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ADMISSION - APPLICATION DETAIL 31/10/2011 09:28:30 PM 100954233 A. PROGRAMME(S) PREFERENCES 1 DOCTOR OF PHILOSOPHY (ENGINEERING) KUALA LUMPUR LEARNING CENTRE
B. PERSONAL PARTICULARS Full Name Address : HAMDZAN : JL DEPOK 8 NO 7 ANTAPANI CICADAS BANDUNG 40291, , INDONESIA : : Email :
Telephone No Mobile No Identification Details NRIC/Passport No Date Of Birth Race Gender Marital Status
C. QUALIFICATION
MASTER'S DEGREE Y FOREIGN UNIVERSITY BANDUNG INSTITUT OF TECHNOLOGY 3.79 2003 2006
BACHELOR'S DEGREE Y FOREIGN UNIVERSITY BANDUNG INSTITUT OF TECHNOLOGY 3.35 1998 2003
D. WORK EXPERIENCE No 1 LAPI ITB Company name Position Level ENGINEER (TECHNICAL) OIL/GAS Industry Duration 3 YEARS 6 MONTHS
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E. DECLARATION
I declare that the information given is true and correct. I understand that my application will be rejected if it contains false or incomplete information. Full Name : HAMDZAN Date :
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