Professional Documents
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TENGGARA
International Youth Exchange Program (Pertukaran Pemuda Antar Negara - PPAN) and
Kapal Pemuda Nusantara (KPN) are the official programs under the Ministry of Youth and
Sports of the Republic of Indonesia. The programs are initiated for Indonesian youth who
believe that they have a potency to become the agents of change, and aimed to share mutual
understanding of diversities among regions in Indonesia and countries in the world.
Participants will be exposed to different cultures that could broaden their knowledge and
perspectives about the world. These programs also offer various meaningful experiences e.g.
cultural performance, staying with host family, community development, official dialogue
with youth from many different nations and work experience.
Specific Terms and Condition for International Youth Exchange Program (PPAN)
Inquisitive, open-minded, leadership, responsible, confident and having well knowledge about
local and national culture.
Interested in community empowerment and volunteering activities.
Committed to do community development/social activities after completion of the program.
Speak a fluent communicative English
English proficiency with minimum TOEFL (ITP/Prediction) score 450, please attach the copy
of the certificate.
Has an ability to swim and good level of physical fitness, proved by physical test: running,
swimming, etc.
Interested in community empowerment and marine sector. More info about programs:
PPAN:
Minimum height 155cm (female) and 160cm (male)
+62 817-5718-491
Minimum weight 45 kg (female) and 50 kg (male) +62 823-4165-2478
KPN:
Send the entire documentbyemail toNtb.pcmi@gmail.com +62 859-3484-1684
Closing date April 11 2017. +62 823-4059-6045
1. Applicant Details
a. Name :
b. Date of Birth :
c. Current Home Address :
d. Phone/Mobile :
e. Height/Weight :
f. Web/Blog/E-mail/ Social Media :
2. Academic Qualification
Provide the following information for all completed Senior High School, Vocational,
Technical and/or undergraduate or the last training and the last GPA if currently study
No. Educational Institution Faculty/Program Field of Study GPA
1
2
3
4
5
3. Please list any honors or scholarship you have received
(Indicate the name of the award you received and the year)
4.2 Have you undertaken an IELTS, TOEFL, IBT or CEF test? If you have
undertaken one of the tests or more, please note the result in the box below
(TOEFL Prediction is accepted).
7. Achievement
No. Achievement Year
1
2
3
4
9. Supporting Statement
Write concisely an explanation in relation with your background of participating
theInternational Youth Exchange Program or Kapal Pemuda Nusantara. Elaborate
how will this program fits your future objectives and how may your home-country or
your region benefits from the program you are to participate.
12. Have you applied for the similar program but were not successful? If yes, how many
times?
14. How did you hear about the International Youth Exchange Program (IYEP)?
Social Media, Local Media, i.e. Radio, Local TV channel, Newspaper, etc.
PCMI NTB Roadshow
Friends and/or Colleagues
I, , certify that the statements in this International Youth Exchange Program and
KapalPemuda Nusantara Application are true, complete, and correct to the best of my
concern.
Nanda Mardiensyah
Date: April 10 2017