This is the first part of UNDIP Delegates for London International Model United Nations 2015

selection process (1/4

!"#$ission Deadline% Ma& '
th

2014
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FOR MORE INFORMATION CONTACT US ON:
TWITTER: @limundip
WEBSITE: mun.undip.ac.id/limun
Chika: 0!"!0!#$!%&/ chikap'i(ka )*INE I+,
T-mi: 0"."#!#&##./ /-michin/ia )*INE I+,
Applica/i0n F0'm
*Compulsory
."ll na$e2 % *onest /"nadi -sti$an Larosa
.ac"lt& 2 % )ngineering
Ma3or2 % -rchitect"re
4atch2 % 2015
Place and date of #irth2 % !i#olga6 7"ne 5
rd
1''5
-ddress2 % 7l0,s8ald !iahaan No025 !i#olga
Phone2 % 095125294
Mo#ile phone2 %0:25241519;9
LIN) ID %honest1''5
)$ail2 % honest0laroca1&ahoo0co$
T,).L score/Instit"tion2 % 450/-MIN). (allowed to be submitted later
during FGD
(E.g.: 580/EF
)d"cational 4ac<gro"nd2 %
=ear Le>el Na$e of school
2000 ?indergarten
TRIRATNA SIBOLGA
2001 )le$entar& !chool
SD RK No 1 SIBOLGA
200; 7"nior *igh !chool
SMP FATIMA 1 SIBOLGA
2010 !enior *igh !chool
SMA KATOLIK SIBOLGA
2015 4achelor
Diponegoro University
,rgani@ational eAperiences % (8rite N,N) if donBt ha>e an& e>idence
=ear Position Na$e of organi@ation
None
Cor<ing eAperiences % (8rite N,N) if &o" donBt ha>e an& e>idence
=ear Position Na$e of co$pan&
N,N)
+o$$"nit&/acti>it&Bs in>ol>e$ent in an& e>ent (8rite N,N) if &o" donBt ha>e an& e>idence
Date Position )>entBs na$e
-chie>e$ents (8rite N,N) if &o" donDt ha>e an& e>idence
Date )>ent Instit"tion -8ard
Dece$#er
2:
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MUN )Aperiences
Date MUN -chie>e$ent
N,N)
Please 8rite a#o"t &o"rself (&o"r fa$il&6 characteristic6 s<ill etc0 This part is >er& i$portant of
&o"r application0 Crite in $aAi$"$ 250 8ords02
Chat do &o" <no8 a#o"t MUNE Please descri#e 8ith &o"r o8n 8ords MaAi$"$ 200 8ords0
This part is >er& i$portant of &o"r application02
If &o" 8ere chosen as one of UNDIP Delegates for London International MUN 20150 Chat 8ill
&o" do #efore6 d"ring6 and after LIMUN0 MaAi$"$ 500 8ords0 This part is >er& i$portant of
&o"r application02
If I 8as choosen as one of
Please $a<e the essa& 8ith the follo8ing the$es in a separated doc"$ent and s"#$it it to
li$"ndip020151g$ail0co$ along 8ith &o"r application for$ and s"pporting doc"$entsF
10 Moti>ation Letter (MaAi$"$ 500 8ords
20 )ssa& (MaAi$"$ 500 8ords
The$e % G-chie>ing peacef"l disp"te settle$ent in +ri$eaH if &o" 8ere the a$#assador
of one of these part&%
(choose one
10 United !tates of -$erica
20 ("ssian .ederation
50 )"ropean Union
-pplication +hec< List%
+o$pleted -pplication for$
!"pporting doc"$ents (e>idence of &o"r T,).L score6 organi@ational and 8or<ing
eAperience6 achie>e$ents6 and MUN participations if an&
Moti>ation Letter
)ssa& 8ith the topic of H-chie>ing peacef"l disp"te settle$ent in +ri$eaH