KOMISI PEMILIHAN UMUM REPUBLIK INDONESIA Jalan Imam Bonjol No. 29 Jakarta Telp. 021 3193 7223 Fax. 021 3157 759 366/SDY.03.1-5D/05/80/11/202Yakarta, 25 Februari 2021 Nomor Sifat Segera Lampiran : 2 (dua) eksemplar Perinal Penawaran Beasiswa Master Degree Program Kementerian Sekretariat Negara Republik Indonesia Tahun 2021 Yth. 1. Para Deputi/inspektur Utama/Kepala Biro/Inspektur/Kepala Pusat; 2. Sekretaris KPU Provinsi seluruh Indonesia; dan 3. Sekretaris KPU Kabupaten/Kota seluruh Indonesia, di- Tempat Sehubungan dengan surat Kepala Biro Kerja Sama Teknik Luar Negeri Kementerian Sekretariat Negara Nomor 8-25/Kemensetneg/Se/KTLN/LN.03.00/02/2021 Tanggal 12 Februari perihal Tawaran Beasiswa Master Degree Program Tahun 2021 dari Pemerintah Thailand dan Nomor 8-23/Kemensetneg/SeUKTLNI/LN.03.00/02/2021 Tanggal 12 Februari perinal Tawaran Beasiswa Master Degree dari Pemerintah Republik Korea Batch |, dengan ini kami sampaikan hal-hal sebagai berikut 1. Bahwa Kementerian Sekretariat Negara Republik Indonesia menawarkan Beasiswa Master Degree Program dari Pemerintah Thailand dan Korea Batch | bagi seluruh Pegawai Negeri Sipil (PNS) di Indonesia pada Tahun 2021 2. Sehubungan dengan hal tersebut di atas, diharapkan Para Deputi, Inspektur Utama. Kepala Biro, Inspektur, Kepala Pusat, Sekretaris KPU Provinsi dan Sekretaris Kabupaten/Kota untuk menginformasikan dan mendorong Pegawai Negeri Sipil (PNS) di Satuan Kerjanya mengikuti program beasiswa dimaksud 3. Adapun jadwal seleksi dan persyaratan peserta Beasiswa Master Degree diatur dalam surat Kemensetneg sebagaimana terlampir. 4, Informasi lebih lanjut mengenai_beasiswa Master Degree dari Pemerintah Thailand dapat diakses melalui htto:/bit y/TIPP2021 dan Beasiswa Master Degree Korea Batch | melalui http:/bit ly/Batch12021 Demikian disampaikan untuk dilaksanakan, terimg, Tembusan Yth Bapak Pit. Ketua KPU RI di Jakarta (sebagai laporan)KEMENTERIAN SEKRETARIAT NEGARA REPUBLIK INDONESIA Jalan Veteran No. 17-18, Jakarta 10110, Telepon (021) 3845627, 3442327 Faksimile (021) 3813583, Situs: www.setneg.go.id Nomor _ : B-23/Kemensetneg/Set/KTLN/LN.03.00/02/2021 12 Februari 2021 Sifat : Biasa Lampiran : Satu Berkas Hal : Tawaran beasiswa Master Degree dari Pemerintah Republik Korea Batch | Yth. Pejabat terlampir di Jakarta Bersama ini dengan hormat kami sampaikan tawaran beasiswa Master Degree Batch | untuk 18 (delapan belas) program dari Pemerintah Republik Korea yang diperuntukan bagi seluruh Pegawai Negeri Sipil (PNS) di Indonesia. Biaya yang berkenaan dengan beasiswa tersebut akan ditanggung oleh Pemerintah Republik Korea/Korea International Cooperation Agency (KOICA), meliputi: Ceyauaune . biaya pendidikan, . tiket penerbangan internasional p.p. (dari Bandara Soekarno Hatta, jakarta), . akomodasi, . ang saku setiap bulan, study visit, asuransi selama pendidikan, settlement allowance, kegiatan ekstrakurikuler, scholarship completion grant. Berkenaan dengan kesempatan dimaksud, mohon kiranya masing-masing instansi dapat mengajukan Pegawai Negeri Sipil (PNS) sebagai calon penerima beasiswa yang tugas dan fungsinya sesuai dengan program beasiswa dari masing-masing universitas dimaksud, dengan memperhatikan persyaratan berikut: 1 ouswn memiliki pengalaman kerja minimal selama 2 (dua) tahun, kecuali dinyatakan berbeda oleh universitas, melampirkan