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SCHOOL OF GRADUATE STUDIES

UNIVERSITI TEKNOLOGI MALAYSIA
81310 UTM SKUDAI, JOHOR
MALAYSIA

SESSION 20132014 SEMESTER 1

A. Personal Data

Full Name As In Identification

SURYA
Card/Passport
Correspondence Address JALAN HANG JEBAT NO. 76
-
Postcode 28126
City PEKANBARU
State RIAU
Country INDONESIA
Contact Phone No. +6281371882203
Email Address #1 surya.220972@gmail.com
Email Address #2 surya.220972@gmail.com
NRIC/ Passport a1970774
Country of Birth INDONESIA
Date of Birth (yyyy-m m m -dd) 22-Sep-1972
Nationality INDONESIAN
Gender MALE
Do You have any health problem? If so, please specify :
Disability NO
Disease NO

B. Field of Study

Name of Programme* PAWA3YJA - Doctor of Philosophy (Civil Engineering) (Full Time)

If Applicable (For Research Programme Only):
Title of Research THE CONSTRUCTION OF TOLL ROAD BUILT ON SOFT SOIL
Name of Proposed Supervisor PM. DR. OTHMAN BIN CHE PUAN

(For an application to a research programme, please enclose your research proposal.Failure to do so may
delay processing the application)

C. Academic Qualification

Year of Study Date of

Degree
No. Name of Institution Name of Degree Awarded / CPA Details
From To Duration Been
Completed

UNIVERSITAS ISLAM MASTER OF 3.24 out of

1 2008 2011 3 01 May 2011
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RIAU ENGINEERING 4.00
Details

D. Work Experience

Period of Employment
No. Position Name of Employer Details
From To Duration
03-Jan- 12-Apr- 7 Years, 3 Months, 1 Weeks, 2 DINAS PEKERJAAN
1 EMPLOYER Details
2006 2013 Days UMUM

E. English Language Proficiency

Please provide evidence of any English

-
Language qualifications
Score points of TOEFL/IELTS/TWE
Examinations

F. Financial Support

What will be your financial

pemerintah daerah riau
support?

G. Referee

Name -
Telephone No. +628127518566
Email -
Position FORMER LECTURER

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