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APPLICATION FORM FOR YOUTH COMPETITION FOR DISASTER EDUCATION Selection for JENESYS 2.0 1. GROUP INFORMATION Group Name PALAPA Community Development Date of Establishment 2007 Area of Operation Country City Group Contact Information Postal Address HME ITB, Labtek VIII (Basement), ITB, Ganeca 10 Bandung, Telephone E-mail Group Members* Name No Given Name Family Name Middle Name 1 Berlian Agusta Akbar Yon Bac 2 Syahrial Ramadhan - Bac 3 4 Brief Introduction of Group (vision, misson, and program outline) (150 words maximum) Group Activity Report: Provide group activity report introducting actual programs/projects conducted in order to tackle the issues of concerning post- disaster reconstruction, disaster preparedness, engaged in children, handicapped & elderly care, in deal with LGBT issues, women’s empowerment, or others (400 words maximum)

Berlian's & Group Essays _ Application Form for Youth Competition for Disaster Education (JENESYS 2.0) v1.2

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Page 1: Berlian's & Group Essays _ Application Form for Youth Competition for Disaster Education (JENESYS 2.0) v1.2

APPLICATION FORM FOR YOUTH COMPETITION FOR DISASTER EDUCATIONSelection for JENESYS 2.0

1. GROUP INFORMATION

Group Name PALAPA Community Development

Date of Establishment 2007 Area of OperationCountry Indonesia

City Bandung

Group Contact Information

Postal Address HME ITB, Labtek VIII (Basement), ITB, Ganeca 10 Bandung, Telephone -

E-mail

Group Members*

Name

No Given Name Family Name Middle Name Degree

1 Berlian Agusta Akbar Yon Bachelor (Student)

2 Syahrial Ramadhan - Bachelor (Student)

3

4

[email protected]

Brief Introduction of Group (vision, misson, and

program outline) (150 words maximum)

Group Activity Report: Provide group activity

report introducting actual programs/projects

conducted in order to tackle the issues of

concerning post-disaster reconstruction, disaster

preparedness, engaged in children, handicapped & elderly care, in deal with LGBT issues, women’s

empowerment, or others (400 words maximum)

Page 2: Berlian's & Group Essays _ Application Form for Youth Competition for Disaster Education (JENESYS 2.0) v1.2

* The Group Leader putted first in the Group Name's Column

Group Motivation in Joining the Competition (200 words maximum)

What contribution that the group able to give after

joining the trip to Japan? how do you aim to improve your programs using your

experience in Japan? Please specify how your trip and learning there

will directly contribute to your activities for the communities (Fellow

students, neighborhood, recipients of your

programs, etc) ? (750 words maximum)

Page 3: Berlian's & Group Essays _ Application Form for Youth Competition for Disaster Education (JENESYS 2.0) v1.2

2. PERSONAL INFORMATION 1

Name Berlian Akbar Yon Agusta

Date of Birthdd/mm/yyyy

21Sex

8/8/1992 Nationality Indonesia

Kebon Bibit Utara 97/58 Bandung Wetan, Bandung 40116, Indonesia

Mobile 6285795564911'Telephone - Email

Name of University or Graduate School Field of Study Electrical Engineering

Institut Teknologi Bandung Grade/Shool Year 4th year/2010

AddressLabtek VIII, basement floor, Jalan Ganeca 10 Bandung, Jawa Barat

Telephone -

Fax -

Email -

560

Level of English

What contribution that the group able to give after

joining the trip to Japan? how do you aim to improve your programs using your

experience in Japan? Please specify how your trip and learning there

will directly contribute to your activities for the communities (Fellow

students, neighborhood, recipients of your

programs, etc) ? (750 words maximum)

Age (as of Dec. 17,

2013

[v] M □ F

Contact Information

Current Address

[email protected]

Information of Your University

or Graduate School

Language Competency

English Proficiency certificated score (if

any)