daftar riwayat hidup dalam Bahasa Inggris, melampirkan medical report yang ditandatangani oleh dokter yang berwenang, melampirkan dokumen-dokumen yang dipersyaratkan oleh universitas yang dituju, belum pernah menerima beasiswa dari Pemerintah Republik Korea sebelumnya, mohon untuk memperhatikan batas usia dan nilai minimum untuk TOEFL/IELTS yang dipersyaratkan oleh universitas yang dituju, begitu juga dengan proposal penelitian ataupun dokumen-dokumen lain yang diwajibkan universitas. Dokumen ini telah ditandatangani secara elektronik.Guna proses endorsement, seluruh peserta wajib: 2, Menyampaikan seluruh hardcopy berkas persyaratan di atas kepada Biro KTIN, Kemensetneg dengan melampirkan surat pengantar/rekomendasi dari focal point masing-masing instansi 2, Mengunggah soft copy seluruh berkas persyaratan ke dalam link Google Drive (atau semacamnya) dan mengirimkan link tersebut kepada kami melalui alamat e- ‘mail ktssbilateral@setneg.go.id. Adapun batas penyampaian berkas kepada kami adalah tanggal 22 Maret 2021. Informasi lebih lanjut mengenai program beasiswa dimaksud dapat diakses melalui http://bit.ly/Batch12021. Setelah mendapatkan endorsement dari Kemensetneg, calon peserta akan diseleksi lebih lanjut oleh KOICA Indonesia Office dan juga universitas yang dituju Atas perhatian dan kerja sama yang baik, kami sampaikan terima kasih, Kepala Biro Kerja Sama Teknik Luar Negeri, Samidi Fahrudin Tembusan : 1. Sekretaris Kementerian 2. Pemerintah Provinsi dan Kabupaten/Kota seluruh indonesia 3. Perguruan Tinggi/Universitas Negeri seluruh Indonesia . Para Kapolda seluruh Indonesia 5. Country Director KOICA Office Indonesia 5~Perausune 10. 13, 14. 15, 16. 17. 18. 19. 20. a 22. 23. 24, 25. 26. 27, Lampiran Surat Dinas Kepala Biro Kerja Sama Teknik Luar Negeri Nomor : 8-23/Kemensetneg/Set/KTLN/LN.03.00/02/2021, Tanggal : 12 Februari 2021 DAFTAR PEJABAT YANG DIKIRIMI SURAT DINAS Sekretaris Kementerian Badan Usaha Milik Negara Sekretaris Kementerian Agraria dan Tata Ruang/Badan Pertanahan Nasional Sekretaris Kementerian Pemuda dan Olahraga Sekretaris Jenderal, Dewan Perwakilan Daerah Sekretaris Jenderal, Dewan Perwakilan Rakyat Sekretaris Jenderal Majelis Ulama Indonesia Sekretaris Jenderal, Majelis Permusyawaratan Rakyat Sekretaris Jenderal, Mahkamah Konstitusi Sekretaris Jenderal, Komisi Yudisial Sekretaris Jenderal, Badan Narkotika Nasional . Sekretaris Jenderal, Dewan Energi Nasional 12. Sekretaris Jenderal, Dewan Nasional Perubahan iklim Sekretaris Jenderal, Komisi Pemberantasan Tindak Pidana Korupsi Sekretaris Utama, Badan Nasional Penanggulangan Bencana Sekretaris Utama, Badan Nasional Penanggulangan Terorisme Sekretaris Utama, Badan Nasional Penempatan dan Perlindungan Tenaga Kerja Indonesia Sekretaris Utama, Badan SAR Nasional Sekretaris Utama, Badan Standardisasi Nasional Sekretaris Utama, Perpustakaan Nasional Republik Indonesia Sekretaris Jenderal, Lembaga Kebijakan Pengadaan Barang/jasa Pemerintah Sekretaris Utama, Arsip Nasional Republik Indonesia Sekretaris Utama, Badan Kependudukan dan Keluarga Berencana Nasional Sekretaris Utama, Badan Koordinasi Penanaman Modal Sekretaris Utama, Lembaga Ketahanan Nasional Sekretaris Utama, Badan Intelijen Negara Sekretaris Jenderal, Ombudsman Republik Indonesia Sekretaris Jenderal, u.p. Dirkersin Ditjen Strahan, Kementerian Pertahanan28. 