Application for the ASEAN Foundation Student Internship Programme

I. Personal:

1. Name of Applicant:
_______________________________________________________________________
2. Place, date of birth (dd/mm/yyyy):
_______________________________________________________________________
3. Nationality:
_______________________________________________________________________
4. Address, phone and email address:
_______________________________________________________________________

II. Education (from the lowest to the highest):

5. High School:
_______________________________________________________________________

6. Present University or Institutional affiliation:

_______________________________________________________________________
_______________________________________________________________________
______________________________________________________________________
Area of study:
_____________________________________________________________

III. Informal Education (extracurricular activities if any):

_____________________________________________________________________
______________________________________________________________________

IV. Work and Organisation Experience:

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

V. Explain your reasons for applying to the ASEAN Foundation Student

Internship Programme. Please include specific interests, objectives and expected
benefits of the internship (please provide a maximum 2 page letter highlighting their
motivation/interests, suitability and potential contribution to the ASEAN Foundation, it
can be in a separate paper)

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________
VI. Requested dates for Internship

From: __________________ To: __________________

VII. Statement of understanding of the conditions of the Internship:

I understand that, should I be accepted as a student intern in the ASEAN Foundation, the
following conditions will apply:

a) Status: I understand that I am not entitled to the privileges and immunities accorded by
member states to ASEAN Foundation, its officials and staff members.

b) Financial Support: I shall not be paid by the ASEAN Foundation and must make my
own arrangements for living expenses. Travel costs to and from the duty station and living
accommodation are also my own responsibility or those of the sponsoring institution.

c) Medical Health and Life Coverage: The ASEAN Foundation accepts no responsibility
for costs or fatality arising from illness or accidents incurred during the internship;
therefore, I must carry adequate and regular medical and life insurance during the
internship period.

Medical:
____________________________________________________________________

Life:
______________________________________________________________________

d) Passports and Visas: I am responsible for obtaining necessary passport and visas when
required and all associated costs related to it. The ASEAN Foundation will issue only a
letter stating acceptance of an individual as a student intern and the conditions governing
the internship.

e) Confidentiality and Publication of Information: As a student intern, I will respect the

confidentiality of information that I collect or am exposed to at the ASEAN Foundation.
No reports or papers may be published based on information obtained without the explicit
written authorisation of the ASEAN Foundation.

Signed: _________________________________ Date: _____________________

Please also send the following documents together with the form:
Application letter, the copies of passport, the academic transcript, Proof of Enrollment
and the university recommendation.
 Proof of Enrollment

This is to certify that ________________________, ____________________________,

(Last Name) (First Name)

TO BE COMPLETED FOR ENROLLED STUDENTS

☐is currently enrolled as a student in (degree type & name)
________________________________________________________________________
at the University / School (Name of Institution)
________________________________________________________________________
The above mentioned degree programme is a Bachelor’s/Masters (please circle) or
equivalent (please specify)________________________________________________.
The student will return to resume his/her studies at the above mentioned University after
the internship. His/her predicted graduation date is (Day/Month/Year) ____ / ____ / ____

TO BE FILLED OUT BY SCHOOL

Hereby I, (Last name, First name) _________________________________________,
(Title/Designation)
____________________________________________________confirm the correctness
of the above given information.
Address of University/ School:______________________________________________
_______________________________________________________________________
Contact phone number: ____________________________________________________
Contact email: __________________________________________ ________________
Email of the student: ____________________________________ ________________

___________________ ________________________________
Signature / Stamp Date (Day/Month/Year)
 University’s Recommendation:

____________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

_______________________________________________________________________

Signed: _________________________________________ Date: _________________

Name/Title
_______________________________________________________________