Professional Documents
Culture Documents
Application Form: ASTRA, A World of Opportunities
Application Form: ASTRA, A World of Opportunities
APPLICATION
FORM
3x4
photograph
st
Astra 1
Program
PERSONAL IDENTITY
Full Name:
Place & Date of Birth:
Address:
Email:
Phone Number:
Mobile:
EDUCATION BACKGROUND
High School :
University:
GPA:
Faculty:
Semester:
Major:
Course / Training
Place / Insitution
Remark
Activities /
Organization
Organizat
ion
Scop
Positi
on
Hel
Responsibilities
Company
Position
Held
Responsiblities
SPECIAL AWARD
Please mention award(s) you have been received and explain it briefly
(academic honors, distinction, scholarship, etc)
Yea
r
Awar
d
Institution
Remar
ks
PERSONAL EVALUATION
What make you different from others?
NO
st
Program ?
University information
board Friends /
relatives
www.astra.co.id
other internet (facebook, email, mailing list, ......................)
Jakarta, ., 2011
Facebook: Astra Community
Twitter: AstraCommunity
Email: astra1st@astra.co.id
(_______________________)
Signature & Full name
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