29. 30. 31. 32 33, 34, 35. 36, 37, 38. 39. 40. 41 42 43, 44. 45. 46. 47. 48. 49. 50, 52. 53, Sekretaris Utama, u.p. Direktur Kerja Sama, Badan Keamanan Laut Sekretaris Jenderal, u.p Kepala Pusat Kerja Sama Internasional, Kementerian Komunikasi dan Informatika Sekretaris Kementerian Perencanaan Pembangunan Nasional/Badan Perencanaan Pembangunan Nasional u.p. Kepala Pusat Pembinaan, Pendidikan dan Pelatihan Perencana Sekretaris Utama, u.p. Kepala Pusat Pendidikan dan Pelatihan, Lembaga Sandi Negara Sekretaris Jenderal, u.p Kepala Biro Hukum, Hubungan Masyarakat dan Kerja Sama, Komisi Pengawas Persaingan Usaha Sekretaris Ditjen Ketahanan, Perwilayahan, dan Akses Industri Internasional, Kementerian Perindustrian Kepala Badan Komite Nasional Keselamatan Transportasi (KNKT) Ketua Lembaga Perlindungan Saksi dan Korban (LPSK) Kepala Biro Kepegawaian, Organisasi dan Tata Laksana, Sekretariat Kabinet Kepala Biro Manajemen Kinerja, Organisasi, dan Kerja Sama, Kementerian Pendayagunaan Aparatur Negara dan Reformasi Birokrasi Kepala Biro Kepegawaian, Kementerian Koordinator Bidang Politik, Hukum, dan Keamanan Kepala Biro Umum, Kementerian Koordinator Bidang Perekonomian Kepala Biro Umum, Kementerian Koordinator Bidang Pembangunan Manusia dan Kebudayaan Kepala Biro Perencanaan, Kementerian Koordinator Bidang Kemaritiman dan Investasi Kepala Biro Hukum dan Kerja Sama Luar Negeri, Kementerian Agama Kepala Pusat Fasilitasi Kerja Sama Luar Negeri, Kementerian Dalam Negeri Kepala Biro Perencanaan dan Kerja Sama Luar Negeri, Kementerian Desa, Pembangunan Daerah Tertinggal, dan Transmigrasi Kepala Biro Komunikasi, Layanan Informasi Publik, dan Kerja Sama, Kementerian Energi dan Sumber Daya Mineral Kepala Biro Kepegawaian, Kementerian Hukum dan Hak Asasi Manusia Kepala Biro Humas dan Kerja Sama, Kementerian Kelautan dan Perikanan Kepala Biro Kerja Sama Luar Negeri, Kementerian Kesehatan Kepala Biro Kerja Sama Luar Negeri, Kementerian Ketenagakerjaan Kepala Pusat Kebijakan Regional dan Bilateral, Badan Kebijakan Fiskal, Kementerian Keuangan Kepala Biro Sumber Daya Manusia, Komisi Pemilinan Umum Kepala Biro Administrasi, Badan Pengawas Pemilihan Umum. Kepala Biro Perencanaan, Kementerian Koperasi dan Usaha Kecil dan Menengah54 55. 56, 57. 58. 59, 60. 61 62. 63. 64, 65. 66. 67, 68. 69. 70. 71. 72 73. 74, 75. 76, 71. 78. 79, 80, 81 82 Kepala Biro Kerja Sama Luar Negeri, Kementerian Lingkungan Hidup dan Kehutanan Kepala Pusat Pendidikan dan Pelatihan, Kementerian Luar Negeri Kepala Biro Kerja Sama dan Hubungan Masyarakat, Kementerian Pendidikan dan Kebudayaan Kepala Biro Kerja Sama dan Komunikasi Publik, Kementerian Riset dan Teknologi Kepala Biro Perencanaan dan Kerja Sama Luar Negeri, Kementerian Pekerjaan Umum dan Perumahan Rakyat Kepala Biro Hukum dan Hubungan Masyarakat, Kementerian Pemberdayaan Perempuan dan Perlindungan Anak Kepala Biro Perencanaan, Kementerian Perdagangan Kepala Badan Pengembangan SDM, Kementerian Perhubungan Kepala Biro Kerja Sama Luar Negeri, Kementerian Pertanian Kepala Biro Perencanaan, Kementerian Sosial Kepala Biro Humas dan Kerja Sama Internasional, Badan Pemeriksa Keuangen Kepala Biro Humas dan Protokol, Mahkamah Agung Kepala Biro Hukum dan Hubungan Luar Negeri, Kejaksaan Agung Republik Indonesia Kepala Pusat Penerangan, Tentara Nasional