on the third floor.
t
Guest : Thank you. What time do you serve breakfast?
 19

Receptionis : From 7 to 9.30. Could you fill in the registration form please?
t
Guest : Certainly. Could you give me a pen? … Thanks

My dearly students have you understood about how to complete

and make a form? Now please follow me to the next part where
three of you, Hannah, Frank, and you yourself should understand
the language that usually is used in the form. Well for your
information. When you make and complete a form you always use
simple present tense. Hence for the next part you are going to
have a grammar review. Don’t worry. it will be easy than you ever
thought!
 20

GRAMMAR REVIEW

SIMPLE PRESENT TENSE

 21

Click some links below to know more about present tense:

 https://www.youtube.com/watch?v=zVH8AGb0jO4
 https://www.youtube.com/watch?v=qw2Sl-aEEPQ
 https://www.youtube.com/watch?v=gnWpD-JZWOk
 22

7
Complete the following sentences with the correct form of be: am, is, or are.
Example: That girl is Tere, she is a Javanese

1. Where___ you from? I_____ Semarang.

2. What___ your name?_____ Sean Hedrick
3. Joana _____ fifteen years old.
4. Nina and Nano ____ from Bandung
5. I have a daughter. Her name______ Hope
6. Shane and Shine____married. They have two sons and a daughter.
7. Prabu___ a manager in a big company. He ____ very loyal to his boss.
8. My dad____ a clerck. His office___ on 12 Ziggy-Zagga Street.
9. My mother types letters in her office. She ____ a typist
10. My name____ Totoro. I____from Kuningan. My village___ Bolo-Bolo. My hobbies ____
reading, writing, and hiking
11. I___ a student of a vocational high school , majoring in business and management
12. You____ strong enough to lift that table.
13. The children_____ at their room
14. The books ____ on the sale.
15. Who___ that? It ____ me
16. Short skirts______ in fashion n
17. John___ out in the garden
18. The money___ not yours. It_____ mine
19. Give me a pound, and the skirt____ yours
20.There ____a bus stop down the road
21. There ___ six of us
22.There____ some stamps in that drawer
23.For the time being, I___ full
24.I___ sorry for being late
25.Good___ the supreme Being
26.______ your sister a secretary? Yes, she_____
27.What___ your brother’s job? He____ a merchant
28.What___ your school? It___ a senior high school with science major
29.____ You Malayan? Yes, we____
30.Joyce comes from Australia. She____ an Australian.
 23

8
Put the correct verb fom.
1) Andy the family 8) I correct?
car. a) Are
a) wash b) Be
b) washes c) Am
c) washs d) Is

2) Every morning my mother at 6

o'clock. 9) It a beautiful day today.
a) get up a) am
b) get ups b) are
c) gets up c) be
d) is
3) Mr. Black e-mails in
the evenings. 10) John often handball.
a) write a) play
b) writes b) plays
c) writs c) playes

Which sentences / questions are correct

4) The girls the shopping.
forms?
a) dos
b) does 1. Which sentence is in the Simple Present?
c) do a) He can a bike ride.
b) He can ride a bike.
5) Mandy and Susan films c) He can rides a bike.
every weekend. d) He cans ride a bike.
a) watches 2. Which sentence is in the Simple Present?
b) watch a) He has read a book.
c) watchs b) He is reading a book.
6) His friend to school. c) He read a book.
a) gos d) He reads a book.
b) go e) He will read a book.
c) goes 3. Which negative sentence is in the Simple
Present?
7) Do you milk in your tea? a) He do not reads a book.
a) like b) He does not read a book.
b) liks c) He is not reading a book.
c) likes d) He not read a book.
 24

4. Which negative sentence is in the Simple

Present?
a) We do'nt work in a bank.
b) We does not work in a bank.
c) We don't work in a bank.
5. Which question is in the Simple Present?
a) Do she work in an office?
b) Do she works in an office?
c) Does she work in an office?
d) Work she in an office?
e) Works she in an office?
6. Which question is in the Simple Present?
a) From where do you come?
b) Where do you come from?
c) Where does you come from?
d) Where dos you come from?
7. In which sentence is the Simple Present
used correctly?
a) Andrew wash the dishes.
b) Andrew washes the dishes.
c) Andrew washs the dishes.

Form questions in the Simple Present.

