[Global] Sampoerna Foundation Overseas MBA Scholarship Program - Page 2 of 2

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II. Further Requirements

• Scholarships are only available to those who wish to study for a master degree in business management (MBA) at leading business schools in the United States of America, Australia, United Kingdom, or France respectively that are recommended by Sampoerna Foundation.
• Applicant must demonstrate leadership potential.
• Applicant must demonstrate interest in and commitment to community and national development.
• Applicant must be willing to attend the selection process conducted by Sampoerna Foundation and the examinations conducted by the recommended university(ies).
• Applicant must meet the requirements for obtaining a proper student visa of the designated country upon acceptance for the scholarship.
• Scholarship recipient must be willing to return and work in Indonesia for 5 (five) consecutive years upon completion of study to contribute the skills and knowledge gained for the development of the country.
• Scholarship recipient must be willing to participate in the Alumni Contribution Scheme, and in any other mandatory programs and activities as described herein or in the future.
• Applicant must be willing to comply with the application for scholarship rules and regulations as stipulated by Sampoerna Foundation, partner institution for each respective program, and the university.

III. Nature of award

1. The scholarship’s worth is approximately between USD 70,000.- to USD 150,000.- per student, depending on the country and university, for the duration of study. This covers the following:

• GMAT and TOEFL reimbursement, one time only, based on original invoice, for GMAT and TOEFL taken no more than 6 months prior to the scholarship application;
• University application fee, for up to 2 (two) universities;
• Student visa application fee;
• Return airfares from Jakarta to the place of study;
• Tuition fees, for the duration of study;
• Living allowance, to support living costs during period of study;
• Literature allowance, to purchase textbooks required for study.

2. The scholarship is intended for full-time / regular class study only. Part-time study / executive class is not allowed.
3. Scholarship recipient is not permitted to undertake any form of employment at any time during the course of study, unless such employment is allowed under the student visa obtained.

IV. General Procedures

Sampoerna Foundation actively seeks candidates with proven financial need in achieving their educational goals, who are outstanding young people with a commitment to the development of society.

Interested applicants should complete the application form, which can be obtained from Sampoerna Foundation's website (www.sampoernafoundation.org ). The form can also be requested by sending an e-mail to info@sampoernafoundation.org , or obtained directly from the Sampoerna Foundation Office. Alternatively, applicants may apply on-line at this website.

Sampoerna Foundation will consider completed applications only, and will notify the short-listed applicants to attend the continuing stages of the selection process, which includes panel interview, group discussion, presentation and character assessment. A joint independent selection committee comprising competent individuals will assess the qualified applicants.

a. Application procedures

Interested applicants who meet the requirements must complete and return the application form along with the necessary supporting documents, to Sampoerna Foundation by 30 June 2005.

When applicable, the supporting documents must be certified by university (for school transcripts), public notary or other relevant authorized parties / individuals as true copy of the original. Please do not send any original documents. Sampoerna Foundation will not be responsible for handling and returning original documents, but does reserve the right to request the provision of original documents if necessary.

Applicant may obtain, complete and submit the application through any of the following methods:

1. On-line Application

• Applicant will be required to fill in the standard application form on-line at Sampoerna Foundation’s website.
• Applicant needs to ensure that he/she has filled out the mandatory data fields in the on-line application form. The system provides automatic notification if required information has been omitted.
• Applicant may complete the Personal Statements section on-line or on separate sheet(s) of paper.
• Applicant should use the standard reference form which can be downloaded from Sampoerna Foundation’s website.
• Applicant should prepare all the supporting documents and send them by post to Sampoerna Foundation.
• The on-line application will only be considered upon the receipt of all supporting documents, including the personal statements (if not completed on line) by the deadline.
• Applicant who has already submitted the on-line application form is not obliged to submit the application form in hard copy format. However, should the applicant is short-listed, he/she will be required to sign a printed copy of his/her application form.

2. Paper-based Application

• The application form (in Microsoft Word or PDF format) and reference form (in Microsoft Word or PDF format) can be downloaded from Sampoerna Foundation's website.
• Applicant may also request a copy of the application form by sending an e-mail to info@sampoernafoundation.org.
• Application form can also be obtained from Sampoerna Foundation’s office:
  Plaza Bapindo,
  Mandiri Tower 15th Floor,
  Jl. Jenderal Sudirman Kav. 54-55,
  Jakarta 12190, Indonesia
• Applicant is required to fill in the mandatory data in the application form.
• Applicant should type / print / handwrite the responses in block letters using black ink.
• Applicant should submit the application form along with all the required supporting documents including reference forms and personal statements to Sampoerna Foundation.
• When you submit the application package, please write the name of the program and designated country of study you would like to apply at the top right hand corner of the envelope.

b. List of Supporting Documents:

1. Application Form -- Completed & signed Application Form
2. Personal Statements -- Responses to questions asked in section 11 (Personal Statements) of the Application Form
3. Certified copy of Academic Certificate -- Certified copy of Academic Certificate from the last education level (Undergraduate Degree)
4. Certified copy of Academic Transcripts -- Certified copy of Academic Transcripts from the last education institution (Undergraduate Degree)
5. Photographs -- Three (3) recent passport-size (4 x 6) photographs
6. Family Card (KK) -- A certified copy of family card (Kartu Keluarga)
7. Proof of Monthly Expenses -- A copy of the last three months of residence electricity bill (if owning a house or living with parents) or a copy of lodgings/ boarding house (kos) payments
8. ID card -- Copy of birth certificate and/or personal ID card (KTP/Passport)
9. SKKB (Surat Keterangan Kelakukan Baik) / SKCK (Surat Keterangan Catatan Kepolisian) -- Letter of Good Conduct: an official letter from local police department stating that applicant has never been involved in any criminal or illicit drug activities
10. TOEFL/IELTS -- Copy of valid TOEFL result (International / Institutional Testing Program - ITP only) or IELTS
11. GMAT/TPA -- Copy of GMAT/TPA result
12. Income Statement -- Copy of latest pay slip or an authorized letter from current company stating monthly / yearly salary
13. CV / Resume -- Detailed and most recent Curriculum Vitae / Resume
14. References -- References, completed

This information is taken from Sampoerna Foundation website. To access the website, click here.