Republik Indonesia Kepala Divisi Hubungan Internasional, Kepolisian Negara Republik Indonesia Kepala Biro Perencanaan, Badan Kepegawaian Negara Kepala Biro Hukum dan Organisasi, Badan Meteorologi, Klimatologi, dan Geofisika Kepala Biro Kepegawaian dan Organisasi, Badan Pengawas Keuangan dan Pembangunan Kepala Biro Perencanaan, Kepegawaian, dan Hukum, Badan Informasi Geospasial Kepala Biro Kerja Sama Luar Negeri, Badan Pengawasan Obat dan Makanan Kepala Biro Umum dan Humas, Badan Pengkajian dan Penerapan Teknologi Kepala Biro Hukum dan Humas, Badan Pusat Statistik Kepala Biro Umum dan SDM, Badan Pembinaan Ideologi Pancasila Kepala Biro Kerja Sama, Hukum dan Humas, Badan Tenaga Nuklir Nasional Kepala Biro Perencanaan, Hukum, Humas dan Protokol, Lembaga Administrasi Negara Kepala Biro Kerja Sama, Hukum dan Humas, Lembaga limu Pengetahuan Indonesia Kepala Biro Umum, Lembaga Penerbangan dan Antariksa Nasional Kepala Biro Sumber Daya Manusia dan Organisasi Tata Laksana, Pusat Pelaporan dan Analisis Transaksi Keuangan Direktur Pemasaran Pariwisata Regional il, Kementerian Pariwisata dan Ekonomi KreatifKepala Biro Kerja Sama Teknik Luar Negeri, Nef Samidi FahrudinKEMENTERIAN SEKRETARIAT NEGARA REPUBLIK INDONESIA Jalan Veteran No. 17-18, Jakarta 10110, Telepon (021) 3845627, 3442327 Faksimile (021) 3813583, Situs: www. setneg.go.id Nomor : B-25/Kemensetneg/Set/KTLN/LN.03.00/02/2021 12 Februari 2021 Sifat : Segera Hal Tawaran beasiswa Master Degree Program Tahun, 2021 dari Pemerintah Thailand Yth, Pejabat terlampir di Jakarta Bersama ini dengan hormat kami sampaikan tawaran beasiswa untuk 24 (dua puluh empat) program Master Degree dari Pemerintah Thailand yang diperuntukan bagi seluruh Pegawai Negeri Sipi! (PNS) di Indonesia. Biaya sehubungan dengan beasiswa tersebut akan ditanggung oleh Pemerintah Thailand/Thailand International Cooperation Agency (TICA), meliputi: 1. biaya pendidikan, 2, tiket penerbangan internasional p.p. (dari Bandara Internasional Soekarno Hatta- Bandara Internasional Suvarnabhumi Airport dan tidak termasuk biaya penerbangan domestik ke Jakarta), settlement allowance saat kedatangan pertama (sebesar 6000 Baht) biaya akomodasi setiap bulannya, uang saku setiap bulan (sebesar 7000 Baht) biaya study visit, asuransi, biaya buku setiap tahun, dan biaya penyusunan thesis. warauaw Berkenaan dengan kesempatan dimaksud, mohon kiranya masing-masing instansi dapat mengajukan maksimal 5 (lima) orang calon penerima beasiswa untuk setiap program yang ditawarkan, yang tugas dan fungsinya sesuai dengan program beasiswa dari masing-masing universitas. Adapun persyaratan-persyaratan yang harus diperhatikan adalah sebagai berikut: 1. mengisi formulir aplikasi secara online di website TICA, melalui http://bit.ly/TICAForm 2, melampirkan formulir TIPP yang diisi lengkap dan diketik rapi serta disetujui oleh pejabat yang berwenang, 3. melampirkan daftar riwayat hidup dalam Bahasa Inggris, 4, melampirkan salinan ijazah dan transkrip nilai yang telah dilegalisir dalam Bahasa Dokumen ini telah ditandatangani secara elektronik.Inggris, 5. melampirkan 3 (tiga) surat rekomendasi, 6. melampirkan medical report yang ditandatangani oleh dokter yang berwenang; 7, mohon untuk memperhatikan batas usia dan nilai minimum untuk TOEFL/IELTS yang dipersyaratkan oleh universitas yang dituju, begitu