UNIVERSITAS GADJAH MADA APPLICATION

FOR

AUN / SEED-Net

(ASEANUniversity Network / Southeast Asia Engineering Education Development Network)

APPLICATION FORM
UNIVERSITAS GADJAH MADA
For AUN/SEED-Net PROGRAM
Master and PhD Program
Academic Year 2018
Application form can be copied as needed. Please type all entries. The required documents will be informed later by the Secretariat after the awarded scholarship announcement.
For general information inquiries and question please contact Ms. Aci Prima Sari, International Affairs Office of Faculty of Engineering UGM at nd and cc to Dr. Indra Perdana at
For questions related to study/research field please contact the contact person at the specific departments, see attachment 1.
Program Guidelines
Applicant should carefully provide detailed information and description for each item below, and attach supporting documents when necessary.
1 / Personal Information (I)
1.1 / Full Name
1.2 / Nationality
1.3 / Date of Birth / Date / Month / Year
1.4 / Age / (at the time of application)
1.5 / Gender (please mark √) / Male / Female
1.6 / Current Status/Position
1.7 / Department/Faculty
1.8 / University/Organization
1.9 / Passport No / Validity
2 / Personal Information (II)
2.1 / Marital Status / Single / Married
2.2 / Office Address
Tel / Fax / Mobile
E-mail Address
2.3 / Home Address
Tel / Fax
When communication with applicants is needed, UGM Secretariat will contact mainly to your Sending Institution and/or to your e-mail address. Please make sure you keep regular contact with your institution and/or access to your given e-mail address. In case you do not have an e-mail address, please specify your preferred contact address below:
2.4 / Preferred Contact Address (please mark √ at your preference) / E-mail / Office / Home
Other
(Please give full details)
3 / Academic Qualifications (for Master and PhD Applicants)
3.1 / Bachelors’ Degree
3.2 / Program/Faculty
3.3 / University
3.4 / Date of Completion (or expected to) / Month / Year
3.5 / Cumulative Grade Point Average (CGPA) of all semesters taken (Honours, if any)
3.6 / Class Rank
(Please submit certified letter) / Placed at the rank of
Out of the total number of students of
In the Department/Program of
4 / Academic Qualifications (for PhD Applicants)
4.1 / Master’s Degree
4.2 / Program/Faculty
4.3 / University
4.4 / Date of Completion (or expected to) / Month / Year
4.5 / Grade Point Average of all semesters taken (Honours, if any)
4.6 / Thesis Topic (Please submit thesis abstract)
5 / Relevant Qualifications
Any honours, distinction, or certificate obtained in your academic career that is not indicated in the official statement should be mentioned in a separate statement. Relevant document should be attached to support your information stated below.
5.1 / English Proficiency / TOEFL / Date taken
IELTS / Date taken
GRE / Date taken
Others (Please specify)
5.2 / Other Awards, Honours, Certificates
(Please give details)
6 / Proposed Research Topic
(For 6.1)UGM Graduate Program for AUN/SEED-Net consist of 5 Host Institution. Please check (√)one of the HI Department which your interested research topic can be categorized under;
(For 6.2) Please write down the name of Research Field that you are interested in, according to the offered research interest offered by the HI you have chosen. Please refer to Attachment 1 for the complete list of offered resarch field.
6.1 / Host Institution / Geological and Geo-resources Engineering
Chemical Engineering
Computer Science and Engineering / Natural Disaster
Materials Engineering
6.2 / Research Field
6.3 / Brief Description of Proposed Topic
Outline the research in which you wish to conduct in your study. Please use separate sheet if necessary.
7 / Declaration
I declare that all information supplied in this application as well as the attached documents are true and correct to the best of my knowledge. I acknowledge that the provision of incorrect information or supporting documents may result in termination of scholarship, and that I will have to be responsible for all expenses incurred from my misinformation.
Signature: / Date:

