Application Form

Personal Details
Title: Highlight one or specify
other

Mr
First Name:

Ms

D.O.B: June
3rd 1994

Family
name:

Arcanggi

Suffix:
(e.g.MD)

Ms

Ardita

Middle
Name(s):

Rizky Putri

Preferred
Name:

Kiki

Email Address: arditaarcanggi@yahoo.co.uk

Telephone: 085764220794

School: Undergraduated Student University of

Indonesia
When will you finish your course (mm/yy): 2016

Course: Bioprocess Engineering Facu

of Engineering Toastmaster Internatio

Position

Please provide details of the position in 2015 AAYS Committee that you are interested in (in order of preference if ther
are more than one)

Secretary

+Marketting
Emploment and/or Volunteering History
Have you worked for AAYS before?

Yes

No

Have you worked for student association before? (If yes, please list that association and your positi
Yes / No
(Please attach your Individual CV to show off your ability)