juga dengan persyaratan mengenai proposal penelitian ataupun dokumen-dokumen lain yang diwajibkan universitas. Guna proses endorsement, mohon untuk mengunggah seluruh soft copy Persyaratan yang diwajibkan, beserta dengan surat pengantar/rekomendasi dari focal Point masing-masing instansi ke dalam link Google Drive (atau semacamnya) dan mengirimkan link tersebut kepada kami melalui alamat e-mail Ktssbilateral@setneg.go.id. Diharapkan e-mail dapat kami terima paling lambat tanggal 8 Maret 2021. Setelah mendapatkan endorsement dari Kemensetneg, calon peserta akan diseleksi lebih lanjut olen Kedutaan Besar Thailand dan juga universitas yang dituju Sebagai keterangan lebih lanjut, kami sampaikan bahwa informasi rinci mengenai Program-program tersebut dapat diakses melalui http://bit.ly/TIPP2021 Atas perhatian dan kerja sama yang baik, kami sampaikan terima kasih. Kepala Biro Kerja Sama Teknik Luar Negeri, NOt Samidi Fahrudin Tembusan : 1. Sekretaris Kementerian 2. Pemerintah Provinsi dan Kabupaten/Kota seluruh Indonesia 3. Perguruan Tinggi/Universitas Negeri seluruh Indonesia 4. Para Kapolda seluruh Indonesia 5. Kedutaan Besar Thailand di JakartaPON aneune 10. . Sekretaris Jenderal, Dewan Energi Nasional 12, 13. 14, 15. 16. 17, 18, 19, 20, 21. 22. 23. 24, 25. 26. 27. Lampiran 1 Surat Dinas Kepala Biro Kerjs Sama Teknik Luar Negeri Nomor : 8-25/Kemensetneg/Set/KTLN/LN.03.00/02/2021 Tanggal : 12 Februari 2021 DAFTAR PEJABAT YANG DIKIRIMI SURAT DINAS Sekretaris Kementerian Badan Usaha Milik Negara Sekretaris Kementerian Agraria dan Tata Ruang/Badan Pertanahan Nasional Sekretaris Kementerian Pemuda dan Olahraga Sekretaris Jenderal, Dewan Perwakilan Daerah Sekretaris Jenderal, Dewan Perwakilan Rakyat Sekretaris Jenderal Majelis Ulama Indonesia Sekretaris Jenderal, Majelis Permusyawaratan Rakyat Sekretaris Jenderal, Mahkamah Konstitusi Sekretaris Jenderal, Komisi Yudisial Sekretaris Jenderal, Badan Narkotika Nasional Sekretaris Jenderal, Dewan Nasional Perubahan Iklim Sekretaris Jenderal, Komisi Pemberantasan Tindak Pidana Korupsi Sekretaris Utama, Badan Nasional Penanggulangan Bencana Sekretaris Utama, Badan Nasional Penanggulangan Terorisme Sekretaris Utama, Badan Nasional Penempatan dan Perlindungan Tenaga Kerja Indonesia Sekretaris Utama, Badan SAR Nasional Sekretaris Utama, Badan Standardisasi Nasional Sekretaris Utama, Perpustakaan Nasional Republik Indonesia Sekretaris Jenderal, Lembaga Kebijakan Pengadaan Barang/Jasa Pemerintah Sekretaris Utama, Arsip Nasional Republik Indonesia Sekretaris Utama, Badan Kependudukan dan Keluarga Berencana Nasional Sekretaris Utama, Badan Koordinasi Penanaman Modal Sekretaris Utama, Lembaga Ketahanan Nasional Sekretaris Utama, Badan intelijen Negara Sekretaris Jenderal, Ombudsman Republik indonesia Sekretaris Jenderal, u.p. Dirkersin Ditjen Strahan, Kementerian Pertahanan28. Sekretaris Utama, u.p. Direktur Kerja Sama, Badan Keamanan Laut 29. Sekretaris Jenderal, u.p Kepala Pusat Kerja Sama Internasional, Kementerian Komunikasi dan Informatika 30. Sekretaris Kementerian Perencanaan Pembangunan Nasional/Badan Perencanaan Pembangunan Nasional u.p. Kepala Pusat Pembinaan, Pendidikan dan Pelatihan Perencana 31. Sekretaris Utama, u.p. Kepala Pusat Pendidikan dan Pelatihan, Lembaga Sandi Negara 32. Sekretaris Jenderal, u.p Kepala Biro