Professional Documents
Culture Documents
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
Positio
n
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