NOTE: Please use the space provided only

ABOUT YOU

Family Name First Name

Gender Preferred name

Date of Birth Citizenship

(DD/MM/YYYY)

How we can reach you…

Contact Address

E-mail Address 1

E-mail Address 2

Contact number 1 Contact number 2

Language(s) you can speak…

Primary Language

Other Languages Spoken Proficiency

Your functional preference...

Functional Preference 1 Functional Preference 2

Tell us about experiences that have shaped your decisions in choosing your functional preference.

Are you willing to relocate to another country?

Preferred start date

Have you applied for Unilever Future Leaders Program before?

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EDUCATION

Tertiary education information

University

University Major

University Minor

Final University mark/result out of Month & Year of Graduation

Eg: GPA

Post-graduation education information

University

Post-Graduation Major

Final University mark/result out of Month & Year of Graduation

Other courses or training related to your chosen functions within the last four years
(Please prioritize your course within the space provided)
Course title Year attained

Awards, honors, scholarships or grants achieved within the last four years
(Please prioritize your achievements within the space provided)
Name of achievements Year attained

Your involvement in extracurricular activities & organizations within the period of your tertiary education

Organization Name Position Three key responsibilities Date (from…to...)

Your internships or part-time jobs within the period of your tertiary education…

Organization Name Position Three key responsibilities Date (from…to)

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1. What is your proudest achievement and why?

Please be specific in providing your one example and the reasons "why"

i have achieved a FREE media coverage value of over IDR 20,000,000,000 for the necessary exposure of the new branch of my latest
company. The branch itself currently produce one of the biggest income for the company.

2. What is your major disappointment and why?

Please be specific in providing your one example and the reasons "why"

my only dissapointment is that i didnt take my Master De

3. Describe your most significant leadership experience. Define the outcome of your actions.
Please be specific in providing your one example and the reasons "why"

Are you related to or do you live with anyone who works for a company that
manufactures products similar to ours? (e.g soaps, detergents, shampoo, ice cream, etc)

If YES, please indicate name of company:

Relationship
Position

Let us know how you found out about the Unilever Future Leaders
Summer Internship Program.

If others please indicate: