Iap Application Form 2021

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THE MINISTRY OF NATIONAL EDUCATION

INTERNATIONAL BUSINESS AND ECONOMICS


PROGRAM (IBEP)
FACULTY OF ECONOMICS AND BUSINESS, SYIAH KUALA UNIVERSITY
D3 Building, Room 1 Level 2, Darussalam, Banda Aceh 23111
Phone: +62.853.7074.0559– Fax: +62.651.755.2507

INTERNATIONAL ACCOUNTINGPROGRAM (IAP)


2021INTAKE

Registration Number :…………………………….. (Officeuse only)

APPLICATION FORM INSTRUCTIONS 4x6

Color photo

Please use BLOCK LETTERS and BLACK INK


✔ Applicants must complete all sections
✔ This applications must be completed in English
✔ For “Yes” or “No” questions, indicate your response with an “X” in the appropriate box
✔ If your IAP application is successful, you will be contacted to have interview
✔ Submitting this application does not guarantee that you will be accepted as IAP students
✔ Complete your application form with the following documents:
− 1 copy of senior high school certificate (ijazah)
− 3 exemplar of 4x6 color photo
− 1 copy of citizenship card or passport (if available)
− TOEFL Equivalent or ITP TOEFL Score (Preferably Pusat Bahasa Unsyiah)
− Statement of Financial Ability signed by parents
✔ Lodge your application form to:

INTERNATIONAL BUSINESS AND ECONOMICS PROGRAM (IBEP)


D3 Building, Level 2, Darussalam, Banda Aceh 23111
FACULTY OF ECONOMICS AND BUSINESS, SYIAH KUALA UNIVERSITY
E-mail : [email protected]
CONTACT PERSON : Julidar, SE. Hp/WA 085276077981
Surita Zahriyati, SE. Hp/WA 08116814426
Application Form
1. Personal Details
Title € Mr

Family Name -
Given Name AFDHAL SABILA
Country of Indonesia
Citizenship
Gender male
Marital Status Single
Date Of Birth 11 / 06 / 2003 (day/month/year)
Religion ISLAM
Mobile Number 082291037754
Address in Banda
Aceh
Hometown Jl. Kompi C, village lapang, districs Johan pahlawan, regency Aceh barat
Address
E-mail Address [email protected]

2. Parent Details
Father Mother
Name TARMIZI CUT SEUMIATI
Place, Date of Birth 17 / 09 /1968 01 / 12 /1972
Permanent Address Jl. Kompi C, village lapang, Jl. Kompi C, village lapang,
districs Johan pahlawan, districs Johan pahlawan,
regency Aceh barat regency Aceh barat
The Latest Education S1 ekonomi SMA
Occupation Indonesia Indonesia
Income Per Month 2.500.000-3.000.000 -
Working Address Village pante cereumen, sub -
districs pante cereumen,
districs Aceh barat
Mobile Number 085260898474 082335359894

3. Emergency Contact Details


Name AHDA SABILA
Relationship to Applicant Brother
Address

Mobile Number
Email Address
4. English Language Proficiency

Is English your first language? € No


If ‘No’, Please answer the following: Indonesia
Have you taken an English Test € No
(If ‘Yes’, provide the expired date)………………………….
€ TOEFL EQUIVALENT
If ‘Yes’, please tick one Listening Structure Rdg/Voc Overallscore

€ ITP-TOEFL
Listening Structure Rdg/Voc Overallscore

€IELTS
Listenin Reading Writing Speakin Overall
g g

Give details of any English language


training undertaken/currently being
undertaken

Note: for the successful applicants, IBEP will provide Pre TOEFL, TOEFL English Preparation and Post
TOEFL test

5. Qualifications

Level of Study Kindergarten Primary School Junior High Senior High


School School

Name of School Tk Bunga Sd N 3 MTSs Harapan Sma N 4 Wira


emas Meulaboh bangsa bangsa

District/Regency/countr Johan Johan Johan Johan


y pahlawan/Ace pahlawan/Aceh pahlawan/Aceh pahlawan/Aceh
h barat / barat / barat / Indonesia barat / Indonesia
Indonesia Indonesia

Start Date 2008 2009 2015 2018

Completion Date 27 juni 2009 26 juni 2015 28 mei 2018 4 juni 2021
6. Applicant’s Supporting Statement
Please limit your answers to 100 words per question. Attach a page if there is not enough SPACE.
The answers must be written by the applicants without any assistance from other parties

a. Why do you want to study in International Accounting Program (IAP)

b. How you describe your personality in supporting the study Process in IAP

c. What is your biggest achievement so far?

d. In campus, what do you plan to do outside the classroom


STATEMENT OF FINANCIAL ABILITY

I am the undersigned :
name : Afdhal sabila
Place / Date of Birth : Meulaboh/11 juni 2003
Occupation : Indonesia
Mobile Number : 082291047754
Parents of : Tarmizi
Place / Date of Birth : Lango/17 sep 1968

Declare that I allow my dependent to join International Accounting Program, Accounting


Department, Faculty of Economics and Business, Syiah Kuala University.

I sign this letter with full awareness, with no pressure from any party.

Banda Aceh, …………………………………2021

SIGNATURE

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