Hukum, Hubungan Masyarakat dan Kerja Sama, Komisi Pengawas Persaingan Usaha 33. Sekretaris Ditjen Ketahanan, Perwilayahan, dan Akses Industri Internasional, Kementerian Perindustrian 34. Kepala Badan Komite Nasional Keselamatan Transportasi (KNKT) 35. Ketua Lembaga Perlindungan Saksi dan Korban (LPSK) 36. Kepala Biro Kepegawaian, Organisasi dan Tata Laksana, Sekretariat Kabinet 37. Kepala Biro Manajemen Kinerja, Organisasi, dan Kerja Sama, Kementerian Pendayagunaan Aparatur Negara dan Reformasi Birokrasi 38. Kepala Biro Kepegawaian, Kementerian Koordinator Bidang Politik, Hukum, dan Keamanan 39. Kepala Biro Umum, Kementerian Koordinator Bidang Perekonomian 40. Kepala Biro Umum, Kementerian Koordinator Bidang Pembangunan Manusia dan Kebudayaan 41. Kepala Biro Perencanaan, Kementerian Koordinator Bidang Kemaritiman dan Investasi 42. Kepala Biro Hukum dan Kerja Sama Luar Negeri, Kementerian Agama 43. Kepala Pusat Fasilitasi Kerja Sama Luar Negeri, Kementerian Dalam Negeri 44. Kepala Biro Perencanaan dan Kerja Sama Luar Negeri, Kementerian Desa, Pembangunan Daerah Tertinggal, dan Transmigrasi 45. Kepala Biro Komunikasi, Layanan Informasi Publik, dan Kerja Sama, Kementerian Energi dan Sumber Daya Mineral 46. Kepala Biro Kepegawaian, Kementerian Hukum dan Hak Asasi Manusia 47. Kepala Biro Humas dan Kerja Sama, Kementerian Kelautan dan Perikanan 48. Kepala Biro Kerja Sama Luar Negeri, Kementerian Kesehatan 49. Kepala Biro Kerja Sama Luar Negeri, Kementerian Ketenagakerjaan 50. Kepala Pusat Kebijakan Regional dan Bilateral, Badan Kebijakan Fiskal, Kementerian Keuangan SY Kepala Biro Sumber Daya Manusia, Komisi Pemilihan Umum 52. Kepala Biro Administrasi, Badan Pengawas Pemilihan Umum 53. Kepala Biro Perencanaan, Kementerian Koperasi dan Usaha Kecil dan Menengah54. 55. 56. 57. 58, 59. 60. 61, 62. 63, 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76, 77 78, 79. 80. 81. 82. Kepala Biro Kerja Sama Luar Negeri, Kementerian Lingkungan Hidup dan Kehutanan Kepala Pusat Pendidikan dan Pelatihan, Kementerian Luar Negeri Kepala Biro Kerja Sama dan Hubungan Masyarakat, Kementerian Pendidikan dan Kebudayaan Kepala Biro Kerja Sama dan Komunikasi Publik, Kementerian Riset dan Teknologi Kepala Biro Perencanaan dan Kerja Sama Luar Negeri, Kementerian Pekerjaan Umum dan Perumahan Rakyat Kepala Biro Hukum dan Hubungan Masyarakat, Kementerian Pemberdayaan Perempuan dan Perlindungan Anak Kepala Biro Perencanaan, Kementerian Perdagangan Kepala Badan Pengembangan SDM, Kementerian Perhubungan Kepala Biro Kerja Sama Luar Negeri, Kementerian Pertanian Kepala Biro Perencanaan, Kementerian Sosial Kepala Biro Humas dan Kerja Sama Internasional, Badan Pemeriksa Keuangan Kepala Biro Humas dan Protokol, Mahkamah Agung Kepala Biro Hukum dan Hubungan Luar Negeri, Kejaksaan Agung Republik Indonesia Kepala Pusat Penerangan, Tentara Nasional Republik Indonesia Kepala Divisi Hubungan Internasional, Kepolisian Negara Republik indonesia Kepala Biro Perencanaan, Badan Kepegawaian Negara Kepala Biro Hukum dan Organisasi, Badan Meteorologi, Klimatologi, dan Geofisika Kepala Biro Kepegawaian dan Organisasi, Badan Pengawas Keuangan dan Pembangunan Kepala Biro Perencanaan, Kepegawaian, dan Hukum, Badan Informasi Geospasial Kepala Biro Kerja Sama Luar Negeri, Badan Pengawasan Obat dan Makanan Kepala Biro Umum dan Humas, Badan