INDONESIAN DARMASISWA SCHOLARSHIP PROGRAM ACADEMIC YEAR 2012/2013

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INDONESIAN DARMASISWA SCHOLARSHIP PROGRAM ACADEMIC YEAR 2012/2013 DARMASISWA is non-degree scholarship program offered by the government of the Republic of Indonesia to foreign students from countries which have diplomatic relations with Indonesia. The main purpose of the DARMASISWA program is to promote Indonesian language and culture to foreign countries. The scholarship program covers study of Bahasa Indonesia (Indonesian language), traditional arts, traditional art crafting, tourism, culinary and other studies on selected issues such as Islamic studies in Indonesia, Environment, Indonesian Politics and Southeast Asia Economy. Participant can choose one of 53 universities/higher education institution located in different cities in Indonesia. I. Darmasiswa scholarship Program is conducted in 3 schemes : Regular 1 (One) Year Program. Regular one year program is a one year scholarship program offered to foreign students to study Bahasa Indonesia (Indonesian Language) or local language, Indonesian traditional dances, Indonesian traditional music, traditional art crafting, culinary, tourism and other field of studies at selected Indonesian higher education institutions for one year. Regular 6 (six) months Program. Regular six-month program is a six-months scholarship program offered to foreign students to study Bahasa Indonesia and other field of studies at selected Indonesian higher education institutions for six months. Regular 3 ( three) months Program (summer course) Regular three months program is a three months scholarship program offered to foreign students to study on selected issues at selected Indonesian higher education institutions for three months. II. Participant rights and obligations : Rights : a. Participant will receive scholarship (free tuition fee) and monthly allowance. b. Participant will be assisted by the chosen university/place of study in arranging accommodation. c. The organizing committee will provide transport arrangement upon arrival of the participant at the airport. Obligations : 1

a. Willing to assist university/higher education institution in learning foreign language or other academic activities. b. Participant must complete the program. c. Sign a declaration form ( statement on code of conduct) provided by the Indonesian Embassy before departure to Indonesia, and delcaration form provided by the Ministry of Education and Culture of the Republic of Indonesia upon arrival in Indonesia. III.Schedule. a. Candidate s application shall be submitted to the Indonesian Embassy by mid February 2012 at the latest. b. Administrative selection shall be conducted in the March 2012. c. Academic selection shall be conducted in mid April 2012. d. The selection result shall be announced by the end of April 2012. e. Confirmation from participant should be received by the Embassy by the end of May 2012 at the latest. f. Arrival of participant in Indonesia is scheduled in the beginning of August 2012. g. Orientation program shall be conducted in the beginning of August 2012. h. Class schedules as follows : o Regular 3 months program, shall be conducted in the beginning of June 2012 - August 2012. o Regular 6 months program shall be conducted in the beginning of August 2012 - January 2013. o Regular 1 year program shall be conducted in the beginning of August 2012 - July 2013. For participant who will study at the University of Indonesia, program shall be conducted in the end of July 2012. IV. Visa. Participant of Darmasiswa Program is required to have a social cultural visa (VKSB), issued by the Indonesian Embassy in the participant's country of residence. Upon arrival in Indonesia, participant's passport has to be submitted to the organizing committee/ministry of Education and Culture for necessary arrangement in obtaining stay permit. Participant is prohibited to use a Tourist Visa or On-Arrival Visa for study purpose. V. Scholarship. a. Free tuition fee. b. Participant will also receive Rp.2.000.000,- ( two million Rupiah) per month with details as follows : Living cost : Rp. 1.200.000,- Book Allowance : Rp. 200.000,- Local Transport : Rp. 200.000,- Health : Rp. 200.000,- Pocket money : Rp. 200.000,- 1 USD = Rp.8.950,- 2

Since the scholarship allowance is limited, participant is advised to bring additional /extra money in US Dollar. VI. Applicant Requirements Applicant must meet the following requirements : a. Age limit : 35 years or less. b. Minimum education : completed higher secondary level of education. c. In good health. d. Able to communicate in English or Bahasa (Indonesian Language). e. Participant should have basic knowledge of the chosen subject. VII. Document requirements. a. Completed application form. b. Copy of the latest academic transcript. c. Copy of academic certificate. d. Letter of recommendation from the latest place of study. e. In good health, as proved by Medical Certificate/Doctor. f. Color Photograph 4x6 cm ( 5 pieces). g. Copy of Passport which is still valid for at least 18 months at the time of arrival in Indonesia. h. Recommendation letter from Indonesian Embassy. The completed documents should be submitted to the Indonesian Embassy : The Embassy of the Republic of Indonesia Ørehøj Alle 1, 2900 Hellerup Copenhagen Denmark. Cq. Social and Cultural Section. Tel. +45 39624422 Fax.+45 39624483 Contact person at the Embassy : Mr. Novrizal Gani Email : novri.gani@gmail.com VIII. International Travel Costs to Indonesia. The government of the Republic of Indonesia does not provide international air tickets for participant of the Darmasiswa program. Participant must seek his/her 3

