PADJADJARAN UNIVERSITY APPLICATION FORM ASIAN STUDENT EXCHANGE PROGRAM 2012

1. NAME OF APPLICANT : DEDE (FIRST) ___________________________ (MIDDLE) SUHENDAR (LAST)

FACULTY

: MATHEMATICS AND NATURAL SCIENCES

DEPARTMENT : PADJADJARAN UNIVERSITY MAJOR FIELD : GEOPHYSICS CURENT ACADEMIC YEAR/GRADE : UNDERGRADUATE GRADUATE 1ST 2ND 3RD 4TH 2. DATE OF BIRTH : (Month-Day-Year) NOVEMBER - 11 - 1991 3. GENDER : Male Female MALE 4. BIRTHPLACE: (City, State/Province, Country) BANDUNG, WEST JAVA, INDONESIA 5. COUNTRY OF CITIZENSHIP INDONESIA 6. MAILING ADDRESS:
SUKA RASA 101/143E STREET, BANDUNG, WEST JAVA, INDONESIA

7. EMAIL ADDRESS: [email protected]

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Application for Asian Student Exchange Program 2012

8. FUTURE PLANS: (Describe your plan to pursue after attending the Asian Student Exchange Program 2012) Japan is a country when compare with Indonesia is not so great, but Japan can manage the country with the maximum, so as Japan became one of the advanced countries in technology, it is because of the existence of the thinking of people outside of the average "outbox", they think critically , creative and innovative, so as after attending the Asian Student Exchange Program 2012, I will make every effort to prove that Indonesia could be like the Japanese, I'm sure one day Indonesia will be a developed country, and therefore to realize that all we need a change, but change it should start from small things, starting from our own and do something with hard work and maximum.

9. EDUCATIONAL BACKGROUND INSTITUTION LOCATION DATES (Month and Year) From To 2009 PRESENT 2006 2003 1997 2009 2006 2003 DEGREE DATE RECEIVED 2009 2006 2003 1997

GEOPHYSICS OF PADJADJARAN UNIVERSITY SMA ALFA CENTAURI (SENIOR HIGH SCHOOL) SMP PGRI 4 (SECONDARY SCHOOL) SD NEGERI MUARARAJEUN LAMA (ELEMENTARY SCHOOL)

INDONESIA INDONESIA INDONESIA INDONESIA

10. INDICATE ANY ACADEMIC HONORS OR PRIZES WHICH YOU HAVE RECEIVED, WITH TITLES AND DATES

11. LIST ANY BOOKS OR ARTICLES PUBLISHED BY YOU

12. LIST OF ORAGANIZATIONA IN WHICH YOU NOW HOLD MEMBERSHIP OR IN WICH YOU HAVE BEEN ACTIVE IN THE PAST
Student Legislative Council in Faculty of Mathematics and Natural Sciences Padjadjaran University Member Youth Science Club in Senior High School Member School Conservation Club in Senior High School Member

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Application for Asian Student Exchange Program 2012

13. RESEARCH:

14. LANGUAGE (Excellent, Good or Fair) Mother Tongue: INDONESIAN LANGUAGE English Japanese READING INTERMEDIATE POOR WRITING INTERMEDIATE POOR SPEAKING INTERMEDIATE POOR

15. INDICATE ANY ACADEMIC HONORS OR PRIZES WHICH YOU HAVE RECEIVED, WITH TITLES AND DATES

16. ENGLISH PROFICIENCY International (Official) TOEFL : Score Pre-TOEFL : Score Institutional TOEFL : Score 3|Page Year obtained
Application for Asian Student Exchange Program 2012

Year obtained

Year obtained

17. HAVE TRAVELLED, LIVED OR STUDIED IN OTHER COUNTRY ( Indicate the country and year)

18. EMERGENCY CONTACT: (Name, Address, e-mail, telephone)

RIDWAN SOBIRIN TUBAGUS ISMAIL XVII NO.12 STREET, BANDUNG, WEST JAVA, INDONESIA [email protected] 0857-2330-4689

19.

NAME: DEDE SUHENDAR STATEMENT OF PURPOSE

COUNTRY: INDONESIA

I'm is a dreamer, my dream started when I will graduate from senior high school, at that time I was very confused "can I continue my studies to the university? ", Then I made a note on a piece of paper and I filled it all with my dreams, one of the contents of my dream is I want to study at state university and go to Japan. To realize my dream, I must have the determination and hard work, but there are always obstacles to make it happen, at that time my parents were not having the money to pay me to go to college, but with all that is in me, I forced myself to followed the university entrance selection, followed by thousands of people. I know to enter the state university is not easy, but with the permission of Allah I finally accepted as a student of physics, Padjadjaran University. And I also get some scholarships from several institutions, which I eventually won a National Leader Scholarship, when I joined with this scholarship is a lot of the activities that support me, so that made me become more developed and gained much experience and then I was able to continue the study until now because of this scholarship. When I lecture on physics, Padjadjaran University, I often chosen by my friend as class leader, because my friends have believed in me, me and my friends very happy to gather, start of the study together and set an agenda to carry out field trips to various companies or go to a place associated with geophysics, in physics I took my interest in geophysics, I am very happy with my field, because I have a goal, I want to develop geothermal energy in Indonesia, so that the energy problem in Indonesia can be overcome and I'm sure one day Indonesia will use geothermal energy as the primary energy. Japan? I do not know why I was dreaming to go to Japan, but with conviction and effort I'm sure I could go there, because Japan is not far away for me, but how far my efforts to go there. This program is one way to realize my dream, because through this program I would like to see Japan, whether the Japanese people as they say? developed country and those people who have creative and innovative. 4|Page
Application for Asian Student Exchange Program 2012

I certify that the information given in this application is complete and accurate to the best of my knowledge.

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Date (Month/Day/Year)
Application for Asian Student Exchange Program 2012

DEDE SUHENDAR

SABTU, 18 August 2012

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Application for Asian Student Exchange Program 2012