Professional Documents
Culture Documents
APPLICATION FORM
Astra 1st Program
3x4
photograph
PERSONAL IDENTITY
Full Name: Salim Muhammad
Place & Date of Birth: Padang, 24 August 1995
Address: Hankam Raya St. Jatiwarna Indah Residence, D/22, RT 07, RW 11,
Email: salim.muhammad@rocketmail.com
Phone Number: 021-8485689
Mobile: 083821845009
EDUCATION BACKGROUND
High School : MAN 2 Jakarta (Islamic High School 2 of Jakarta)
University: Padjajaran University
GPA: 3,10
Faculty: Science
Semester: 2
2008
Course / Training
Place / Insitution
Remark
Year
Organization
Scope
Position
Held
Responsibilities
Company
Position Held
Responsiblities
SPECIAL AWARD
Please mention award(s) you have been received and explain it briefly (academic honors,
distinction, scholarship, etc)
Year
2010
Award
Institution
Remarks
PERSONAL EVALUATION
What make you different from others?
I focused to something I do
YES
NO
Jakarta, ., 2011
(_______________________)