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INFORMATION FOR APPLICANTS

  Eligibility

o Age (Parcticipants should not be older than the maximum age and

younger than the minimum age by the time of the program starts) :- Indonesian – Canada Youth xchange Program (ICYP): !emale" #$-

%& years old- Australia – Indonesia Youth xchange Program (AIYP): 'ale" %#-%

years old- Indonesia – 'alaysia Youth xchange Program (I'YP): 'ale" %&-%

years old- *hip for *outh ast Asia Youth Program (**AYP) : 'ale" %+-&+ years

oldo ,raduated from *enior igh *chool or higher.

o *ingle (/ot married yet).

o as not 0oined any abroad youth exchange program under the 'inistry

of Youth and *port of Indonesia.

 

Requirementso Completely 1ll the application form.

o Attach the follo2ing documents 2ith the 1lled application form:

- A copy of identity card 2hich sho2s your 3eng4ulu residentship.- % sheets of recent photographs (passport si5e 67 cmx8cm)

For the selected cndidte !I" you re selected s the re#resentti$e

o" %eng&ulu Pro$ince "or the res#ecti$e #rogrm' you should submit

the "ollo(ing requirements to Ministry o" )outh nd S#ort* +

 

Requirements+

o 3irth certi1cate.

o 9etter of permission from parents or home institution (2ith p 8.+++

stamp 6materai).o 9etter of statement signed by ;inas Pemuda dan *)

o % sheets of recent photographs (passport si5e 67 cmx8cm)

/ote : >he re?uirements should be submitted directly to the committe (hard

copy) on Mrch ,-th.,/th' ,01,. >he re?uirements can be submitteddirectly to the committe on those dates t 2300 3m 4 1-300 #3m in

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o A paper (#+++ 2ords in minimum) about your acti@ities during and after the

program.

APPLICATION FORM

CAN5I5ATES OF )O6T7 E8C7AN9E PRO9RAM PARTICIPANTS ,01,

!ull /ame : 'uhammad /ico Permana

/ic4 /ame : /ico

*ex : 'ale

;ate of 3irth: 'ay #+th" #%

Address : Bl. >imur Indah & > % # /o.#+$ *idomulyo" 3eng4ulu

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/ame Year ;escriptionadio Announcer

rite about yourself in the follo2ing box (%+ 2ords in minimum):

rite about your moti@ation to 0oin the progam (%+ 2ords in minimum):

I hereby state that all information 2ritten here is true and IHm applying myself to

 0oin the selection process.

3eng4ulu" ..................

I ha@e a small posture" 2ith bro2n s4in" straight hair and thin" and foot

disorders from childhood"

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