Professional Documents
Culture Documents
id
Menara Jamsostek 20th floor, Jl. Gatot Subroto no. 38, Jakarta 12710 p +62 (0)21 5290 2172 f +62 (0)21 5290 2173
Answer questions 1 through 8 clearly and completely (in English, typewritten). Do not change the lay out of
You will receive confirmation of receipt of your application within 2 weeks after the deadline by e-mail.
You may submit one application only (apply for one course only). Submiting more than one application (more
The selection will be held in May 2012 and the result will be announced to the applicants at the latest by end
of June 2012.
Failure to react to Nesos correspondence/e-mail within 48 hours can lead to cancellation of the scholarship.
If at any time after award of the scholarship it becomes clear that the applicant has made inacurate or incorrect declarations in the application, the scholarship offer will immediately be revoked.
B. ENCLOSURES:
Attach only certified copies of documents.
Certificate of `TOEFL Internet-Based Test Examinee Score Report minimum 80 or `International English
Language Testing System Test Report Form (IELTS Report Form) minimum score 6;
The closing date is 15 March 2012 Applications received after the closing date and incomplete application will not be processed. One complete set of application form should be submitted. Completion in stages is not possible.
C. SELECTION PROCEDURE
2
Mar-Apr 2012
All applications are checked on their completeness. Incomplete applications will not be processed. Candidates who disqualify during this stage will receive a written notice. Based on the formal StuNed criteria a list of eligible candidates is composed for the final selection. This selection will result in a number of selected candidates and a ranked list of reserve candidates. If among the final selection some candidates refuse or are not able to receive the scholarship, candidates on the ranked reserve list will be awarded the scholarship. Selected candidates will be notified through a letter via e-mail, conveying extensive information about procedures to be followed-up, the Rules and Regulations of the StuNed Scholarship programme, a package with information about the Netherlands and information about the visa procedure. Awardees will be invited for a pre-departure briefing in Jakarta.
May 2012
Jul 2012
FOR OFFICIAL USE ONLY Documents 1 recent photograph Employer Statement Applicant's Declaration Admission Letter IBT/IELTS CV SK Original Diploma Translated Diploma Original Transcript Translated Transcript KTP or Passport Eligibility Admission Letter Chosen Programme Tuition fee GPA Full Time / Part Time 2 years working exp. IELTS/IBT score Y N
email 1 : email 2 :
GPA:
S1
IBT / IELTS:
employer: (name of institution) city: province: employed since: applicant position: position held since:
dd/mm/yyyy dd/mm/yyyy
Female
Home Address
Telephone / Fax / Mobile * obligatory Passport number Parents address (or next of kin) Telephone / E-mail
Period of this programme Name of contact person / email Total tuition fee Minimum TOEFL/IBT / IELTS requirement for this programme
From:
Until:
Duration :
months
EUR
3. EDUCATIONAL RECORD
a. Undergraduate Education
Please enclose certified copies of relevant diplomas and transcripts
Name of institution Place of Institution Field of study Diploma or degree obtained b. S-1 (or equivalent) Year of graduation GPA.
Please enclose certified copies of relevant diplomas, degrees, certificates and transcripts.
Name and place of institution Duration Main field of study Diploma or degree obtained S-2 Masters Degree Other From: Until:
4. PRESENT EMPLOYMENT
Address
Employed Since Present position Employment for Describe your current duties and responsibilities hours a week
dd/mm/yyyy
dd/mm/yyyy
5. MOTIVATION STATEMENT
The statement should be typewritten and composed only by the applicant him/herself.
No.
A.
Criteria
Explain in 100 words the relevance of the chosen study programme to your personal and career development
Explanation
B.
Explain in 100 words the relevance of the chosen study programme to the current development of your organization (long term development plan) and the sector you work in.
C.
Describe in 100 words how the chosen study programme will benefit Indonesia in general.
6. MISCELLANEOUS
How did you find out about the StuNed Scholarship Programme for the very first time?
..)
Friends Where/How did you get the information about the study programme for which you apply?
Your Institution
StuNed alumnus
StuNed brochure/poster
.....................................)
Friends Have you ever attended the StuNed Presentation in your region? Have you applied for StuNed Scholarship Programme before? No
Your Institution
Nuffic Neso Indonesia office in Jakarta/Surabaya Others (please indicate................................................................) No Yes: University BAPPEDA/PEMDA YEAR:.. CITY:.
Other
Have you ever been awarded a scholarship? If so, from which organisation? For what period, for which course/institution and in which country has it been granted? Yes For which other scholarship programme(s) are you also applying at this moment?
Yes, year.. No
I, the undersigned, being authorised to supply the following particulars hereby certifies that Mr/Mrs/Miss.: is employed by our organisation
Name of Applicant:
Since:
9
Department: Current Position: for hours a week Position held since: and is applying for a StuNed scholarship to follow a master programme in The Netherlands in the field of / name of the study programme : Dutch Higher Education Institution (University) in the Netherlands :
Please explain fully why the master programme is important to your organisation (and to the applicants work in the future) : I completely understand the conditions under which the scholarship is offered, and if I am awarded a StuNed scholarship I agree: Do you guarantee that, if the candidates is awarded with the scholarship, he/she will continue to be employed by your organisation after completion of her/his study? to comply with all the formal obligations mentioned in the Rules & Regulations of StuNed; 2. to return to my home country immediately after the programme has ended; Which position will be offered to the 3. to be available for the entire period of the study programme and be able to take part in the entire programme; candidate after succesfulto enter my personal data in a database which may be used at Nuffic Neso Indonesias 4. to give permission completion of her/his study? discretion to provide information for non- commercial purposes; Department: 5. to abide by the rules and regulations governing the student visa and stay permit; 6. to fill in and submit end of course questionnaire; I certify that all my answers are true, complete and correct, and that if the candidate is awarded a StuNed scholarship, my organization will comply with all the formal obligations this entails. Name (of organization) : to act in such a manner that will not bring disrepute or cause any formal damage to any party Name (of contact person) : involved in the programme including the host institution, the image of Indonesian students in the Netherlands, Position : Nuffic Neso Indonesia and accept to be called back to Indonesia without any formal appeal in case I breach this promise; Date : 8. to participate in activities organised in relation to the StuNed scholarship during the programme and after I have returned to Indonesia; Place : 9. not to engage in employment in the Netherlands other than the allowed maximum of ten hours a week, and to inform and update Neso of any details of such employment if any; Signature and official stamp : (please sign on materai) 10. not to hold another scholarship that would give any overlapping benefit without Nuffic Neso Indonesias written approval. Furthermore: 11. I fully understand that if I am awarded a StuNed scholarship, it may be subsequently withdrawn if I fail to make adequate progress, or for other sufficient cause determined by the Government of the Netherlands or the institution at which I am studying. 8. APPLICANTS DECLARATION 12. If reports from the host institutions give reason to doubt a successful continuation of the study, the scholarship may be terminated with immediate effect. I certify that all my answers are true, complete and correct. Date Name Place : : :
10
1. 7.
THE ORIGINAL APPLICATION FORM AND ITS ANNEXES SHOULD BE SENT TO:
Nuffic Neso Indonesia Menara Jamsostek 20th Floor Jalan Jend. Gatot Subroto No.38 Jakarta 12710
11