[v] Fluent □ Fair □ Poor

Level of other Languages (Indonesia) [v] Fluent □ Fair □ Poor

Level of other Languages ( ) □ Fluent □ Fair □ Poor

Oversea Travel/Study Experience (list your major

oversea trips/studies, if any)

One Semester exchange to Singapore (National University of Singapore) to improve my English and study about social sciences & arts (economic, business, world religion, storytelling); Two Months internship in Bangkok (Machine Vision Lab @ KMUTT (University)), One month

internship in Bangkok (Solimac Automation (Company))

Page 4: Berlian's & Group Essays _ Application Form for Youth Competition for Disaster Education (JENESYS 2.0) v1.2

2. PERSONAL INFORMATION 2

Name Syahrial Ramadhan

Date of Birthdd/mm/yyyy

21Sex

4/1/1992 Nationality Indonesia

Kebon Bibit Barat 28, Bandung, Indonesia

Mobile 8.5655E+10 Telephone - Email

Name of University or Graduate School Field of Study Electrical Power Engineering

Institut Teknologi Bandung Grade/Shool Year 4th year/2010

AddressLabtek VIII, basement floor, Jalan Ganeca 10 Bandung, Jawa Barat

Telephone -

Fax -

Oversea Travel/Study Experience (list your major

oversea trips/studies, if any)

One Semester exchange to Singapore (National University of Singapore) to improve my English and study about social sciences & arts (economic, business, world religion, storytelling); Two Months internship in Bangkok (Machine Vision Lab @ KMUTT (University)), One month

internship in Bangkok (Solimac Automation (Company))

Briefly explain about yourself, including your

background, personality, motivation in joining the competition, as well as

your volunteer / internship / professional experience (500 words

maximum)

Last year, I decided to develop new personality which I called it “No Hesitation” personality. The goal is to make myself enjoy my life more than ever, by putting more impulse into my decisions, or simply put no hesitation to every choice in my life. The first mission was to be enrolled in one exchange program provided by my university.

After several attempt, several interview, and several decline, I managed myself to get my exchange period. It was the best, I learnt how to speak English as an everyday language including it slangs, learnt social sciences (originally I study engineering), discussed new things with new people from around the globe. It was amazing.

The side effect is that I need to postpone my study in the original university. I won’t be able to graduate in the same time as my friends will do. I was anxious at first, but one says “the first time always rough”. Now I’m glad I took the chance. It affects my personality to become a person who accepts more challenges and chances in the life. The biggest thing is now I’m able to enjoy myself and my life more than ever.

Since my parents are both teacher, I enjoy learn about new things since when I was a kid. I’m talking about my curiosity. If there’s something new in front of my eyes, I won’t be able to manage my attention away from the thing. Some said that it’s a burden because I can’t focus on a thing. I see that as a gift because not everyone is able to put such amount of curiosity towards new thing.

This curiosity put me in a condition when I joined PALAPA community development two years ago. Palapa is a community development organization which implements technology to solve social problems in the rural area in Indonesia. We identify the problems such as economic and social problem, route the cause of the problem, and together with the villagers, we try to solve the problems using technology and business knowledge.

I wanted to do the other thing for the organization : marketing and media. So I talked to the president of the organization that I want to do the marketing, he accepted it. It worked so great. I really enjoyed my role. Now, we’re in a progress to have new place to develop in the west area of west java.

I also enjoy actual community development and volunteering activities. In my university, other than the Community Development with PALAPA organization, I attended “KKN Tematik ITB” volunteering activity. Its objective is rather the same with PALAPA, to develop rural area, but only in two months, compared to multi-year activity which PALAPA does. I also did volunteering when I was in Singapore. I serve for local foundation to collect funds for elderly by conducting swimming competition and work for prepare Chinese new year. It was fun and enriching, and makes me want to do more community service or development.

