ASTRA, a world of opportunities

APPLICATION
FORM

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Astra 1
Program
PERSONAL IDENTITY
Full Name: ARIFATI MUNFARIDA
Place & Date of Birth:
Address:

Email:munfaridaarifati@yahoo.co.id
Phone Number:085736631877
Mobile:
EDUCATION BACKGROUND
High School : SMA 1 PONOROGO
University:UNIVERSITAS BRAWIJAYA

GPA:

Faculty:TEKNOLOGI PERTANIAN

Semester:

Major:

Credits have been taken:

Title of your final project: (if any)

Expected time of graduation (month and year):

SPECIAL COURSE / TRAINING ATTENDED:

Year

Course / Training

Place / Insitution

Remark

ASTRA, a world of opportunities

EXTRA CURRICULAR ACTIVITIES
(specify organizational activities you have attended within a maximum of 2 years
and showed the greatest contribution that you provide)
Year

Activities /
Organization

Organizatio
n
Scop

Positio
n
Held

Responsibilities

WORK EXPERIENCE (Including part time job, freelance, internship, etc.)

Year

Company

Position Held

Responsiblities

SPECIAL AWARD
Please mention award(s) you have been received and explain it briefly (academic
honors, distinction, scholarship, etc)
Year

Award

Institution

Remark
s

ASTRA, a world of opportunities

INTEREST
What do you usually do in your spare time?

PERSONAL EVALUATION
What make you different from others?

What would you consider need to be improved in yourself?

Would you like to participate in all programs provided during 1 year ?

YES

NO
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How do you know about Astra 1 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@ai.astra.co.id

(_______________________)
Signature & Full name

ASTRA, a world of opportunities

ACHIEVEMENT
Personally, what is your greatest achievement(s), how do you accomplish it and
why would you consider it as your greatest achievement(s)
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ASTRA, A WORLD OF OPPORTUNITIES

MOTIVATION & PERSONAL STRENGTH

Explain to us, what is your biggest motivation(s) to join this program and why we
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need to choose you as one of Astra 1 candidates.
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