Beruflich Dokumente
Kultur Dokumente
id
Menara Jamsostek 20th floor,
Jl. Gatot Subroto no. 38, Jakarta 12710
p +62 (0)21 5290 2172
f +62 (0)21 5290 2173
APPLICATION INFORMATION
A. INSTRUCTIONS FOR THE APPLICANT:
Answer questions 1 through 10 clearly and completely, in English or Indonesian, typewritten. Do not change the
lay out of the original form.
You may submit one application only. Submiting more than one application leads to disqualification.
There will be no correspondence about submitted forms.
If at any time after award of the scholarship it becomes clear that the applicant has made inacurate or incorrect
declarations in the application, the scholarship offer will immediately be revoked.
All decisions concerning the application are binding and confidential. Queries, remarks or complaints regarding
selection issues will not be responded.
THREE SETS (1 original + 2 copies) of the application form and documentation are required.
B. ENCLOSURES:
Attach only certified copies of documents. Do not attach original documents, application form and
documents will not be returned.
Copy SK for government officials and lecturer of state universities or kontrak kerja for others;
Copy of original TOEFL prediction test of a recommended testing institute in your neighbourhood;
Curriculum vitae (see format CV at www.nesoindonesia.or.id);
Legalized copies of original diplomas and transcripts;
Legalized copies of translated diplomas and transcripts;
A personal and original letter of recommendation on letterhead referents office (Kop surat pemberi referensi);
Copy of KTP;
Copy of Kartu Dinas Pegawai Negeri for government officials and lecturers of state universities;
3 recent photographs (3x4; colour).
C. PROSEDUR SELEKSI
Jadwal di bawah ini dapat berubah sewaktu-waktu.
1 15 Agustus
Seluruh aplikasi akan diperiksa kelengkapannya, dan kemudian dimasukkan ke dalam database.
Aplikasi yang tidak lengkap tidak akan diproses.
15 30 Agustus
Tim pembaca/penilai (Readers Team) akan melakukan penilaian atas motivation statement
terhadap kriteria-kriteria yang berlaku dalam program beasiswa ini. Kriteria difokuskan pada
aspek tujuan program dan kemampuan pelamar untuk menjabarkan komitmennya terhadap
pembangunan Indonesia.
September
Oktober
Kandidat akan menerima surat provisional award yang menyatakan bahwa beasiswa akan
diberikan untuk tahun akademik 2009 apabila kandidat telah berhasil memenuhi seluruh
persyaratan StuNed, termasuk lulus wawancara. Provisional award ini berlaku selama 2 tahun.
Kandidat juga akan menerima surat dengan daftar persyaratan yang masih perlu dilengkapi.
Okt Feb
Maret
Mei
Kandidat terpilih akan dihubungi untuk diwawancarai di kantor pusat NESO Jakarta, di
daerahnya atau melalui telepon. Pada sesi wawancara ini kemampuan berbahasa Inggris dan
kualifikasi lain dari para kandidat akan dinilai. Apabila kandidat tersebut tidak memenuhi
kualifikasi StuNed, maka provisional award yang telah didapat tidak akan diberikan status
StuNed Award dan kesempatan diberikan kepada kandidat lain yang masuk dalam daftar
cadangan.
Mei - Juni
Hasil seleksi dan wawancara akan diberitahukan kepada semua kandidat. Kandidat yang
berhak atas beasiswa StuNed akan menerima surat melalui e-mail, yang berisi informasi
mengenai langkah selanjutnya, peraturan dan kebijakan, paket informasi mengenai Belanda,
informasi mengenai prosedur pembuatan visa serta asuransi untuk pelajar. Kandidat juga akan
diminta untuk menyerahkan hasil tes kesehatan.
Juni - Juli
Penerima beasiswa akan menerima surat beasiswa (StuNed Award Letter) setelah melengkapi
seluruh persyaratan yang diperlukan.