Pengkajian dan Penerapan Teknologi Kepala Biro Hukum dan Humas, Badan Pusat Statistik Kepala Biro Umum dan SDM, Badan Pembinaan Ideologi Pancasila Kepala Biro Kerja Sama, Hukum dan Humas, Badan Tenaga Nuklir Nasional Kepala Biro Perencanaan, Hukum, Humas dan Protokol, Lembaga Administrasi Negara Kepala Biro Kerja Sama, Hukum dan Humas, Lembaga llmu Pengetahuan Indonesia Kepala Biro Umum, Lembaga Penerbangan dan Antariksa Nasional Kepala Biro Sumber Daya Manusia dan Organisasi Tata Laksana, Pusat Pelaporan dan Analisis Transaksi Keuangan Direktur Pemasaran Pariwisata Regional lI, Kementerian Pariwisata dan Ekonomi KreatifKepala Biro Kerja Sama Teknik Luar Negeri, NOt Samidi Fahrudin2021 TIPP Courses [Ne Courses Nadie Tsao tion Daaion ‘Science Programm in Bioscience for | Silpakom University 2 years 1. Bachelor's degree or | | Sustainable Agriculture | ‘t4uly 2021 — October 2023) | equivalent in Agriculture, | | Setence ora elated fel | | | 2 GPA oF 280 or higher othe | | 1 dleveissemesyatem or | | | caivaent | 1 Sgenor more than 40 years | eeeremeeee | eehcanaeeas Taner ran TT ticheirsdesreeor | ‘August 2021 May 2023) |” cquvatent in Pharmacy or LS TOEFLUBT) Stupor TOEFL (ITP) 480 up or WTS Sup Program in Environmental Technology and Unversity ot (August 2021 May 2023) | Engincenng. Science, | Management| Technology Thonn Econom, Agriclre | ‘echinolvgy. or elated | fields | | 1) Master of Soenee Master of Engmcerme 2 eas, Bacio s Degree | 2. GPA of250 a rogram in Sant Gand Naresuan Unverty | 2yean 1 acheor's degree ia ome 2020 May 2023) |" Knpineetng, Slee, | apie scence or lated fields | | | |[Roy Cours Application Quaiiataes —] [37 Staterorsienoe Pog th Food Sense Chane Ma ane Bachelors depres in Food an Technology| Science and Technology. Foca Procesung Technhogy, Packaging Technology, “Marine Pods Technology, { | Product Development Technology. Biotechnology | Nation Seinees or ether ; | ‘elated fields GPA of 230) TOLL Minin $28 | (PBT) or | | | Misia $29 (TP) or Minin 193 (CBT) or | Minima ®9 BT} on | IELTS $5r = _CMU-STEGS 6 fsier of Since Program iw Food Khon Kaen Tnwversy are Ta innovation, Stead Qua ame 2031" May 2025) | 1 face's degre in Science Management aed «und Food Technology, | Agosindustia Fod Ereinering. Food Product. | Development oather ited elds. GPR of 128 up 2 sean working experience wrt Fels 1 Bovis degree in Seience ov othr elated Fels 2 GPA GT280 up 2 2 years working experience | ela ilCourses isa Secs Progam a Aula | science ‘Master of Sense Program AgiScicnee and Technology (Postharvest) 1 Navesian Univenay King Nona Uniseraty of Technology Thonbut une Bachelors depreeim Agnculure or ther lated Fete Uichelors depree Fnginecting 0 Science ‘Agsiculture relevant Brologial or Envranmentat Selene fod Technology) ‘rother tated Fels 2. GPA 6f2 78001 year ‘working experiences | rete teks | 9 Mister of Science Program in Dermatology “and Dermatosersey Taste Deamatilaey Bachelor degree Medicine 2. TOEFL S23 wpaTyoe | ESCBT or UBT oe MLTSss 1) Master of Pic Health «Global Heahiny Thanimasat Unicesiy | | | caugest une 20 (August 2021 May 2023) (3 TORT $50 coo or 2 T Wachelorsdeqiee or ssuivaient 2 GPAat2 {CBT} oF 79 UBT o¢ LTS 60ibis Fal Raves iniaiy Pasion 031 May 202 tne 2020 “Application Qualifications] Bachelor's degree or suvalent in Public