STUDENTS EXCHANGE PROGRAM

Hasanuddin University - Okayama University Dental School

Short-Term-Study-Abroad Program for Undergraduate Students
(HDAPUS-ODAPUS)

APPLICATION FORM
PERSONAL IDENTITY
Full Name

: Ahmad Setiawan Jarigau

Place & Date of Birth: Ujung Pandang, 25 September 1995

Address

: Jl. Muhajirin I no.3

Email

: Asetiawan930@gmail.com

Phone Number

: 085399067553

Mobile

: 0411-865480

EDUCATIONAL BACKGROUND
Elementary School: SDN Kompleks Mangkura I
Junior High School: SMPN 3 Makassar
Senior High School: SMAN 8 Makassar
University : Hasanuddin University

GPA

Faculty

: Dentistry

Semester

Major

: Dentistry Education

Credits have been taken : 48

Title of your final project

: 3,08
: III

:-

Expected time of graduation (month and year) : December 2018

FAMILY BACKGROUND
Family Member
Father : Alm. Drs. Jarigau, M.S
Mother: Hj. Daeni, S.St
Sibling(s):

Phone

Occupation

Lecturer

081341994754

Nurse

STUDENTS EXCHANGE PROGRAM

Hasanuddin University - Okayama University Dental School
Short-Term-Study-Abroad Program for Undergraduate Students
(HDAPUS-ODAPUS)
1. Ahmad Ismail

088242176437

Jobseeker

SPECIAL COURSE / TRAINING ATTENDED

Year

Course / Training

Place / Institution

Remark

2010

English Course

PIA

2012-2013

English Course

BRITON

2015

Course for SBMPTN

Rektor Institute

2016

English Course

FKBS

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

2012

PMR Unit 208

Organization
Scope
Red Cross
Rescue 208

Position Held

Responsibilities

Coordinator of
HUMAS

Social Network

2013-2015

Biology Literate
Community
(BILIC)

Writing,
Reading, and
Sharing book that
had read

Chief

2015

LPM Penalaran
UNM

Research

Member

2015

Association of
Islmic Student
(HMI)

Religion

Member

2016

Rektor Institute

Social Institution

Member

To loan some
books, make
discussion about
new book and
how to write short
story, poetry, etc
To make some
creation of
reasearch, essai,
etc
To become part of
committe on
some activities
Social institution
specially in
education for
example
preparation of
SBMPTN,
Speaking Class,
etc

STUDENTS EXCHANGE PROGRAM

Hasanuddin University - Okayama University Dental School
Short-Term-Study-Abroad Program for Undergraduate Students
(HDAPUS-ODAPUS)

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

Year

Company

2016

Rektor Institute

Position Held

Responsibilities

Mentor/Tentor

Social institution specially in

education for example
preparation of SBMPTN,
Speaking Class, etc

SPECIAL AWARD
Please mention award(s) you have been received and explain it briefly (academic
honors, distinction, scholarship, etc)
Year
2015
2016

Award
The winner third grade
Research of PMP-OMK LPM
Penalaran UNM
The winner schoolarship of
Bintang Rektor

Institution

Remarks

LPM Penalaran
UNM

Rektor Institute

INTEREST
What do you usually do in your spare time?
I exactly spend my time with my family but on other condition if my time is spare i usually
spend my time to join with community of english in Benteng Fortrotterdam that name is
BPEC to practice my english speaking and i join course to in FKBS (Forum Kampung
Bahasa Sulawesi) to study material about Grammar, Writing, toefl test, etc.
PERSONAL EVALUATION
What make you different from others?
I have so much ambitions, ive character reselience that mean i never give up that i wanna
achieve. If i faail i will try try try try try and try.
What would you consider need to be improved in yourself?
Ill improve my communicated to be better with my partner, for example if im a leader in a
big agenda or committe, because ive problem if i become a leader in a agenda, i always do
all of the task with myself not give away with my partner.
Would you like to participate in all programs provided during 1 month? YES/NO
YES
ACHIEVEMENT
Personally, what is your greatest achievement(s), how do you accomplish it and why

STUDENTS EXCHANGE PROGRAM

Hasanuddin University - Okayama University Dental School
Short-Term-Study-Abroad Program for Undergraduate Students
(HDAPUS-ODAPUS)
would you consider it as your greatest achievement(s)
My great achievements are win the research competition althought third grade and win the
sholarship of bintang rektor, ive win the research competition because ive to finish that
research with my team for 3 months that i had became a leader and for win sholarship of
bintang rektor, ive beaten 2000 participants so i proud with my achievements.
MOTIVATION & PERSONAL STRENGTH
Explain to us, what is your biggest motivation(s) to join this program and why we
need to choose you as one of candidates.
My biggest motivation to join this program, i wanna extend my network from another
country beause i wanna continue my study from another country speacially in Japan thats
my dream to pastgraduate there. For the question why you need to choose me as one of
candidates ? that ive said ive character reselience that mean i never give up that i wanna
achieve. If i faail i will try try try try try and try, from the otherside i will do something for
dentistry Hasanuddin University better than before.

Makassar, 21 August 2016

(AHMAD SETIAWAN JARIGAU)

NIM. J 111 15 330