Provinsi jawa tengah instructions
Page 1/2 Date 05.05.2018 Size 150.54 Kb. #47636
APPLICATION FORM
PERTUKARAN PEMUDA ANTAR NEGARA (PPAN) 2018
PROVINSI JAWA TENGAH
INSTRUCTIONS:
Please read carefully before filling in this application form
Please fill in the form and answer the entire questions in English.
Please upload the application form together with scanned copies of TOEFL certificate , KTP , and supporting documents to tinyurl.com/PPANJateng2018 not later than 3 April 2018 at 17.00 WIB
For further inquiries regarding this application process , please contact us at pcmijateng @gmail.com
Please refer to http://pcmijateng.com for further information about the exchange programs
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A. OFFERED PROGRAMS*
I am applying for (give a check mark ( √ ) in only one program)
Australia Indonesia Youth Exchange Program – AIYEP (21-25 years old per 1 August 2018)
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The Ship for South East Asian Youth Program – SSEAYP (20-30 years old per 1 August 2018)
ASEAN-India Student Exchange Program – AISEP (20 -26 years old per 1 August 2018)
B. PERSONAL INFORMATION
Full Name
Place, Date of Birth
Age (per 1 August 2018)
Gender
Address (as listed in KTP)
Phone/Mobile Number
Email
C. EDUCATION
Starting from senior high school to most recent education
D. ACHIEVEMENTS
Please mention your 5 (five) notable achievements!
Year
Achievements
Level/Scope
(International / National / Province / District)
E. ORGANIZATIONAL EXPERIENCES
Please mention your organizational experiences in the last 5 (five) years!
Year
Name of Organization
Position
Description of Your Duties
in the Organization
F. SOCIAL ACTIVITIES
Please mention any social contribution and community development activities that you have been involved!
Year
Activity
Institution
Location
G . PERSONAL ESSAYS
What motivates you to apply for this program? (Maximum 100 Words)
What are the strengths that make you a qualified candidate for this program? What are your weaknesses and how do you overcome them? (Maximum 150 Words)
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