The information on the certificate must be exact some as written here:
Name : Annisa Fauzia
Place and date of birth : Bandung, January 10, 1999
Test date : Thursday, July 29, 2021
Listening Comprehension : 47
Structure & Written Expression : 35
Reading Comprehension : 50
Overall Score : 440
Jl. Perumahan Panorama Jatinangor Blok P119, Kec Tanjungsari, Kab. Sumedang, Jawa Barat, Indonesia