formulir s2 itb
TRANSCRIPT
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Form PROPE-S2
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TOTAL SCHOLARSHIP FOR ITB PROFESSIONNAL MASTERS INPETROLEUM ENGINEERING
In Collaboration with IFP School (French Institute of Petroleum School)
Total E&P Indonesie will grant a substantial number of scholarships for students from the best
Indonesian Universities with good Technical or Scientific majors in support of the ITB Professional
Masters in Petroleum Engineering.
This program is considered as one of TOTAL E&P Indonesies commitment to develop human resources
in their core business by giving a financial support to outstanding Indonesian students and also further
developing the institutes of higher learning by encouraging international cooperation.
The scholarship candidates should:
Be in their 8th semester or have already graduated in the previous semester,
Have good academic records with GPA min. 3.00,
English proficiency of 500 TOEFL or follow the TOEFL test arranged by ITB and obtain the
passing mark of 500.
Pass the Academic Potency Test conducted by OTO BAPPENAS at ITB with a minimum score of
500.
Total E&P Indonesie will conduct the selection process together with ITB. The grantees will be entitled to
have their tuition fees paid. The fee for the Professional Master PE has been fixed at Rp 39.000.000,
payable Rp 13.000.000,/semester.
A certain number of the successful Scholarship holders will be offered pre-employment agreements with
TOTAL E&P INDONESIE where in addition to the Tuition Fees, a competitive living allowance will be
offered to cover lodging, books and other expenses during the period of the course.
An obligation to work with TOTAL E&P INDONESIE will be required for a period of 2n+1 in which n is the
number of years of the pre-employment agreement between the Scholarship holder and TOTAL E&P
INDONESIE.
This form can be returned before 25 April 2013 to TOTALs localuniversity correspondent with the address here below
STUDENT ADVISORY CENTERITS
Contact Person: Ibu RinunPhone: (031) 592 5880/ (031) 709 79292
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APPLICATION FOR SCHOLARSHIP
PERSONAL DATA
Full Name :INDRA PERKASA
Present Address :BHASKARA SARI NO 69. MULYOSARI - SURABAYA
Permanent Address :BLOSSOM VILLE BLOK J/20 NO 5 THE GREEN, BUMI SERPONGDAMAI-SOUTH TANGERANG, BANTEN
Telephone : (62)85697040699
Email Address : [email protected]
Place & Date ofBirth
: TANJUNG, SOUTH BORNEO, FEBRUARY 12TH 1991
Account Number : 1280005803116
Bank Address : BANK MANDIRI
FAMILY DATA
Name Age Education Occupation
FatherTIASHADI YITMOYONO 61 BACHELOR OF MINING
ENGINEERING IN INSTITUTTEKNOLOGI BANDUNG
RETIRED FROM PT.PERTAMINA
Mother SRI UTARI 57 SENIOR HIGH SCHOOL HOUSE WIFE
Sibling:
1ARYO UTOMO 29 BACHELOR OF
MANAGEMENT IN ATMA JAYAJAKARTA
EMPLOYEE
2TEGUH MAULANA 26 BACHELOR OF PETROLEUM
ENGINEERING IN INSTITUTTEKNOLOGI BANDUNG
EMPLOYEE
3
4
5
EDUCATION BACKGROUND
School From - To Name & Location of School Major CourseGraduated/ Degree
ReceivedGPA
Elementary
1997 2003AL-AZHAR BUMI SERPONG
DAMAI- -
Jr. High 2003 2006AL-AZHAR BUMI SERPONG
DAMAI- -
Sr. High 2006 2009AL-AZHAR BUMI SERPONG
DAMAISCIENCE -
University2009 -
PRESENTINSTITUT TEKNOLOGISEPULUH NOPEMBER
ENVIRONMENTALENGINEERING
- 2.97
UNIVERSITY CONTACT NUMBER
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University :INSTITUT TEKNOLOGI SEPULUH NOPEMBER
Faculty/ Major :FAKULTAS TEKNIK SIPIL DAN PERENCANAAN
University Address(with post code)
:KAMPUS ITS, SUKOLILO, SURABAYA, EAST JAVA, INDONESIA 60111
Telephone & Fax. Number(with area code)
: 62-31-5948886 & 62-31-5928387
ORGANIZATIONAL ACTIVITIES
