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INTERNSHIP APPLICATION FORM

Notes:

1. This form is part of your proposal to apply Internship Program. Therefore, please fill information needed to describe your personal; academic & career qualification.
2. Save this file with filename: INTERN_UniversityName_YourName_Program.XLS or .XLSX (E.g. INTERN_UGM_Yunandar_PW.xlsx).
3. Subject your email same with file name (see point 2) then send to mk.hedi.nuryanto@pertamina.com includes research paper & university recommendation letter.

PERSONAL DATA

ESSAY

Internship Applied

: Practical Work

Preferred Month

RESEARCH PROPOSAL
Please choose : 1. Practical Work / Kerja Praktek (Duration 1 month)
2. Thesis Research / Tugas Akhir (Duration 2 months)
3. Apprentice / Magang (Duration 3 months)

2013

July

to

August

Note : You should submit this form at the latest 3 months before your
preferred month to start the program.

PERSONAL DATA
Name

: Agustinus Danu Nalendra

Contact Number

1 085718758483

Gender: Male

Date of Birth: 5/8/1992

(format: DD/MM/YY)

2
Email

: Nalendradanu@gmail.com

Address

: Pura Melati Indah , blok H/8. Pondok Gede, Bekasi

Language Spoken

: Indonesia

Language Certification :

primary

English

>> Score
>> Score

secondary
others

EDUCATION BACKGROUND
University / School
University of Diponegoro

Degree
Strata 1

NIM
21060110141012

Major

GPA
3.1

Graduation (MM/YY)

Hints: order from most current to least current activity.

CAREER OBJECTIVE
Where do you see
yourself in 5 years time?

: I will work in a company where I have a good position .

Post graduation plan

In your current plan, in which function / discipline is your priorities:

C&F = Commercial & Finance
D&C = Drilling & Completion
E&I = Engineering & Completion

HR&R = Human Resources & Relations

HSSE = Health, Safety, Security & Environment
MLP
= Marine, Logistic, & Procurement

Department

Priority

First Priority

E&I

Second Priority

HSSE

OPS = Operations
PRO = Projects
SUB = Subsurface

Tell us why you choose this function

because engineering is my skill that I have learned in my university

because healty, safety and security is the first priority in a company to safe the enginner

WORK & ORGANIZATION EXPERIENCES

From

Period
-

To

OSIS SMP

2006

2007

OSIS SMA

2008

2009

Multilevel Marketing

2011

2012

Company / Organization

Industry

Job Description
Sie. Minat dan bakat

SEKBID V (Berorganisasi, Pendidikan Politik dan Kepemimpinan)

Leader

Hints: order from most current to least current activity.

INTERNSHIP APPLICATION FORM

Notes:

1. This form is part of your proposal to apply Internship Program. Therefore, please fill information needed to describe your personal; academic & career qualification.
2. Save this file with filename: INTERN_UniversityName_YourName_Program.XLS or .XLSX (E.g. INTERN_UGM_Yunandar_PW.xlsx).
3. Subject your email same with file name (see point 2) then send to mk.hedi.nuryanto@pertamina.com includes research paper & university recommendation letter.

PERSONAL DATA

ESSAY

RESEARCH PROPOSAL

What is your proudest achievement? Why?

to be a part of electrical engineering , because that is favorite's every people to study in university.

Have you ever failed? Why and how you deal with it?
yes , I've ever failed because my mistakes. I should regret our mistakes and learn from them, but never carry them forward into the future.

Please describe you leadership experience? How did you carry out the role?
to be a leader is not a easy way. Because it needed hardwork and time management. To manage any people, I usually start from my self to be a better
man. We can't change somebody if ourself can't changed. I start to dicipline of time, hardwork, and pray. What ever the result , let God give the best for
me.

Why we have to choose you amongst other applicants?

Because I have many skills in electrical engineering and I can lead many people in any situation. I use my mindset to succeed in many things.

SPECIAL RECOGNITIONS, AWARDS, & ACHIEVEMENTS

Organization / Activities / Awards,
Achievements or Special Recognitions

Year
Attained

Details of Activities / Awards

Hints: order from most current to least current activity.

PERSONAL PREFERENCE
Are you willing to relocate or travel?
Do you have any connection to anyone who works at PHE ONWJ?
Person Name :
Position / Department :
Relationship :

If Yes, please indicate the details

INTERNSHIP APPLICATION FORM

Notes:

1. This form is part of your proposal to apply Internship Program. Therefore, please fill information needed to describe your personal; academic & career qualification.
2. Save this file with filename: INTERN_UniversityName_YourName_Program.XLS or .XLSX (E.g. INTERN_UGM_Yunandar_PW.xlsx).
3. Subject your email same with file name (see point 2) then send to mk.hedi.nuryanto@pertamina.com includes research paper & university recommendation letter.

PERSONAL DATA

ESSAY

RESEARCH PROPOSAL

This part is mandatory to be filled for all program

Research Topic

Option 1
Option 2
Option 3

Please describe in one or

two sentences the broad
purpose of your research
proposal

Hints:
You may submit up to three topics. Use
priority in filling the next choices and
describe your main topic in the next
columns.
How to answer this question?
[YourName] submit this research in order
to [X]. I will focus on [A], [B], and/or [C].
Hints: Point A/B/C in this sentence are
concrete, measureable or deliverables
activities and the X in this sentences is a
bigger/broader objectives.

In one or two sentences, :

please explain
challenges that will come
up in doing your
research

Hints:
If possible, you can ground with statistics,
issues, citations or examples.

Describe activities and

timeframe in doing your
research

Hints:
You can describe it by breaking down
phases in doing the research.

Example:
1. Initiation (Learn company & dept business
process) - Week 1 & 2
2. Planning (Finalize scope of research; define
obstacles etc) - Week 2

Other notes

Hints:
You may add concern / issue for your
research.

I hereby certify that the above statements are true and correct to the best of my knowledge. Submitting false and incorrect
information will automatically disqulify me from this process.

Thank you for applying to PHE ONWJ Internship Program