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INTERNATIONAL YOUTH CAMP

Youth Empowerment for Transparency and Integrity (YETI)


CAMBODIA, 4 -10 January 2015
APPLICATION FORM

Personal Details
Title

Please select one:

First Name/Given Name

Azril

Dr.

Mr.

Mrs.

Ms.

Middle Name
Last Name/Surname
Nationality

Indonesia

Religion
Date of Birth

Islam
July 12th 2014

Place of Birth

Bayur

Mobile Phone

085271128823

Passport Number and Expiration Date


Email

( In processing, i will accept my pasport number on 27 th November 2014, i


hope i can send my passport number at the time)
azriletos12@gmail.com

Emergency Contact

0852751166

Highest Level of Completed Education

Senior high school

Current Occupation

Undergraduate Student
Organization /institution (if any):

Your Position
Name
Details of the organization /
institution

Address
Phone

Education, Forum, Academic, and Professional Training:


1. Subject/Title

YES

NO (If YES, please specify)

Location

Minangkabau Youth Forum


This forum is for Minangkabau youth. In one year on teh conference, we invite presenter or speaker
for sharing knowledge about minangkabau about How the minangkabau youth in future face the
globalization but still on their cultur and customs. The speaker are such Bundo Kanduang of
Minagkabau , Minangkabau motivator, Minangkabau journalist, and so on.
Padang

Organized by

Beastudi etos

Duration

2012-2013

Course Objective

2. Subject/Title

Location

Negarawan Muda Indonesia


This is forum for the grantee of Dmpet Dhuafa Schoolarship in the whole of Indonesia Province. The
big conference of this forum is continously hold one time every year in Bogor. Here , member of this
forum share knowledge each other, listen the seminar, and so many more activities.
Bogor, Indonesia

Organized by

Dompet Dhuafa

Duration

2012 now

Course Objective

Volunteer and Employment History


*Please start by listing the most current
1. Institution
Duration
Roles and
Resposibilties:

2. Institution
Duration
Roles and
Resposibilties:

3. Institution

Etos Padang Rumah IT


2013- now
Teaching about computer and technology in Jawa Gadut At Padang City. My participants are
students from elementary school, junior high school, and the residents at that village. Here, I am
as instructor
KRPL Beastudi Etos Dompet Dhuafa
2013 now
Introducing about KRPL Kawasan Rumah Pangan Lestari . This is Indonesia government
program to make poeples be able to utilize their area arround of their home for farming or
planting such as vegetables.. Here, i am as instructor.
DDMC ( Dompet Dhuafa Disaster Managment)

Duration
2013-now
Roles and
Responsibilities

I am a new volunteer. I only help in little case such as distributed some food to the victims of
disaster

PLEASE PROVIDE ANSWERES TO THE FOLLOWING:


Why are you applying to participate in the International Youth Camp? If selected, what do you expect to gain from this
experience?
For the younger generation, we will continue to lead the movement a country or an organization in the future. Surely the
experience and education means a lot to us. One is the existence of an exchange of views with other people in various
states of corruption.
I as a young generation is very enthusiastic about this. The value of the anti-corruption starts with small things, of
themselves and carried out continuously. It motivates me to be part of a mass of people who will change the front to
eliminate corruption increasingly "ingrained", in public life.
If I am elected, of course, the knowledge that I get I will not keep it to yourself. I will share about everything I have got to
family, friends, and people who are around me. I will Participate actively voicing anti-corruption so in the next time I ca
form a community for youth as volunteers of anticorruption.

Understanding the anticorruption issue:


Please share your perception and understanding about anti-corruption issue occurs at local or national level.
specific examples when possible:

Provide

Corruption is seen as an extraordinary crime which therefore requires tremendous efforts to eradicate it anyway. Efforts
to combat corruption - which consists of two major parts, namely enforcement and prevention - will never succeed
optimal if only done by government alone without involving community participation.
Nowdays, government has prepared so many way to prevent it that is starting from little things but it has the big impact.
One of the way is by giving anticorruptin education in school and university. Therefore it is not an exaggeration to
students - as one important part of the community who is heir to the future - are expected to be actively involved in
efforts to eradicate corruption in Indonesia.
Student involvement in anti-corruption efforts are certainly not on enforcement efforts under the authority of law
enforcement agencies. Active role of students is expected to be more focused on anti-corruption to help build a culture of
anti-corruption in society. Students are expected to act as agents of change and driving forces of the anti-corruption
movement in society. To be able to play an active role, students need to be equipped with enough knowledge about the
ins and outs of corruption and its eradication. What is important, to be able to play an active role students should be
able to understand and implement anti-corruption values in everyday life.
In the other side, parents also have responsiblities to give the anticorruption to ti their children. Not only in family, but
also other sector like companies have to give the anticorruption value to their employeer.

What do you think about corruption? Have you ever encountered it?
Corruption is a "plague" that will lead to destruction. Not only for other people, organizations or countries but also for
yourself. We can see around us. An official corruption is not only an impact on themselves but also on their families.
Husband or wife and their children would get depressed or mentally damaged as a result of the news and chatter of
others. Actually corruption not only embezzled money or other materials, but not disciplined with time is a form of
corruption. Examples A civil servant who came late but still receive full salary without penalty.
Religious perspective view that corruption occurs as a result of lack of religious values within the individual, and
therefore efforts should be done is to strengthen the internalization of religious values within the individual and the
community to prevent acts of petty corruption (petty corruption), let alone the massive corruption (grand corruption). This
perspective gave birth to, among others, corruption and religious subjects in a number of the Faculty of Philosophy and
Religion.
I have encountered before. A student who does cheating during exams and get good grades, but it is not according to his
ability. We can imagine, what if the student as it leads an organization or a country even in his work. Corruption is a
hidden crime to watch. All parties are responsible for the problem is to remove corruption in public life.

Future collaboration
How are youth activists able to fight against corruption in a local/national level?
Youth activists can fight against corruption by doing this few ways :
1. Form a community which actively voice the anticorruption value to the society ; such as giving seminar or
conference.
2. Help the government to make anticorrution education in our contry be successful
3. Make our selves to be center model for society in applicating the anticorruption value, such : diciplin, not

cheating in exam, being honest etc.


In addition, young activists can also act as a watchdog of the existence of corruption. If there are signal or indications
of corruption, the young activists can immediately report the matter to the authorities against the handling of the case.

Name three reasons why you think you should be selected to participate in the International Youth Camp:
1. I am the enthusiastic youth
2. I like sharing my knowledge
3. I am the active youth

ADDITIONAL INFORMATIO N
Language skills

Excellent

English

Good

Native Language (please specify):


.
Local dialect (please specify):
.

Bahasa
Indonesia
Minangkabau

Others (please specify): .


Special Food Requirements
I need Permitted food because i am a moslem
Yes No
Other Special Needs
Yes No
T-shirt size: S M
XL XXL

No, I do not
L

Parent/Guardian Information
Name

Fair

: Zarmani

Relationship to participant : Parent


Address

: Bayur, Kampung Dalam, Padang Pariaman, Sumatera Barat

Home phone

:-

Cell phone

: 085263751166

Japanese

Poor

I certify that the application form made above is true, to the Parent/Guardian
best of my knowledge.
Signature:

Signature:

Name: AZRIL

Name: ZARMANI

Date: Sunday, 16 November 2014

Date: Sunday, 16 November 2014

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