1) Frank / to read / comics

2) what / they / to eat / for breakfast
3) when / his mum / to come / home
4) to be / Peter / from Austria
5) Marie and Joe / to like / homework
6) you / to walk / to school
7) where / she / to live
8) why / you / to ride / your bike
9) how / Linda / to go / to the park
10) can / Ron / to speak / English

Negative the sentences.

1) Kevin plays basketball.
2) Steve can make breakfast.
3) I run to school.
4) The kite flies into the air.
5) He is from Spain.
6) Mr Smith teaches French.
7) Sandy washes her hair.
8) The children know the answer.
9) She sits on a chair.
10) Anne and Sue carry a box.

Put in the verbs in brackets into the gaps.

1. Jill _______two children. (to have) 3. Andy's brother _______in an office. (to
2. The pupils _______songs in the work)
classroom. (to sing) 4. She ______my sister. (to be)
 25

5. _______you ___English? (to speak) 8. _____she _____stamps? (to collect)

9. Peter _______e-mails. (not/to write)
6. The boys ___computer games. (not/to 10. She ________to Menorca every
play) summer. (to fly)
7. I often _____to the cinema. (to go)
 26

LET’S MAKE SOMETHING

Create a purchase form based on the following situation

 Guru Ilmu Book Store, located on 76 Perintis Kemerdekaan Street,

Simpang Luar Parit, Teluk Kuantan, on 15th June 2019 purchases a
number of story books from PT. Erlangga which is located at 100 H.
Baping Street, Pasar Rebo Ciracas, Jakarta Timur.
 The book are the following
a. 20 copies of “The Old Man and the Sea” by Ernest Hemingway
@Rp. 35,000.00
b. 12 copies of “Sherlcok Holmes’s Old Casese” By Sir Arthur Conan
Doyle @Rp 40,000.00
c. 40 copies of “The Mistery of The Express Train” by Maywood
Easton @Rp 17,000.00
d. 20 copies of “ Siti Nurbaya: Kasih Tak Sampai” by Marah Rusli
@Rp50,000.00
 Include 30% discount, delivery cost Rp 115,000.00 and packing charge
Rp 50,000.00. The goods are sent via DHL express air cargo

*Make the purchase form in F4 white plain paper
* Decorate your purchase form with pictures/logos or color it

“Ahoy Hannah, we have reached 1st mission from

Professor Norman that is to understand the
materials. Personally I’m very excited because I have
understood the materials easily. How about you
Hannah? What do you think of our friends, have they
understood too? Um…”

“Ahoy Frank! Absolutely I also have understood,

it is really easy material. I think they have got
this material like us too, Frank… I know they are
smart and diligent! Well Frank let’s go to the
next level, shall we? Our parents are await ”
 27

“ Frank and Hannah will go the next stage that is completing all
my questions. Make sure you have understood, if you have not
understood, please ask a help from your teacher.”

I HAVE FOUND NEW VOCABULARY

Hi Friends! After you have finished either studying or practicing to complete the
mission in this chapter, I bet you have found some new vocabulary, haven’t you? As your
information, new vocabulary is word that you do not know the meaning; therefore, you should
find its meaning from dictionary. Since then, please write 5-10 new vocabulary and try to
look for it from your own dictionary, Write the meaning into English language, after that,
you should memorize them and ask your teacher to assess your new vocab. The more you get
much new vocabulary, gain the meaning and memorize it, the higher score you will have.

No New Vocabulary Meaning

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10.

CLOSING

HOW ABOUT YOU NOW?

After you have learnt gradually and continually through learning activities 1 (asking and giving
suggestion and offer), this is given a Table to measure yourself about the material you have
learnt. Answer honestly regarding the mastery of material in this UKB in the following Table by
giving a sign (√) to the box provided.

SELF-REFLECTION TABLE OF UNDERSTANDING MATERIALS

No Questions Yes No

1 Can you mention what form means?

2 Can you mention some examples of form?

3 Can you mention some functions of form?

4 Can you identify part/ structure of a certain form?

Can you analyze the similarity and difference
5
between Indonesian and English form?
Have you understood how to use simple present
6
tense?
7 Can you create a form ?

If you answer "NO" to one of the above questions, then study again the material from the
Textbook (BTP) and ask exercises or even remedial program from your teacher. You can also
ask your classmates and your teacher, don’t stop learning, and keep fighting. Meanwhile, if
you answer "YES" to all questions, then you can ask a formative test from your teacher.

WHERE IS YOUR POSITION NOW?

Please measure yourself toward
this material by giving a number
among 50 -100

“Hurray we finally can accomplish our