own source(s) of funds for international travel from and to his/her country of origin. The government will bear local transportation cost for participant who will study at university outside Jakarta ( one way, Jakarta - place of study). IX. Health Insurance. The government of the Republic of Indonesia does not provide health insurance. Participant is advised to arrange his/her own international health insurance. X. Website/Email www.darmasiswa.kemdiknas.go.id email : darmasiswa_kln@yahoo.com. ---------------------------- 4

MINISTRY OF EDUCATION AND CULTURE THE GOVERNMENT OF THE REPUBLIC OF INDONESIA Jalan Jenderal Sudirman Senayan J A K A R T A 10270 Telp/Fax: (62 021) 5724707, 5738181), 5711144 Ext. 2610 Website: darmasiswa.kemdiknas.go.id E-mail: darmasiswa_kln@yahoo.com APPLICATION FORM SCHOLARSHIP FOR DARMASISWA RI PROGRAM INSTRUCTIONS Please answer each questions clearly and completely. Type or print in ink. Read carefully and follow all directions. If you more space, attach additional pages of the same size. Submit the completed form, duly signed, in threee copies to the Indonesian Embassy/Diplomatic Representative in your country. A. PERSONA AL DETAILS 1. a. Family name : b. First name : 2. Date of birth : 3. Place of birth : 4. Male/Female : affix photo here 4 x 6 cm 5. Nationality : 6. Religion : 7. Paspor Number : Validity of : 8. E-mail : 9. a. Marital status : Single Married b. Do you have a husband/wife or any dependants? (Pleasee give details of name, relationship and date of birth) NO NAME RELATIONSHIP AGE 1

10. a. Employment (present) b. Name and address of organization : 11. Person to be notified in Indonesia and in your country in case of emergency : In your Country: Name : Address: Relationship: In Indonesia: Name : Address: Relationship: B. EDUCATION Name and location of institution Subject of study Dates Qualifications obtained C. LANGUAGE: State proficiency Good-Fair-Elementary SKILLS Indonesian English Germany French Japan Speaking Understanding Writing 2

D. PROPOSED PROGRAM AND FIELD OF STUDY (to be answered as detailed as possible) 1. Program : a. Regular 1 Year b. Summer 6 Month c. Regular 3 Month First Choice: Place of Study : Subject of Study : Second Choice: Place of Study : Subject of Study : 2. Outline your proposed field of study and indicate the practical use to be made of this study. If you are acquainted with the possibilities of study offered in Indonesia, list the institutes or projects you propose to study or the specific course you wish to attend. (Additional paper for more information) 3

E. EMPLOYMENT DETAILS YEARS DESCRIPTIONS OF OCCUPATION EMPLOYER F. MISCELLANEOUS List membership of professional societies and activities or public 4

List any significant publication you have written (do not attach) Have you applied for any other scholarship: Yes No Subject Organization Period from to Travel (List period spent away from your home country) Country visited Reason for visit or residence abroad Dates G. OTHERS Experience abroad No Country Purpose Year 5

H. DECLARATION If accepted for the scholarship, I agree; 1. to abide by the regulation of the university or college where I study 2. not changing either subject or place of study prior or upon arrival in Indonesia 3. not involve myself in any political activities during my study in Indonesia 4. not undertake any work for profit or gain during my study in Indonesia 5. to refrain myself from being pregnant and being involved in drug traffic and abuses 6. not travel out of Indonesia during the academic period and not travel out of Indonesia more than once 7. to fully responsible for my own luggage/goods if its lost prior or upon arrival in Indonesia. Have them in my hands custody. 8. to accept to be sent back to my country if I violate the said regulations and the stay permit regulation in Indonesia. I certify that the statement I have made in response to the foregoing questions are true, Completed and correct to the best of my knowledge. Date Signature 6