Online Form Application POLINEMA Scholarship 2018
Please fill in all the question required below thoroughly and submit on 13 May, 2018, 23.59 pm at the latest.

This scholarship is for students with major Chemical Engineering.

Please note that we do not proceed students who are not meet our requirements.

Thank you.
PT Chandra Asri Petrochemical Tbk

Required major *
Fullname *
Your answer
Gender *
Active mobile phone *
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Email *
Your answer
NIM (Nomor Induk Mahasiswa) *
Your answer
Latest GPA (4.00) *
Your answer
SKS Passed *
Your answer
SKS to go *
Your answer
Semester to go *
Your answer
Origin *
Your answer
Previous or current scholarship *
Required
Expired date previous or current scholarship *
Your answer
Parent's Income (Father:___Rp. /month Mother:___Rp. /month) *
Your answer
Special achievements *
Your answer
Foreign language skill *
Required
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