application_motivation form- total scholarship (2011)
Post on 03-Apr-2015
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APPLICATION FOR SCHOLARSHIP
PERSONAL DATA
Full Name :
Photo3x4 cm
Present Address :
Permanent Address :
Telephone :
E-mail Address :
Place & Date of Birth :
Sex : Male / Female
FAMILY DATA
Name Age Education Occupation
Father
Mother
Sibling: 1
2
3
4
5
EDUCATION BACKGROUND
School From - To Name & Location of School Major CourseGraduated/ Degree
ReceivedGPA
Elementary
Jr. High
Sr. High
University
ORGANIZATIONAL ACTIVITIES
Name of Organization/ Activities From - To Position
TRAINING/ COURSE/ APPRENTICESHIP RECORDSKind of Training/ Course/
ApprenticeshipFrom - To Organized By Location
ACTIVITIES & HOBBIES
Membership of Professional Association
Hobbies & Sports
Social Activities
ADDITIONAL INFORMATION (if any)
The facts stated in this Scholarship Form are true and complete to the best of my knowledge and belief.I understand and agree to follow all the procedures, regulations, and requirements that related to Total E&P Indonesie’s Scholarship Program.
Date: Applicant’s Signature:
N.B: Please supply all of this documents, along with this form: Copy of academic transcripts, from 1st semester until the last semester. 1 photo (3x4 cm). Copy of TOEFL certificate
Name
University
Major
WHY I WANT TO CONTINUE MY STUDY IN FRANCE ?
MY PROFESSIONAL PLANS ?
WHY TOTAL SHOULD GRANT ME A SCHOLARSHIP ?
DESCRIPTION OF HIGHER STUDY
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