ASTRA, a world of opportunities

APPLICATION
FORM

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st

Astra 1
Program
PERSONAL IDENTITY
Full Name: LANGGENG ASMORO
Place & Date of Birth: GROBOGAN, 7 SEPTEMBER 1993
Address:
PENGKOL VILLAGE RT02 RW06, PENAWANGAN DISTRICT,SUB PROVINCY OF
GROBGAN.
PROVINCY OF JAWA TEGAH
INDONESIA
Email: LANGGENG_PA7_16@YMAIL.COM
Phone Number: Mobile: 089668254367
EDUCATION BACKGROUND
High School : SMAN 1 PURWODADI
University: SEBELAS MARET
UNIVERSITY SURAKARTA
( UNIVERSITAS
Faculty:
FKIP SEBELAS MARET )
Major: MAJOR OF MATHEMATIC AND
SCIENCE EDUCATION
Title of your final project: (if any)
-

GPA: 3.46
Semester: 2
Credits have been taken: 24

Expected time of graduation (month and year): 3 YEARS 6 MONTHS

SPECIAL COURSE / TRAINING ATTENDED:

Yea
r
2011

Course / Training

ESQ TRAINING

Place / Insitution

AUDITORIUM UNS

Remark
IT WAS GOOD
TRAINING

ASTRA, a world of opportunities

EXTRA CURRICULAR ACTIVITIES
(specify organizational activities you have attended within a
maximum of 2 years and showed the greatest contribution that you
provide)
Yea
r

2011-2012
2011-2012
2011-2012

Activities /
Organization

HMP GRAFITASI
FISIKA
HMJ P.MIPA FKIP
UNS
SKI FKIP UNS

Organizat
Positi
ion
on
EDUCATION
Scop
Hel
STAFF
PROGRAM OF

Responsibilities

PHYSICH

MAJOR

STAFF

FACULTY

STAFF

WORK EXPERIENCE (Including part time job, freelance, internship, etc.)

Yea
r

Company

Position
Held

Responsiblities

SPECIAL AWARD
Please mention award(s) you have been received and explain it briefly
(academic honors, distinction, scholarship, etc)

2008
2010

Yea
r

Awar
d
A PARTICIPANT OF NATIONAL
SCIENCE OLYMPIADE PROVINCE
LEVEL
A PARTICIPANT OF NATIONAL
SCIENCE OLYMPIADE PROVINCE
LEVEL

Institution

SMP N 3
PURWODADI
SMA N 1
PURWODADI

Remar
ks

IT WAS MY AMAZING
EXPERIENCE
IT WAS MY UNFORGETABLE
EXPERIENCE

ASTRA, a world of opportunities

INTEREST
What do you usually do in your spare time?
I USUALLY USE MY TIME TO ACTIVE IN ORGANIZATION AND DOING MAY HOMETASK
PLAY VIDEO GAME
DRAWING
PLAY FUTSAL

PERSONAL EVALUATION
What make you different from others?
I DILIGENT

What would you consider need to be improved in yourself?

Would you like to participate in all programs provided during 1 year ?

YES

NO

How do you know about Astra 1

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

ASTRA, a world of opportunities

ACHIEVEMENT
Personally, what is your greatest achievement(s), how do you
accomplish it and why would you consider it as your greatest
achievement(s)
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ASTRA, A WORLD OF OPPORTUNITIES

MOTIVATION & PERSONAL STRENGTH

Explain to us, what is your biggest motivation(s) to join this program
st
and why we need to choose you as one of Astra 1 candidates.
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