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Application Form Personal Details Title: Highlight one or specify other Mr Ms D.O.B: June 3 rd 1994 Family name: Arcanggi Suffix: (e.g.MD) Ms First Name: Ardita Middle Name(s) : Rizky Putri Preferred Name: Kiki Email Address: [email protected] Telephone: 085764220794 School: Undergraduated Student University of Indonesia Course: Bioprocess Engineering Faculty of Engineering Toastmaster International When will you finish your course (mm/yy): 2016 Position Please provide details of the position in 2015 AAYS Committee that you are interested in (in order of preference if there are more than one) + Secretary +Marketting Emploment and/or Volunteering History Have you worked for AAYS before? Yes No Have you worked for student association before? (If yes, please list that association and your position) Yes / No (Please attach your Individual CV to show off your ability)

AAYS15 Application Form

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Page 1: AAYS15 Application Form

Application FormPersonal DetailsTitle: Highlight one or specify other Mr Ms

D.O.B: June 3rd 1994

Family name:

Arcanggi Suffix:(e.g.MD)

Ms

First Name: Ardita Middle Name(s):

Rizky Putri Preferred Name:

Kiki

Email Address: [email protected] Telephone: 085764220794

School: Undergraduated Student University of Indonesia

Course: Bioprocess Engineering Faculty of Engineering Toastmaster International

When will you finish your course (mm/yy): 2016

PositionPlease provide details of the position in 2015 AAYS Committee that you are interested in (in order of preference if there are more than one)

+ Secretary

+Marketting

Emploment and/or Volunteering History

Have you worked for AAYS before? Yes No

Have you worked for student association before? (If yes, please list that association and your position) Yes / No

(Please attach your Individual CV to show off your ability)