TemporaryIDnumber

20080912F510

Qualificationscoversheetforapplicationto
MASTERHT17/9531442
Pleasehaveyourapplicationnumber(shownabove),oryourtemporarypersonalidentificationnumberreadywhencontacting
UniversityAdmissionsinSweden.
Name: CendekiaRaihanAlBairuni
Address: JALANSANGKURIANGNO.11
40135BANDUNG
INDONESIA
Email: cendekia@students.itb.ac.id
Mobilenumber: +6289667188336
Phonenumber: +6289667188336
Printthiscoversheet,attachyoursupportingdocuments,andsendto:

UniversityAdmissionsinSweden
FE20102
SE83987stersund
SWEDEN
Icertifythatalloftheinformationcontainedinmyapplicationisfactuallycorrectandhonestlypresented.Iunderstandthat,ifIam
admitted,myadmissionmayberevokedatanytimeifrelevantinformationisfoundtohavebeenfalsifiedorwithheld.Iauthorisethe
SwedishCouncilforHigherEducationtoverifymyqualificationswiththeissuinginstitution(s).

DateandSignature