APPLICATION FORM Please attach your recent

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FOR STUDENT JOURNALIST POSITION

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P E R S O N A L PLEASE WRITE IN BLOCK CAPITALS

Full Name : Sex : Male / Female

Date of Birth : dd - mm - yy Place : Religion :
Current Address :
Post Code :
Kecamatan : Kota/Kabupaten : Propinsi :
Origin Address :
Post Code :
Kecamatan : Kota/Kabupaten : Propinsi :
Media Social Acc.
Intagram : Twitter : Facebook :
Telephone : Mobile Phone : Email :
Hobby :
Motto/ Vision :

E D U C A T I O N
High School : at : Class :
University : Entry year : Semester : GPA :
Major of Study : Specialization :
Training/Course :

Scholarship, or academic distinction :

ORGANIZATION EXPERIENCE

Did you have any organizational experience ? q No q Yes, ……………………….month(s)

Organization / Leadership experience :

ORGANIZATION NAME POSITON SERVICE PERIOD

1.
2.
3.

Please mention your strong points :

Please mention your weakness points :

Please mention your target during school/college activity :

Please mention your formal / non formal achievement :

Foreign language skill : Dated : ___ - ______ - 20___

What computer skills do you have? Please describe :

Signed by the applicant

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