formulir_astra_1st_2012 (2)

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    ASTRA, a world of opportunities

    APPLICATION

    FORMAstra 1

    st

    Program

    3 x 4photograph

    PERSONAL IDENTITY

    Full Name: Yusi Mayasari

    Place & Date of Birth: Kotafajar, December 24th,1991

    Address: (alamat di ktp)

    Email:

    Phone Number:

    Mobile: 085360603011

    EDUCATION BACKGROUND

    High School : SMA Negeri 1 Kluet UtaraUniversity: UniversitasMuhammadiyah

    GPA: (IPK)

    Faculty: Economic Semester:

    Major: (jurusan) Credits have been taken: (SKS yangsudah diambil)

    Title of your final project: (if any)

    Expected time of graduation (month and year):

    SPECIAL COURSE / TRAINING ATTENDED: (kursus yang pernah diikuti)

    Yea Course / Training Place / Insitution Remark

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    ASTRA, a world of opportunities

    EXTRA CURRICULAR ACTIVITIES

    (specify organizational activities you have attended within amaximum of 2 years and showed the greatest contribution that youprovide) (organisasi yang kamu ikuti selama maksimal 2 tahun danmemperlihatkan kontribusi di organisasi itu)

    YeaActivities /

    OrganizationOrganizat

    ionPositio

    nResponsibilities

    WORK EXPERIENCE (Including part time job, freelance, internship, etc.)(pengalaman kerja, termasuk kerja paruh waktu, freelance dll

    Yea

    r

    Company Position

    Held

    Responsiblities

    SPECIAL AWARDPlease mention award(s) you have been received and explain it briefly(academic honors, distinction, scholarship, etc) sebutkan penghargaanyang pernah kamu terima dan jelaskan

    Yea Awar Institution Remar

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    (_______________________)Signature & Full name

    3

    ASTRA, a world of opportunities

    INTERESTWhat do you usually do in your spare time? Apa yang biasanya kamulakukan pada saat waktu luang

    PERSONAL EVALUATIONWhat make you different from others? Apa yang membuat kamu berbedadari orang lain?

    What would you consider need to be improved in yourself? Apa yang kamuanggap perlu diperbaiki dari diri kamu sendiri

    Would you like to participate in all programs provided during 1 year ?

    YES NO

    How do you know about Astra 1st

    Program ?

    University information

    board Friends / relatives

    www . as t ra . c o .i d

    other internet (facebook, email, mailing list, ......................)

    Jakarta, ., 2011

    Facebook: Astra CommunityTwitter: AstraCommunity

    Email: [email protected]

    http://www.astra.co.id/http://www.astra.co.id/http://www.astra.co.id/http://www.astra.co.id/
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    ASTRA, a world of opportunities

    A C H IE V E M E NT

    Personally, what is your greatest achievement(s), how do you accomplish it and why

    would you consider it as your greatest achievement(s)

    Secara pribadi, apa prestasi terbesar Anda, bagaimana Anda mencapainya dan mengapa Anda menganggap itu

    sebagai prestasi terbesar Anda

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    ASTRA, A WORLD OF OPPORTUNITIES

    MOT IV A T IO N & P E R S O N A L S T R E N GTH

    Explain to us, what is your biggest motivation(s) to join this programand why we need to choose you as one of Astra 1

    stcandidates. Jelaskan

    kepada kami apa motivasi terbesarmu untuk bergabung pada programini dan kenapa kami perlu untuk memilihmu sebagai salah satu candidatastra

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