UNIVERSITY OF LAMPUNG APPLICATION FORM FOR MASTER DEGREE Name BIODATA Title Choose One Mr. Ms. Mrs. Dr. Prof. FULL NAME GENDER/SEX * MARITAL STATUS * DATE OF BIRTH * PLACE OF BIRTH * EMAIL * PASSPORT NUMBER * PASSPORT ISSUANCE DATE * PASSPORT EXPIRED * UPLOAD PASSPORT PDF/JPG COUNTRY * EMBASSY NAME * Indonesian Embassy in your Country. Ex: KBRI Bangkok NATIONALITY * HOME ADDRESS * CITY * PROVINCE/STATE * POSTAL CODE * PHONE/MOBILE NUMBER * EMERGENCY CONTACT NAME * RELATIONSHIP * FAHTER MOTHER WIFE HUSBAND PARTNER EMERGENCY CONTACT NUMBER * EMAIL OF THE EMERGENCY CONTACT * GRADUATED SCHOOL MAJOR /DEPARTMENT * GRADUATION YEAR * NAME OF UNIVERISTY * ADDRESS OF THE UNIVERSITY * PROGRAM TO APPLY PROGRAMS * Master of Management Master of Accounting Master of Economics Master of Law Master of Educational Technology Master of Educational Management Master of Mathematics Master of Physics Master of Teacher Training in Natural Education Master of Political and Social Science Education Master of Indonesian Language Education aster of Regional Language and Literature Education Master of Teacher Training for Elementary Teachers Master of English Education Master of Agronomy Master of Agricultural Industrial Technology Master of Agribusiness Master of Forestry Science Masters in Food Technology Master of Counseling and Communication Master of Civil Engineering Master of Mechanical Engineering Master of Electrical Engineering Master of Governmental Science Masters of Administrative Sciences Master of Biology Masters of Chemistry Masters of Mathematics Master of Physics Master of Environmental Sciences Master of Computer Science LENGTH OF STUDY * FINANCIAL SPONSOR * SELF FUNDING UNILA'S SCHOLARSHIP OTHERS OTHER SCHOLARSHIP Name of the scholarship REFERENCE NAME OF REFERENCE * RELATION TO APPLICANT * Ex: Lecturer, The chief of mastering study program ADDRESS * PHONE/MOBILE NUMBER * EMAIL * REFERENCE LETTER FROM THE EMBASSY * Ex: Embassy of Thailand in Jakarta REFERENCE LETTER FROM THE UNIVERSITY * You have to download the format first at this link: http://io.unila.ac.id/download/reference-letter/ Curriculum vitae * Max. 2 MB Academic Transcript (English Version) * Minimum GPA 3.24 of 4.00 Undergraduate Degree Certificate * Max. 2 MB 4x6 color photograph * Max. 2 MB Research Idea for Thesis * 2500 words (PDF Version) TOEFL * Attachment of the certificate min. 173 (CBT) BIPA (Indonesian Proficiency Test) *Exception for Faculty of Economic and Business Information Summary
