ORIGINALITY

TEMILNAS 2017 Ft. MAJESTYNAS 2017

Title : Autism Edu-Games : Family Educational

Aplication for Early Detection and Stimulation Childern

With Autism Spectrum Disorder (ASD)

Cluster of : (Research Paper, Litterature Review, Penelitian

Multi Center, Public Poster, Video Edukasi,Scientific Paper ,

Essay or Scientific Poster)*

*Scratch unselected

Writers name, Batch, and Student Number

Chief : Helmi Zunan Tanuwijaya ( 3rd year / 1471161)

Members :

1. Dirga Asna Ceria ( 2nd year/ 1571169)

2. Muhammad Nur Imansyah ( 2nd year/ 1571171)

3.

4.

Institution : Universitas Islam Indonesia

Hereby declare that the work with the title of the original

work and has never been published and or participate in

outside activities TEMILNAS 2017 and MAJESTYNAS 2017.

This statement we make with actual, if in future a violation

found in the statement, then we are willing to disqualified

from competition in TEMILNAS and MAJESTYNAS 2017 as

part of our responsibility.

Stamp/matrai
 REGISTRATION FORM

TEMILNAS 2017 Ft. MAJESTYNAS 2017

Tittle :Autism Edu-Games : Family Educational

Aplication for Early Detection and Stimulation Childern With

Autism Spectrum Disorder (ASD)

Period : 2017

Cluster of : (Research Paper, Literature Review, Penelitian

Multi Center, Public Poster, Video Edukasi, Scientific Paper ,

Essay or Scientific Poster)*

Team : 1. Name :Helmi Zunan T

Batch and Major : Medical, 3rd year

1. Name : Dirga Asna Ceria

Batch and Major : Medical 2nd year

2. Name : M Nur Imansyah

Batch and Major : Medical 2nd year

3. Name :

Batch and Major :

4. Name :

Batch and Major :

Institution : Universitas Islam Indonesia

Institution Address : Jalan Kaliurang KM 14.5

Institution Phone :0274-898444

Home Address :https://www.uii.ac.id/

Phone Number :

1. Helmi ( 081585810315)

2. Dirga ( 085237732973)

3. Iman ( 085331691650 )

signature and names of the head

 CURRICULUM VITAE

Required for each members of the team

Full Name : Helmi Zunan Tanuwijaya

Nickname : Helmi

Nationality : Indonesia

Passport/ IC Number : 14711161

Date of Birth : Yogyakarta, 22 December 1995

Gender : Male

Religion : Islam

Home Address : Jalan Imogiri Barat km 5

Contact Number (With country code):081585810315

Email Address : zunanh@gmail.com

University or College : Universitas Islam Indonesia

Batch and Major : Medical 3rd year

Clothes Size : XL
1. Educational background

No. Institution Major Year of graduation

1 SD Muh 2002-2008

Sokonandi

2 SMPN 10 2008-2011

Yogyakarta

3 SMAN 6 YK IPA 2011-2014

2. Achievement

No. Event Kind of Achievement Year

1 5th IMSS Juara 1 Poster 2017

BAPIN Ilmiah

2 MUNSF Juara 1 Scientific 2017

Trisakti Paper

3 IDRIS Gold and Special 2017

Malaysia Award

4 HOLISTIC Juara 3 Poster 2017

FK UHO Ilmiah

5 OPSI Gold Medal 2013

3. Scientific Experience

No. Tittle Event or kind work Year

of Scientific

experience

1 Peri Ibu ( 5th IMSS 2017

Permainan

Online Asi untuk

Ibu )

2 YOTARO ( HOLISTIC 2017

Yogurt Ubi Ungu

3 Pengaruh OPSI 2013

pemberian tinta Kemendikbud

cumi terhadap

kualitas kecap

manis
 4 Nasha Tea : Majestynas 2015

Inovasi

Nanocream

dari Ampas

Daun The

Hijau (Camellia

Sinensis L)

Mencegah

Kanker Kulit

4. Organization Background

No. Organization/ Position Year

Company/ Institute

1 ISMKI wilayah 3 Staff 2015

2 SMART FKUII keilmiahan 2017

Lead of Division

3 BAPIN ISMKI Staff Temilnas 2017

 CURRICULUM VITAE

Required for each members of the team

Full Name : Dirga Asna Ceria

Nickname : Dirga

Nationality : Indonesia

Passport/ IC Number : 15711169

Date of Birth : Jerowaru,17 Agustus 1997

Gender : Female

Religion : Islam

Home Address : Jerowaru,Lombok timur,NTB

Contact Number (With country code):085237732973

Email Address : Dirgaiga.asnaceria@gmail.com

University or College : Universitas Islam Indonesia

Batch and Major : Medical 2nd year

Clothes Size : L
5. Educational background

No. Institution Major Year of graduation

1 SDN 1 2003-2009

JEROWAU

2 SMPN 1 2009-2012

KERUAK

3 SMAN 1 IPA 2012-2015

KERUAK

6. Achievement

No. Event Kind of Achievement Year

1 5th IMSS Juara 1 Poster 2017

BAPIN Ilmiah

2 HSF Juara 3 Video 2016

Edukasi

3 Hipotalamus Juara 3 Video 2017

Edukasi
7. Scientific Experience

No. Tittle Event or kind work Year

of Scientific

experience

1 Peri Ibu ( 5th IMSS 2017

Permainan

Online Asi untuk

Ibu )

8. Organization Background

No. Organization/ Position Year

Company/ Institute

1 SMART FKUII Staff HUBLU 2017

2 BAPIN ISMKI Staff IT 2017

 CURRICULUM VITAE

Required for each members of the team

Full Name : Muhammad Nur Imansyah

Nickname : Iman

Nationality : Indonesia

Passport/ IC Number : 15711171

Date of Birth : Samarinda,24 Juni 1995

Gender : Male

Religion : Islam

Home Address : Jl. Letjend Sutoyo Gg. Scorpio B5

Contact Number (With country code):085331691650

Email Address : : biological.open@gmail.com

University or College : Universitas Islam Indonesia

Batch and Major : Medical 2nd year

Clothes Size : L
9. Educational background

No. Institution Major Year of graduation

1 SDN 1 2002-2008

SUKABUMI

2 SMPN 1 2008-2011

PROBOLINGGO

3 SMAN 1 IPA 2011-2014

PROBOLINGGO

10. Achievement

No. Event Kind of Achievement Year

1 5th IMSS Juara 1 Poster 2017

BAPIN Ilmiah
11. Scientific Experience

No. Tittle Event or kind work Year

of Scientific

experience

1 Peri Ibu ( 5th IMSS 2017

Permainan

Online Asi untuk

Ibu )

12. Organization Background

No. Organization/ Position Year

Company/ Institute

1 SMART FKUII Staff IT 2017