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UNIVERSITAS GADJAH MADA

Buraksumur, Yoqyaka^a ss23r, rerp. (0274) s33633, Fax. (0274) Webs l : rylsm.ac.id, E ma : 5ct@q[i.!!]!

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2
Penawarun Beasiswa S-2 Total E&p lndonesie

2 flAR 201i

Yth. Wakit Dekan yang membidanqi Kemahasiswaan 1. Fakultas MIPA 2. Fakultas Teknik Universitas cadjah Mada

menawarkan kembali program Beasiswa ,TB Master in peiriteui Engineeting Scl,olarshlp untuk lulusan/mahasiswa Universitas Gadjah Mada p"i"y"rat"n O"ng;n ,

Dengan ini kami beritahukan bahwa Total E&p lndonesie pada Tahun Aiatan ZA11aO12

1.

"OO

3. 4.

^ 2.

Sarjana atau t\,4ahasiswa duduk disemester akhir Fakultas MlpA jurusan Fisika, Kimia, Matemalika dan Fakultas Teknikjurusan Kimia, T. l\,4esin, T. e fef<tio, i. Ceofogi Tidak sedang mengajukan/menerima beasiswa lajn IPK minin,al3,00 (metampirkan Transkrip nilai) Fotokopi KTNr/KTP yang masih berlaku

sehubungan dengan itu kami mohon diinformasikan kepada mahasiswa di Fakurias saudara dan berkas yano telah direkomendasi dikirim ke Sub Oit. feselafiteraan VJhasiswa paling Iambat tanggal 6 Aprit 2011.
Atas perhatiannya diucapkan terima kasih.

r Kemahasiswaan

Tembusan Ylh. : 1. Ketua jurusan Teknik Ketua jurusan Teknik \"/ 3. hetua jurusan Teknik 4. Ketua jurusan Teknik Fakullas Teknik UGM.

l.

Kimia
ivlesin

Elektro Geologi

Toraueep tNDoNst
Form PROPE-S2

FORIVI PROPE

52

UGII,'I 2O1O

TOTAL SCHOLARSHIP FOR ITB PROFESSIONNAL MASTERS IN PETROLEUM ENGINEERING In Collaboration with IFP School (French Institute of Petroleum School)
Total E&P lndonesie will glant a substantial number of scholarships for students from the best lndonesian Universities with good Technical or Scieniific majors in support of the ITB professional
lVasters in Petroleum Engineerinq.

This program is considered as one of TOTAL E&p lndonesje,s commitment to develop human resources in their core business by gjving a financial support to outstanding lndonesian students and also further
developing the institutes of higher learning by encouraging international cooperation.
The scholarship candidates should:

. . . .

Be in their 8th semester or have already graduated in the prevjous semester, Have good academic records with cPA min.3.00,

English proficiency of 500 TOEFL or Iollow the TOEFL test arranged by ITB and obtain the passing mark of 500.
Pass the Academic Potency Test conducted by OTO BApPENAS at ITB with a minimum score
500.

of

Total E&P lndonesie will conduct the selection process together with lTB. The grantees will be entifled to have their tuition fees paid. The fee for the Professional Master pE has been lixed at Rp 7S.OOO.OOO, payable Rp25.000.000,/semester. A certain number of the successful Scholarship holders will be offered pre-employment agreements with TOTAL E&P INDONESIE where in addition to the Tuition Fees, a competitive living allowance will be
offered to cover lodging, books and other expenses during the period of the course.

An obligation to wo.k with TOTAL E&P INDONES|E

INDONESIE.

wi

be required for a period of 2n+1 in which n is the

number of years of the pre-employment agreement between the Scholarship holder and TOTAL E&p

This form can be returned before 8 April 2011 to TOTAL'S local university correspondent with the address here below
DIREKTORAT KEIVIAHASISWAAN KANTOR PUSAT UGIV, SAYAP UTARA LANTAI UGM - YOGYA
.1

Contact Person: lbu lda/ lbu Aini Phone: 0274 - 901929

..,.T-oraueep INDON5I
APPLICATION FOR SCHOLARSHIP
PERSONAL DATA

FORIVI PROPE-S2 UGIvI 2010

Permanent Addrss

Place & Date of Birth

Bank Address

EDUCATION BACKGROIJNO Name & Location ofSchool

Graduated/ Dedree

UNIVERSITY CONTACT NUMBER

Yrrr'''
Telephone & Fax. Number

l-orau &r, INDoNsl

.rr
:
oRGANIzAItoNAL AcTtvlTtEs
Name of Orsanization/ Activities

FORTVI PROPE-S2 UGtlt 2010

TRAINING/ COURSE/ APPRENTICESHIP RECORDS Kind of Training/ Course/

Organized By

ACTIVITIES & HOBBIES

Membership of Professiona{

Hobbies & Sports

ADDITIONAL INFORMATION

Th facts stated in thisScholarship Fonn aretrue and completetothe bstolny knowiedge and betief. lunde.siand and agreelo followallthe procedures, resulations, and requiremenis thalrelatedto TotalE&P Indonesie's Scholarship Prcgram.

Date:

Applicant's Signaturei

N.B:Plase

. . .

supplyallofthis documents, along with thh forml Copy of academic transcripts, fron lstsemesteruntilihe lastsemsier.

pholo (3x4 crn)-

Copyofthe first page ofyour account book (that stated the Bank's nane, your name and account numberi.

T()TAL

TAL &P INDON5I

Date
:

FORM PROPE-S2 UGM 20,10

1. Why are you entitled to accept this scholarship?

FORM PROPE-S2 UGM 201O

. ..' TorAL

&P tNDoNs1

2. Why do you want to continue your study to Master Degree?

,&

._,

Torau&r' INDoNst

FORM PROPE-S2 UGM 201O

3. What is you. plan after graduatecl from ITB Professional

l{asters in Petroleum Engineering?

TorAL