Name of Organization/ Activities From - To Position
HMTL ITS 2010 2011 STAFF OF RESPONSIBILITYDEPARTEMENT
HMTL ITS 2011 2012 STAFF OF ART AND SPORT
LOMBA INOVASI TEKNIKLINGKUNGAN
2011 2012 CHIEF EVENTS
SOCIETY OF PETROLEUMENGINEERING ITS STUDENT
CHAPTER
2012 PRESENT MEMBER
SOCIETY OF PETROLEUMENGINEERING INTERNATIONAL
2013 - PRESENT MEMBER
TRAINING/ COURSE/ APPRENTICESHIP RECORDS
Kind of Training/ Course/Apprenticeship
From - To Organized By Location
GEOTHERMAL SEMINARAND CARRER TALK WITHCHEVRON
2013 SOCIETY OFEXPLORATIONGEOPHYCICS
SURABAYA
COURSE 2013 SCHLUMBERGER SURABAYA
TRAINING OHSAS
18001:2007
2013 PT PHITAGORAS GLOBAL
DUTA
SURABAYA
YOUNG WATERPROFESSIONAL
2013 INTERNATIONAL WATERASSOCIATION
JAKARTA
COURSE 2013 CHEVRON SURABAYA
ON-JOB TRAINING 2012 PERTAMINA EP CIREBON
ACTIVITIES & HOBBIES
Membership ofProfessional Association
MEMBER OF SOCIETY OF PETROLEUM ENGINEERING STUDENT CHAPTER ITS
Hobbies & Sports FUTSAL, CYCLING, MUSIC, AND TRAVELLING
Social Activities -
ADDITIONAL INFORMATION (if any)
- 3rd PLACE ON FESTIVAL MUDA ACCOUSTIC MUDA CREATIVITY 4TH ANNIVERSARY
- PARTICIPANT IN FUTSAL RECTOR CUP 2012
- 2nd PLACE FUTSAL OLIMPIADE FTSP 2012
- 3rd PLACE FUTSAL OLIMPIADE FTSP 2013
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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 Indonesies ScholarshipProgram.
Date: Applicants 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 the first page of your account book (that stated the Banks name, your name and account number).
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Date : APRIL 24, 2013
Name : INDRA PERKASA
1. Why are you entitled to accept this scholarship?
I deserve this scholarship because I have potential and competent in my academic and I have good time
management, I have experience in how to lead an organization. I have a strong desire to learn about oil from the
process of getting oil to process oil. I have some participant in the sector of petroleum engineering, such as I am
being a member of Society of Petroleum Engineering ITS SC and International SC. Then I have some experience
when I work practies in Pertamina EP, I enjoy working in the field of petroleum engineering, so I want to continue
my studies to the more spesific in petrolium engineering.
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2. Why do you want to continue your study to Master Degree?
I want to continue my study from bachelor degree to master degree because I want to expand my knowledge in
engineering focused to petroleum engineering and I want to be an expert of it, so can I learned much in petroleum
world, then I can working in leading oil and gas company. And also my reason to continue studying to master
degree to improve the standard when we getting a job. Because the salary standard of master degree is higher than
bachelor degree. And also to make it easier to get a job if I have a Master Degree. Another reason why I want to
continue my study to master degree because I want to expand my networking with people especially the experts.
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3. What is your plan after graduated from ITB Professional Masters in Petroleum Engineering?
My plan after I graduated from ITB then get Master degree in petroleum engineering is working in the oil and gas
company like Total E&P. Total E&P is oil and gas company based in French that pays high salaries to its
employees. Then in oil and gas company, I would connect my environmental science in bachelor degree with a
petroleum engineering to solve problems associated with petroleum world environmental also.
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