Professional Documents
Culture Documents
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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 Exchange Program (ICYEP): Female, 1823 years old
- Australia Indonesia Youth Exchange Program (AIYEP): Male, 21-25
years old
- Indonesia Malaysia Youth Exchange Program (IMYEP): Male, 23-27
years old
- Ship for South East Asia Youth Program (SSEAYP) : Male, 20-30 years
old
Graduated from Senior High School or higher.
Single (Not married yet).
o Has not joined any abroad youth exchange program under the Ministry
of Youth and Sport of Indonesia.
Requirements
Completely fill the application form.
Attach the following documents with the filled application form:
- A copy of identity card which shows your Bengkulu residentship.
- 2 sheets of recent photographs (passport size /4 cmx6cm)
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For the selected candidate (If you are selected as the representative
of Bengkulu Province for the respective program, you should submit
the following requirements to Ministry of Youth and Sport) :
Requirements:
Birth certificate.
Letter of permission from parents or home institution (with Rp 6.000
stamp /materai).
Letter of statement signed by Dinas Pemuda dan Olahraga.
Identity card.
Criminal Records (SKCK).
Copy of passport.
Copy of English competency test result (TOEIC / TOEFL/IELTS)
2 sheets of recent photographs (passport size /4 cmx6cm)
A paper (1000 words in minimum) about your activities during and after the
program.
Apply for:
APPLICATION FORM
CANDIDATES OF YOUTH EXCHANGE PROGRAM PARTICIPANTS 2012
Full Name
Nick Name
: Nico
Sex
: Male
Your picture
Occupation : Student
Phone Number
: +6287894720026
: nicopermana105@yahoo.co.id
Interests
Skills
Name
Secretary of Youth Red
Cross in Junior High
School 4 (SMP Negeri 4)
Bengkulu
Cordinator of Eletrician
Communities HIMATRO
University of Bengkulu
Name
Organizational Experiences
Year
Description
2005/2006
2011/2012
Achievement / Awards
Year
Other Experiences
Description
Name
Radio Announcer
Year
Description
I hereby state that all information written here is true and Im applying myself to
join the selection process.
Bengkulu, ..................
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