ASTRA, a world of opportunities

APPLICATION
FORM
st

Astra 1
Program
PERSONAL IDENTITY
Full Name: MUHAMMAD AGUNG SETYA NOER ISNANTO
Place & Date of Birth: JAKARTA, AUGUST 23th 1993
Address: GRAPE STREET, XB No.3, HARAPAN INDAH, WEST BEKASI

Email: m.agungsni@yahoo.co.id
Phone Number: 021-88977978
Mobile: 08999257583
EDUCATION BACKGROUND
High School :
University: STATE UNIVERSITY OF
JAKARTA
Faculty: FACULTY OF MATEMATICS AND
SCIENCE
Major: MATEMATICS

GPA: 3.32
Semester: 2
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)
Activities /
Organization

2010-2011

OSIS

Organizatio
Positio
Responsibilities
n
n
Held
SMA Scop
Coor.SUBS
Supervising and coordinate

2010-2011

Nihon klub

SMA

2012-2013

BEMJ

UNIVERSITY Staff of
advocacy

Year

EKBID 5
Head 2

member of subsekbid 5
Help the head 1 to coordinate
and oversee an entire
Scholarships and help take care
of all university students in the

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
st

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@astra.co.id

(____M.AGUNG.S.N.I_____)
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
st
need to choose you as one of Astra 1 candidates.
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