Juli
Please attach
a recent
photograph
3x4
TO BE FILLED IN BY APPLICANT
name:
male
female
KTP / NIP:
BO
SM
UN
WK
BC
JU
JKT
NJ
email:
GPA:
S1
GPA MAX
English proficiency:
toefl
cbt
ielts
itp
non itp
non ielts
others
S2
GPA MAX
TOEFL / IELTS:
test date:
TEST CENTRE:
Satisfy criteria:
1.
complete form
yes
no
2.
age
yes
no
3.
employer statement
yes
no
4.
study abroad
no
yes
chosen programme:
university in NL:
duration:
months
selection:
employer:
(name of institution)
1.
>2Y
city:
2.
HWK
3.
CBC
4.
CSC
prov.:
employed since:
applicants position:
(specify)
position held since:
5.
Assessment:
Name
Place/Date of Birth
Marital Status
Email Address
NIP for Public Sector Applicant
Male
Place:
Single
1.
Married
Date:
Children
2.
Female
Home Address
Home *:
Passport number
Nr.
Mobile Phone *:
Date of issue:
Parents address
(or next of kin)
Telephone / E-mail
Date of expiry:
Name of university
Study programme
Period of this course
From:
Until:
Duration :
months
EUR
3. EDUCATIONAL RECORD
a.
Type of school
Name of school
City and Province
Year of graduation
b.
Type of school
Name of school
City and Province
Year of graduation
c.
Type of school
Name of school
City and Province
Year of graduation
d.
Undergraduate Education
Please enclose certified copies of relevant diplomas, degrees, certificates and transcripts.
Year of graduation ..
e.
Please enclose certified copies of relevant diplomas, degrees, certificates and transcripts.
From:
Until:
S-2
Masters Degree
Other
English:
Dutch:
Others:
excellent
excellent
...
good
good
fair
elementary
fair
elementary
.
not at all
.
5. PRESENT EMPLOYMENT
Name of Institution / Company /
Organisation
(Faculty/Department)
Brief description of the
company and the service it
provides
Type of organization
1. Central Government
2. Local Government
3. State University
4. Private University
5. Media
6. Non-Governmental Organization (NGO)
7. Other Educational Institute
8. BUMN
9. Private Company
10. Others
Telephone:
Fax:
Address
E-mail Address:
Website:
Employed Since (dd/mm/yy)
Present position
Employment for
hours a week
6. MOTIVATION STATEMENT
The statement should be typewritten and composed only by the applicant him/herself. If possible in English, if not
answer in Bahasa Indonesia. If more space needed expand space until maximum 2 pages. Start question number 7 on
new page.
No.
Criteria
Explanation
E.
7. MISCELLANEOUS
How did you find out about the StuNed
Scholarship Programme FOR THE VERY
FIRST TIME?
(please take time to fill in this question, to
enable us to develop the best promotion
strategy)
NESO Website
NESO Presentation (please indicate ...............................)
Article in print media (please indicate )
Advertisement in print media (please indicate ..)
Radio (please indicate)
Holland Education Fair (HEF)
Your Institution
Friends
StuNed alumnus
StuNed brochure/poster
NESO office in Jakarta/Surabaya
Others (please Indicate .....................................)
(TICK ONLY ONE ITEM)
List of Courses on the NESO website
Holland Education Fair (HEF)
Nuffic Website
University Website
Friends
Your Institution
NESO office in Jakarta/Surabaya
Others (please indicate................................................................)
No
Yes:
University
9
BAPPEDA/PEMDA
YEAR:
CITY:
No
Yes, year ..
8. FUNDING
Have you ever been awarded a scholarship?
Yes
Social Activities
Achievements
Publications
Awards
10
No
Name
Place
Signature
THE ORIGIONAL APPLICATION FORM AND ITS ANNEXES TOGETHER WITH A COMPLETE
COPY SHOULD BE SENT TO:
NESO INDONESIA
Menara Jamsostek 20th floor
Jalan Jend. Gatot Subroto no.38
Jakarta 12710
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