The information on the certificate must be exact some as written here:
Name : Andri Safira Fasya
Place and date of birth : Bandung, October 19, 1999
Test date : Friday, July 30, 2021
Listening Comprehension : 60
Structure & Written Expression : 43
Reading Comprehension : 52
Overall Score : 517
Jl. Perumahan Panorama Jatinangor Blok P119, Kec Tanjungsari, Kab. Sumedang, Jawa Barat, Indonesia