[Name] [Current address] [Ph Number] [Mobile] [Email address] EDUCATION • Major University GPA/Grades Year of Graduation • Additional Academic Qualifications High School Year of Graduation STANDARDIZED TEST (Mandatory if you have taken the test) • GMAT Score • GRE Score • Other Test Score (Please specify) EXTRA CURRICULAR ACTIVITIES (Examples of organizational and/or committee experience in the
past 5 years. Please list leadership roles if any)
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JOB EXPERIENCE (Two most recent ones if any) • • ACHIEVEMENTS/ SCHOLARSHIPS/ HONORS/ AWARDS (in the past 5 years) • • • SKILLS AND INTERESTS
I am interested to join: YLI National YLI Satellite* Both
* Currently offered to limited universities Secretariat address: Yayasan Pemimpin Muda Indonesia Wisma GKBI 40th Floor, Jl. Jend. Sudirman 28, Jakarta 10210, Indonesia Phone: (62 21) 5798 6600, Fax: (6221) 574 1540