ATTACHMENT 1

Available Research Interest And Contact Person

For AUN/SEED-Net Postgraduate Program In UGM

  1. Geological dan geo-resource engineering

Please kindly choose one of the priorities from the existing Collaborative Researches topic below and give the brief evidences.
  1. Energy Resources
a)Integrated Geology and Geochemistry Study on Hydrocarbon Energy Resources : Assessing the Formation of Petroleum in Frontier Exploration Settings
b)Geothermal Systems in the Circum Pacific
  1. Mineral Resources
a)Integrated Study on Earth Resources within the Island Arc and Continental Margin Geological Setting of Southeast Asia.
b)Granitoid Magmatism and Associated Earth Resources in Southeast Asia
c)The Magmatism and Volcanism across the Java Island Arc and relation to Mineral Resources
  1. Environmental Geology
a)Toward SustainableEnvironmental and GeohazardManagement
b)Geological Control on SlopeStability
c)Landslide Prediction underExtreme Weather Conditions toSupport Development ofAppropriate EarlyWarning Systems
d)Geological Investigation andAnalysis for Soil Treatment byusing Vacuum PreloadingMethod
e)Characterization, Origin, andUtilization of Industrial Mineralsfor Solving EnvironmentalProblems
f)Development of Rock MassQuality Assessments for SlopeStability and Tunneling inTropical Areas.
g)CO2 Sequistration in Coal Beds
Contact Person
Dr. Ir. Heru Hendrayana
Geological Engineering Department
Faculty of Engineering
Universitas Gadjah Mada
Jl. Grafika No.2 Kampus UGM
Yogyakarta 55281, INDONESIA / Tel: (62)274 631181/ 274 513668
Fax: (62)274 546039
E-mail:

cc :

  1. Chemical Engineering

  1. Process System Engineering
    (includes equipment design for chemical processes, process system,
    transport phenomena, unit operation, chemical reaction engineering,
    process modeling and simulation, scale-up to pilot unit)
    Main Supervisor:
    Prof. Rochmadi dan Prof. Arief Budiman
    Co-Supervisors:
    Dr. Sutijan, Dr. Muslikhin Hidayat, dan Dr. Indra Perdana
  2. Bioprocess Engineering
Supervisor : Dr. Wiratni
  1. Mineral Processing
Sipervisor : Dr. Himawan Tri Bayu Murti Petrus
Contact Person
Wiratni, ST., M.T., Ph.D
Chemical Engineering Department
Faculty of Engineering
Universitas Gadjah Mada
Jl. Grafika No.2 Kampus UGM
Yogyakarta 55281, INDONESIA / Tel: (62)274 555320
Fax: (62)274 6492170
E-mail:
  1. Computer Science and Engineering

  1. e-Government,
  2. Information Technology
(including Intelligent Systems, Pervasive and Mobile Computing, and Computer Networks)
  1. Information Systems
(including Software Technology and Human-Computer Interaction)
Contact Person
Hanung Adi Nugroho, S.T., M.Eng., Ph.D.
ElectricalEngineering and Information Technology Department
Faculty of Engineering
Universitas Gadjah Mada
Jl. Grafika No.2 Kampus UGM
Yogyakarta 55281, INDONESIA / Tel: (62) 274 552305
Fax: (62)274 510983
E-mail:
cc :
  1. Natural Disasters

  1. Fluvial and Coastal Disasters
a)Flood and Drought Mitigation,
b)Reservoir Sedimentation,
c)River and Coastal Morphology
  1. Geohazard
  1. Earthquake Hazard Mitigation
  2. Tsunami Hazard Mitigation
  3. Volcanic Hazard Mitigation
  4. Debris Flood/ Laharic Hazard Mitigation
  5. Landslides Hazard
a)Earthquake-induced Landslide Mitigation
b)Rain-induced Landslide Mitigation
Contact Person
Ir. Adam Pamudji Rahardjo, M.Sc., Ph.D.
Civiland Environmental Engineering Department
Faculty of Engineering
Universitas Gadjah Mada
Jl. Grafika No.2 Kampus UGM
Yogyakarta 55281, INDONESIA / Tel: (62) 274 545675
Fax: (62)274 545676
E-mail:
  1. Materials Engineering

  1. Metallurgy
  2. Ceramics,
  3. Composites,
  4. Biomaterials,
  5. Polymer and Nanomaterials,
  6. Materials Production Process

Contact Person
Dr. Kusmono
Mechanical and Industrial Engineering Department
Faculty of Engineering
Universitas Gadjah Mada
Jl. Grafika No.2 Kampus UGM
Yogyakarta 55281, INDONESIA / Tel: (62) 274 521673
Fax: (62)274 521673
E-mail:

Application Formfor AUN/SEED-Net 2013; p.1/6