ASTRA, a world of opportunities

APPLICATION
FORM

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st

Astra 1
Program
PERSONAL IDENTITY
Full Name: Abdul Aziz Huda
Place & Date of Birth: Pati & 7 June 1992
Address: Ngemplak kidul Rt 02 RW 02, Kec Margoyoso, Kab. pati

Email: abdulaziz_huda@yahoo.com
Phone Number: 085229204765
Mobile: 085229204765
EDUCATION BACKGROUND
High School : islamic senior high school
University: Diponegoro University
GPA: 3,14
Faculty: Faculty of Animal
Agriculture
Major: Animal agriculture

Semester: 2
Credits have been taken: 22

Title of your final project: (if any)

Expected time of graduation (month and year): Three and a half years

SPECIAL COURSE / TRAINING ATTENDED:

Yea
r

Course / Training

Place / Insitution

Remark

ASTRA, a world of opportunities

EXTRA CURRICULAR ACTIVITIES
(specify organizational activities you have attended within a
maximum of 2 years and showed the greatest contribution that you
provide)
Yea
r
2011
2012

Activities / Organizati
Position
Responsibilities
on
Organizatio
Held
n
Scop
An-Nahl
Islamic
Deputy
spirituality
head of
department
RnB (Research Research
Staff of
Looking for business
and business
and business External
outside the campus
Undip)
project
network

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

Yea
r

Company

Position
Held

Responsiblities

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

2011

Yea
r

scholarship

Awar
d

Institution

Government

Remar
ks
A scholarship for a semester
of 1400.000 Rupiah

ASTRA, a world of opportunities

INTEREST
What do you usually do in your spare time?

Browsing internet, reading book, or watch TV

PERSONAL EVALUATION
What make you different from others?

What would you consider need to be improved in yourself?

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

YES

NO

How do you know about Astra 1

st

Program ?

University information
board Friends /
relatives
www.astra.co.id
other internet (facebook, email, mailing list, ......................)

Jakarta, ., 2011
Facebook: Astra Community
Twitter: AstraCommunity
Email: astra1st@astra.co.id

(_______________________)
Signature & Full name

ASTRA, a world of opportunities

ACHIEVEMENT
Personally, what is your greatest achievement(s), how do you
accomplish it and why would you consider it as your greatest
achievement(s)
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ASTRA, A WORLD OF OPPORTUNITIES

MOTIVATION & PERSONAL STRENGTH

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