RECOMMENDATION LETTER

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1 The referee is a former lecturer / supervisor and / or employer. Mention 2 (two) persons, excluding family members, who can be contacted to make recommendation for yourself. 1. Full name Job/Position Complete address Phone/Cellphone Number Relationship with the applicant Zip code: 2. Full name Job/ position Complete address Phone/Cellphone Number Relationship with the applicant Zip code: Fax. (031) info@ppmbb.unair.ac.id Website:

2 1. Applicants full name : 2. Study Program to be followed : 3. The referee has known the applicant for : year(s) 4. The referee assesment of the applicant s ability and academic performance No Ability & Interest Poor Sufficient Good Excellent 1. The ability to study in the Postgraduate program 2. The Academic achievement in the previous study 3. The prediction about academic achievemnt in the study which the applicant will follow 4. The prediction of the completion of the applicant s studies will be on time 5. What are the strengths of the Applicant to study in the course that will be followed and the considered contribution that will be given the to nation 6. What are the Weakness of the Applicant 7. Please give an example of situation/event that indicates the level of initiative, motivation, motivation, maturity of thinking or character another feature that reflects the level the ability of candidates to follow the Advanced Study Program 8. What are the matter that may interfere the completion of the Applicant s studies

3 9. Assessment a. Intellectual ability : b. Study/Work Perseverance : c. Time Management ability : *)Option : 1. Unable to assess 4. Good 2. Poor 5. Very Good 3. Average 6. Excellent 10. Referee a. Name (with title) b. Current position c. Complete Address, Referee (name & signature) Fax. (031) info@ppmbb.unair.ac.id Website:

4 1. Applicants full name : 2. Study Program to be followed : 3. The referee has known the applicant for : years 4. The referee assesses the applicant s ability and academic performance. No Ability & Interest Poor Sufficient Good 1. His ability to study in the Postgraduate program 2. Academic achievement in the previous study 3. Prediction about academic achievemnt in the study which he / she will follow 4. The prediction of the completion of his / her studies will be on time Very Good 5. What are the strengths of the Applicant to study in the course that will be followed and considered to give a contribution to the nation 6. What are the Weakness of the Applicant 7. Please give an example of situation/event that indicate the level of initiative, motivation, motivation, maturity of thinking or character another feature that reflects the level the ability of candidates to follow the Advanced Study Program 8.??

5 9. Assessment d. Intellectual ability : e. Study/Work Perseverance : f. Ability to managing time : *)Option : 1.? 4. Good 2. Poor 5. Very Good 3. Average 6. Excellent 10. Referee a. Name (with title) b. Current position c. Address, Referee (name & signature) Fax. (031) Website:

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