ProBuddy Application Please leave this field empty. Required fields are marked with a * Personal Details TitleDRMRMISSMRSMS First Name Last Name Preferred Name Contact Number 1 Contact Number 2 Nationality Email Address 1 Email Address 2 Passport Number Gender * MaleFemaleUndefined Your Address in Jakarta Address University Details University Name Student ID Number Course Name Current Average Mark(%) Major 1 CV and Statement of Intent Please upload your CV. Note: Please put some time into this to ensure that it is representative of your achievements and capabilities, looks clean and has consistent formatting. Attach File * (5MB max) Please provide a statement of around 100 words in English explaining the following: 1. Why you want to join the ProBuddy program; 2. What your interests and hobbies are; and 3. What skills you are seeking to gain from the ProBuddy program.* Statement of Intent Other How did you hear about this program? *—Please choose an option—From a friendFrom your lecturerFrom an adviser at universityEmail sent by your universityOnline info provided by your universityOnline SearchOther Please provide any other information that you think may be of relevance to your application. Other Information Submit