Why do you think you should be selected? You can freely explain about your dreams, future, or

anything (500 words maximum)

I really enjoy learn something bigger than I have learnt yesterday. As well as I enjoy make new friends and maintain old connections. This might be simple words that almost everyone knows

how to says, but not everyone is able to do it as they might want to do it. There are some challenges ahead if one wants to do thing like this. For example, mastering how to chat with new

friends by keeping the excitement and curiosity, what to talk, etc. Besides internal cause like I mentioned, one must know or able to understand what is going on in the world today, yesterday, or might happen tomorrow. Understand the pop culture that might be shared with other youth is a plus. I will not say it put no effort. One must catch up with what is going on in the world, means that one must receive information worldwide, while maintain local connection with local friends.

I’m proud to say that I did that, and I am the part of global-connected generation, while I still maintain to mingle with local friends.

I would love to learn about the culture in Japan. I am interested in work culture of urban Japanese, as well as traditional culture of other Japanese. I would like to learn how the people

work to solve their urban and rural problem. Everyone knows that Japanese are good at it. They put a lot of effort and integrity to what they do. I also would love to learn about the culture. I

want to learn about Shinto and Zen Buddhism (Mahayana) which taught among the people in old Japanese. To learn about local religion and wisdom like this would increase my wisdom to solve

social problem in my community, as well as improving my life afterwards.

I am aware that a lot of applicants would also love the same thing as myself, but I would like to say that what I’ve said before is arranged from my deepest thought since a long time ago. That

means that I did not make an essay just for this program, but it is a thought from long accumulated joy of doing every event in my life so far. That also means I definitely will put my

best effort to learn about disaster management and community development there. By doing that, I am able to transfer the huge amount of skill and information to my community where I belong. Personally, I think that the most ready and most enthusiast applicants always the best candidate

for the program.

I also hope that this experience bring more skill and wisdom to myself in the future, as I want to be industrial leader, and political leader afterwards. Until now, I hope my career path will be in

industrial and then enter political economic world. By learning disaster management, community development, and expand my network globally, I believe it will make me a better leader in my

career afterwards.

Age (as of Dec. 17,

2013

[v] M □ F

Contact Information

Current Address

[email protected]

Information of Your University

or Graduate School

Photo (taken

within 3 months)

Please write your name on the

back of your photo.

Page 5: Berlian's & Group Essays _ Application Form for Youth Competition for Disaster Education (JENESYS 2.0) v1.2

AddressLabtek VIII, basement floor, Jalan Ganeca 10 Bandung, Jawa Barat

Email -

-

Level of English

2. PERSONAL INFORMATION 3

Name

Date of Birthdd/mm/yyyy Sex

Nationality

Mobile Telephone Email

Information of Your University

or Graduate School

Language Competency

English Proficiency certificated score (if

any)

[v] Fluent □ Fair □ Poor

Level of other Languages ( Indonesia ) [v] Fluent □ Fair □ Poor

Level of other Languages ( Japanese ) □ Fluent □ Fair [v] Poor

Oversea Travel/Study Experience (list your major

oversea trips/studies, if any)

I've never experienced any Oversea Travel/Study. Maybe this oppurtunity will become a great impact in my life.

Briefly explain about yourself, including your

background, personality, motivation in joining the competition, as well as

your volunteer / internship / professional experience (500 words

maximum)

My life pupose is to reach a certain goal. I make a goal for myself that i must serve for others. My first journey of helping people starting with Wae Rebo, Flores. It's a tribal village that live in the

center of jungle. Their life isn't easy, but they mostly smile in spite of rough environment that surrounding them. From them I learnt that happiness is come from within. The more you make

others happy the more happy you are. Second , I learnt a lot from people in Cihurip, Garut. My experience living along with people in

there help a lot to build my empathy. In Garut, me and my friends helped people solve a community problem. There were group of people that dominate a shared facility. After took several discussions and personal interactions, we could create a new regulation that fair for

everyone. That moment is a starting point in my life to learn what community development is.From my project in Wae Rebo, Flores I met Mrs. Tri Mumpuni and Mr. Iskandar Kuntoadji.

