Personal Information

Full Name: Muhammad Zulfikar Abdul Jabbar

Birthday: 1/18/1996
Place of Birth: Sragen
Nationality Indonesia
Sex: ☒Male Application Date
☐Female 11/6/2017
Phone/Mobile: +62 895360564215
E-Mail: Zulfikar_aj@yahoo.com
Present occupation: COLLEGE STUDENT
Passport Number Place of Issue Date of Issue Expiry Date
B8046974 Semarang 10/18/2017 10/22/2022

Addresses
Present Address: Jln. Bulusan IX/86, Perum Phone/Fax +62 895360564215
KorpriTembalang, Semarang,
Indonesia
City Semarang Postal Code 50277 Valid Until 3/1/2018

Permanent Address: Jln. Bulusan IX/86, Perumahan Phone/Fax +62 895360564215

Korpri Tembalang, Semarang,
Indonesia
City Semarang Postal Code 50277 Valid Until 3/1/2018

Emergency Contact Gunawan Widi Santosa Phone/Fax +62 81326099182

Relation Father E-Mail Dioch_gun@yahoo.com

Volunteering Experiences
Years
Organization Project Name
Start End
2016 2016 IIWC Tegalrejo Work
Camp
yyyy yyyy Org./Institute My Role.
yyyy yyyy Org./Institute My Role.
yyyy yyyy Org./Institute My Role.

Language Skills Priority Destination, Time, & Program Type)**

Mother Tongue Indonesian Dates
Camp Code Project Title
English Good Start End
Japanese Lang. Level RU-SOD 3-Jan-18 10-Nov-17 We Are Different but We Are
7.1 Together
French Lang. Level Text here dd-MMM-yy dd-MMM-yy Text here
Type Lang. here Lang. Level Text here dd-MMM-yy dd-MMM-yy Text here
Type Lang. here Lang. Level Text here dd-MMM-yy dd-MMM-yy Text here
)** Find the information on our project lists. If you haven’t decided yet please
leave it blank.
Special Remarks -
on Health

Motivation Letter
What is your motivation of choosing the project?

© 2017 | IIWC of PKBI Outgoing Program 2017[Company E-mail]

Certainly want to know more about the country, make new friends, and tell about Indonesian culture.

What is your motivation of joining our outgoing program?

I want to know more about Rusian people, want to know about culture, daily life, be a relation if
you want to study at a Russian university

What do you think about cultural diversity?

That’s good, because we can respect each other, increase knowledge, etc.

What is your contribution to the project?

I will follow the rule’s and for sure to follow that program’s

What is your contribution to IIWC after your program is over?

I will make a video about Rusia Project. So maybe IIWC can know more about that program

Miscellaneous
Hereby,
I stated to follow the rules under IIWC of PKBI as my sponsor (Placement & Visa ☒Yes ☐No
Matters) toward this program participation.
I am aware of my responsibility on paying fee in two term as follow:
Sending Fee:
(Visa & Ticketing Fee Excluded. Those will be managed by our second Partner)
Zone I (ASEAN States): IDR 1.000,000 + (Training Fee) IDR 175,000
Zone II (East Asia): IDR 1,500,000 + ((Training Fee) IDR 175,000
Zone III (Rest of Asia): IDR 1.600,000 + (Training Fee) IDR 175,000
Zone IV: (Europe): IDR 1,750,000 + (Training Fee) IDR 175,000
☒Yes ☐No
 For experiences volunteers are able to get a Discount OR Free of Charge!
 Those are payable after you get project placement approval notification
Hosting Fee:
Based on Project & your Host Organization Policy.
It should be paid upon your arrival OR Bank Transfer in advance

Please sign below!

I am aware of the information that I have gave are right. Hereby, I
confirmed to follow application and placement process under International
Voluntary Service (IVS) managed by IIWC of PKBI.

© 2017 | IIWC of PKBI Outgoing Program 2017[Company E-mail]