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  • Dinas Olahraga Dan Pemuda Jawa Barat Bidang Pengembangan Kreativitas Pemuda Purna Caraka Muda Indonesia Jawa Barat

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    Ai Kustiani
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    This document contains an application form for youth exchange programs hosted by Purna Caraka Muda Indonesia Jawa Barat. The application requests personal details, education background, achievements, organizational experience, foreign language skills, and authorization for the selection committee to investigate the application. It lists several youth exchange programs and asks the applicant to rank their priority between 1 to 4. The form can be downloaded from the provided URL.

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    FORMULIR2012

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    This document contains an application form for youth exchange programs hosted by Purna Caraka Muda Indonesia Jawa Barat. The application requests personal details, education background, achievements, organizational experience, foreign language skills, and authorization for the selection committee to investigate the application. It lists several youth exchange programs and asks the applicant to rank their priority between 1 to 4. The form can be downloaded from the provided URL.

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    14 views3 pages

    Dinas Olahraga Dan Pemuda Jawa Barat Bidang Pengembangan Kreativitas Pemuda Purna Caraka Muda Indonesia Jawa Barat

    Uploaded by

    Ai Kustiani
    This document contains an application form for youth exchange programs hosted by Purna Caraka Muda Indonesia Jawa Barat. The application requests personal details, education background, achievements, organizational experience, foreign language skills, and authorization for the selection committee to investigate the application. It lists several youth exchange programs and asks the applicant to rank their priority between 1 to 4. The form can be downloaded from the provided URL.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    Dinas Olahraga dan Pemuda Jawa Barat Bidang Pengembangan Kreativitas Pemuda

    Jl. Radjiman No.6 Bandung 40171

    Purna Caraka Muda Indonesia Jawa Barat


    info@pcmijabar.org http://pcmijabar.org

    PLEASE FILL THIS APPLICATION FORM BELOW USING COMPUTER HANDWRITING IS UNACCEPTABLE WRITE 1, 2, 3 AND 4 TO INDICATE YOUR PRIORITY TO THE FOLLOWING PROGRAMS 4 1 2 Indonesia Canada Youth Exchange Program (18-23 years old) Indonesia Australia Youth Exchange Program (21-25 years old) Ship for South East Asian Youth Program (SSEAYP) ASEAN Japan (20-30 years old) Indonesia Malaysia Youth Exchange Program (23-27 years old) 3 Indonesia South Korea Youth Exchange Program (18-25 years old) Indonesia China Youth Exchange Program (18-25 years old)
    If there is a chance, I am willing to follow any program beyond programs mentioned above ( )

    1.

    PERSONAL DATA Full Name Address Place, Date of Birth Gender Tel (Home) Tel (Mobile / Other) Email Interests / Hobbies : : : : : : : : Ai Kustiani Pondok Dewi Bara 5 No.141 Darmaga Bogor 16680

    Cianjur, 21 of September 1990 Women 085720301494 aikustiani@gmail.com Writing and journey

    2.

    EDUCATIONAL BACKGROUND (State your GPA if applicable) Year (From To) Institution

    this form is downloadable at http://pcmijabar.org

    3.

    ACHIEVEMENTS, AWARDS and HONORS (five best) Date awarded

    Remarks

    4.

    ORGANIZATIONAL EXPERIENCE (five best, including seminars/workshops, camps, trainings, etc.) Date attended Remarks

    5.

    FOREIGN-LANGUAGE SKILL Items Spoken poor English fair excellent poor fair excellent Other (please specify) poor fair excellent

    Written poor fair excellent poor fair excellent poor fair excellent

    DECLARATION OF AUTHORIZATION I certify that the statements made by me to the questions above are true, complete, and correct to the best of my knowledge and belief. Permission is given to the selection committee to make such investigations if necessary on the information given above. I understand that any misrepresentation or material omission made herein or in any other documents may lead but not limited to termination or dismissal of the program. Full name :

    this form is downloadable at http://pcmijabar.org

    Date of application :

    this form is downloadable at http://pcmijabar.org

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