Dokumen Beasiswa MitsuiBussan

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Registration No.

IPA/2016/2511
APPLICATION FOR MITSUI-BUSSAN SCHOLARSHIP PROGRAM FOR INDONESIA

A. PERSONAL IDENTIFICATION
Name

Sri Arief Wibawa Mukti

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

Years and Month


of Entrance and
Completion

Name : SDN Karang Baru 2

From 2008

Location : Jl. RE Martadinata no. 03

To 2006

Name : SMP Negeri 1 Cikarang Utara

From 2008

Location : Cikarang Utara

To 2011

Course
(IPA or IPS)

12-02-2016

(Sri Arief Wibawa Mukti)

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