They are CEO and founder of IBEKA. IBEKA is a famous NGO in my country that engaged in community development. From them I learn about empowering people and community

development. I am very enjoying my time when having discussion with them.Sharing with others improve youself a lot. Every person in the world have a meant to live and

story that encourage them. By listening their story, their sadness, their joy makes you appreciate your self and your life. By joining the competition I'd like to sharing with other peole that I never

met, listening each other and encourage each other.

Why do you think you should be selected? You can freely explain about your dreams, future, or

anything (500 words maximum)

My country, Indonesia, have a lot of resouces and potential. Resources and potential must be used for the good of its own people.Reality in my country there are many poor people and the gap

between rich and poor is too wide. People struggling to life because the price is elevating every year but their income is stagnant. The problem is they don’t have capability and capital to

cultivate resources that given. Developing my country is to empower people so they can give added value to their resources. By giving added value they can have more income to get. This

method must be implemented in a community. If we use community-based development, we can have the benefit of development to every person.

Enjoying my life is getting involve with new person everyday. By sharing you know each other problems and dreams. Understanding their problems is essentials if you want to help others. To

solve a community problems is to listen every problems that everybody have and make a conclusion what is the main problems. The solutions must be fit with their condition. That why

you must respect their culture and local wisdom. My dreams is developing a community potentials by respecting their local wisdom. If I selected, I'll very excited to learn others culture

and their local wisdom. Because the more experience you have, making you ready to face a problems. If you want to solve a community problems, you must learn from other community. Experiencing isn't just getting involve on its process, by listening from others is more effective

way to learn.

Age (as of Dec. 17,

2013

□ M □ F

Contact Information

Current Address

Photo (taken

within 3 months)

Please write your name on the

back of your photo.

Page 6: Berlian's & Group Essays _ Application Form for Youth Competition for Disaster Education (JENESYS 2.0) v1.2

Name of University or Graduate School Field of Study

Grade/Shool Year

Address

Telephone

Fax

Email

Level of English

2. PERSONAL INFORMATION 4

Name

Date of Birthdd/mm/yyyy Sex

Nationality

Information of Your University

or Graduate School

Language Competency

English Proficiency certificated score (if

any)

□ Fluent □ Fair □ Poor

Level of other Languages ( ) □ Fluent □ Fair □ Poor

Level of other Languages ( ) □ Fluent □ Fair □ Poor

Oversea Travel/Study Experience (list your major

oversea trips/studies, if any)

Briefly explain about yourself, including your

background, personality, motivation in joining the competition, as well as

your volunteer / internship / professional experience (500 words

maximum)

Why do you think you should be selected? You can freely explain about your dreams, future, or

anything (500 words maximum)

Age (as of Dec. 17,

2013

□ M □ FPhoto (taken

within 3 months)

Please write your name on the

back of your photo.

Page 7: Berlian's & Group Essays _ Application Form for Youth Competition for Disaster Education (JENESYS 2.0) v1.2

Mobile Telephone Email

Name of University or Graduate School Field of Study

Grade/Shool Year

Address

Telephone

Fax

Email

Level of English

Contact Information

Current Address

Information of Your University

or Graduate School

Language Competency

English Proficiency certificated score (if

any)

□ Fluent □ Fair □ Poor

Level of other Languages ( ) □ Fluent □ Fair □ Poor

Level of other Languages ( ) □ Fluent □ Fair □ Poor

Oversea Travel/Study Experience (list your major

oversea trips/studies, if any)

Briefly explain about yourself, including your

background, personality, motivation in joining the competition, as well as

your volunteer / internship / professional experience (500 words

maximum)

Why do you think you should be selected? You can freely explain about your dreams, future, or

anything (500 words maximum)

Photo (taken

within 3 months)

Please write your name on the

back of your photo.