M.Sc.-Program "International Agribusiness & Rural Development"1/5

Application Form IARD - Bogor

1.Personal Data

Family/Last Name ______

First Name______

Gender FemaleMale

Place/Date of birth:______

Marital Status:______No. of dependents:______

Nationality______Passport number______

Mailing address ______

______

______

Telephone:______E-mail ______

2.Education(in reverse chronological order)

Please list the colleges, universities, or other institutes of higher education you have attended: (do not provide information on high school studies)

1. Institution______

Location (City and country):______

Degree (B.Sc. etc.)______Grade Point Average______

Field of study______

Years of study______from ______to ______

Specialisation if any/thesis: ______

2. Institution:______

Location (City and country)______

Degree (B.Sc. etc.):______Grade Point Average: ______

Field of study______

Years of study ______from ______to ______

Specialisation if any/thesis: ______

______

Please add extra sheet if necessary

3.Employment record(in reverse chronological order)

1. Name of organization:______

Address:______

Telephone______E-Mail: ______

Position held:______

Main responsibilities:______

______

Dates of employment:______to ______

mm/yy mm/yy

2. Name of organization:______

Address:______

Telephone______E-Mail: ______

Position held:______

Main responsibilities:______

______

Dates of employment:______to ______

mm/yy mm/yy

Please add extra fields if necessary.

4.Other Training

1. Institution:______

Location:______

Field:______

Datefrom ______to ______

mm/yy mm/yy

2. Institution:______

Location:______

Field ______

Date from ______to ______

. mm/yy mm/yy

Please add extra fields if necessary.

Info source about the MSc-program

From whom or where did you learn about the M.Sc.-program (mark with a cross):

  • Homepage ]
  • Internet search
    if yes please indicate the name of
    the website: ______[ ]
  • Classified add[ ]
  • On recommendation from a former student of the program

if yes please indicate the name of the Alumni: ______[ ]

  • On recommendation from a professor of your former university[ ]
  • Higher education fair
    if yes please indicate the location: ______[ ]
  • Other source
    if yes please specify: ______[ ]

5.Future Career

What do you expect from this MSc-program?

Specify the relevance of this program to your future career goals.

6.Languages

a.) English

Certificate of your proficiency in English (TOEFL or IELTS band or documents proving that your higher education was in English)

Type of Certificate: ______Result:______

Place: ______Date of issue: ______

b.) other languages

Language / None / Fair / Good / Excellent
German
French
Other

7.Computer proficiency

Programs / None / Fair / Good / Excellent

8.Financial arrangements

How do you plan to finance the costs of the MSc-program and your stay in Talca and Göttingen?

In addition to this application form, the following is required for your complete application:

In Paperform

  1. Photo (passport size)
  2. Certified copies of your qualifications, including detailed results of final exam (transcripts) and Bachelor Degree
  3. Certificate of your proficiency in English

Digital to one

  1. Curriculum vitae
  2. Certified copies of your qualifications, including detailed results of final exam (transcripts)
  3. Two letters of reference
  4. Letter of purpose (one to two pages)
  5. Declaration of (re-)employment of prospective employer (if available)
  6. Certification of financing (letter of institution, bank statement) in case you provide your own funds

Date ______Signature ______

Deadlines: The complete application form and all supporting documents must reach the Georg-August-University of Göttingen by April 15

Further Information at:

Bogor University / Georg-August Universität Göttingen
Dr. Ir. Suharno. M.Adev
JalanKamper, Wing 4, Level 5
Bogor 16680
Phone: (+62)51-8626602
Indonesia
/ Prof. Dr. Stephan von Cramon-Taubadel
Dep. for Agricultural Economics and Rural Development
Platz der Göttinger Sieben 5
37073 Göttingen
Germany
;

See also:

Dept. for Agricultural Economics and Rural Development, Platz der GöttingerSieben 5, 37073 Göttingen, Germany