round(34*4-(44+6)/528-(24+11))

(his handwriting slants, some 'x' signs read as plus signs)

James

Maybe

his handwriting slants, some 'x' signs read as plus signs

And the quantities involved imply

brackets around the summed terms and a rounding of the result

Yielding

$round(34\times4-(44+6)/528-(24+11))=101$