Dokumen Beasiswa MitsuiBussan
Dokumen Beasiswa MitsuiBussan
Dokumen Beasiswa MitsuiBussan
IPA/2016/2511
APPLICATION FOR MITSUI-BUSSAN SCHOLARSHIP PROGRAM FOR INDONESIA
A. PERSONAL IDENTIFICATION
Name
Place of Birth
Kuningan
Date of Birth
12 - 3 - 1997
Marital Status
single
Sex
male
Nationality
Indonesia
Religion
Islam
Address
Perum Puri Mutiara Indah Blok CP01 Jl.Cakalang 10, Karang Raharja, Cikarang Utara
Country
Indonesia
City
Cikarang
Province
Jawa Barat
ZipCode
17530
Phone
+622129256377
Handphone
08561043205
Email Address
sriariefwibawamukti@gmail.com
Family's Address
Perum Puri Mutiara Indah Blok CP01 Jl.Cakalang 10, Karang Raharja, Cikarang Utara
Phone Number
+628111555322
Age
19
B. EDUCATION BACKGROUND
Name and Address of School
Numbers of
schooling years
From 2008
To 2006
From 2008
To 2011
Course
(IPA or IPS)
12-02-2016