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Application form for Short Stay Program

“Sustainable Resource Development 2020”

Name of applicant (Male/Female) Family Name : Siahaan

Middle Name : Jason
Given Name : Yudha Jason Siahaan
Date of birth 15/06/1998
Name of university Bandung Institute of Technology

Faculty Faculty of Mining and Petroleum Engineering

Affiliation 1 year
( Master / Doctor ) course
Theme of research Correlation between implementation of hydraulic fracturing
currently undertaken for increasing productivity in PT. Freeport Indonesia
or recently completed
Academic interests and I have academic background from mining engineering and now
expectations to be I learn for geomechanics specialization in master’s program. I
obtained from the believe geomechanics is the core knowlegde for mining and
program construction implementation. Japan is one of the country that
concern about geomechanics and I hope I got more insight and
knowledge about how Japan conduct a research and develop
their construction industry. .

Application should be accompanied by following documents:

1) Official letter of nomination from a responsive official of the university
2) Academic performance record (Subjects and Scores/Grades)
3) English proficiency proof (test scores when available)
4) Recommendation letter from supervising professor