Health, Health Technology Nursing, Medi, Dentistry. Pharmacy Medical Feshoology of the elated Fields or 3 year working experience in | related fells Cina Phannacy “Master of Science Program io Regulatory Science for Pharmaceutical and Hes Prods | | Master of Primary Health Care Management ein Pharny Programm ~ Barapa Uawoity ~ ahaa Taveniy > Mahidol Universi” ‘Maal Univers aya (uty 2021 Jane 2023) (August 2021 May 2025) (August 2021 = May 2023) 2 May 2023) | Bachelor's degree using or other elated fields Tahclors degree Pharmacy GPA 03 50 Bachelor's depree a Pharmacy or related health GPA t2 50 TOETL 300 PUT) oe HELTS. Bachelors deprcem Medbine wr rlated bath GPA F250 ‘TOEFL $00 (PBT) or IELTS so |We. Cones Daron Applicaton Quaications 1") Maser of Science rogram in Biomedical | Walaiak Unneiwiy” 3 years T. Bachelors depres in Science “Seen | (My 221 Ap 2023)" eget i 2 Graatss0 + Torr sso rer) 17-7 Misi of Sosce m Oscupaton Tramiasi inn Gsa sont "Taal gaa Slane | Eines ea ‘August 221 amy 2023) Seeguraea | 2 Gravtass | Mane of Sime PADRES gia | Chaya aye T Basia ee Re 2 cu-TER as 1 Universi (August 2021 —Fuly 2023) |" fede. | | 1” TORFL 330, | FLIS As 2 year 1 Bachelo's degre inelated | 16." Miser of Science Program in Epueniolngs’ Prince of Suny | 2w2i June 20201 | fields | 2 work experience teat to health 3 CL-TED 60 | TOEFL soo o LTS 50, I | __PSUTER «0 30. Maser of Seience Progam a Tanowative Mahasaitian 2 yet ashlar: degrae Tea an Tropical Heath Unisery ume 2031" Mas 2028), | Science. Public Health i Nurvng. Phamagy o ther | relate fekls | 2 GPa vt RIS | 3 TOEFL sto or ELTS 5.0Courses ‘Academic Institution Doration Application Qualifeations 3 | | Master oF Ans Program an Asta Paic Siwios | | ‘Aus 2021 Samay 2023) Bachsiorsdeercew relate fs GPA oF 328 TOEFL 400 or ELTS 50 oc TU-GETS 350 "ste of Arts Pagan in Diplo an nse Sn Tha Unive Ranga Unversity ‘Age 08 aly 20 Bachelors depreew ‘elated elds TTOEIC 640 or IELTS 5.5 ‘ister of Aas Program i ternational Development Master of Avs Progam in Social Science Mc Fa ang Unisciny Chiang Mir University | August 2031 duly 2023), May 2025, Bachelors degree ww ‘elation, Sociology. Antorpotogy. History, Humanity o oat fields GPa of2.50 TOEFL ST PAT or BNCBT yor 41 UBT) ot Witsso Bache’ degree or suivant, TOFFL $23 (PBT) or 193 (CBT) oe 69 UBT) or IELTS $5Thailand International Cooperation Agency (TCA) istry of Foreign Affairs APPLICATION FORM for Thailand International Postgraduate Programme: TIPP Attachment 28 OW OFFICIAL USE ONLY Reference No Received isc INSTRUCTIONS ‘This application form is composed of five parts. Part A to part E should be completed in triplicate, part A to part D should be completed by the candidate and. part E by the government authority. All application forms must be filled in {ypewritten form. Each question must be answered clearly and completely. Detailed answers are required in order to make the most appropriate arrangements. The National Focal Point for International Dev elopinent Cooperation of the nominating Government will forward one original and two copies of certified application form and other related documents to the Thailand International Cooperation Agency (TICA). the Government Complex, Building B (South Zone), 8" Floor, Chaengwaita Road, Laksi District, Banekok 10210, THAILAND, through the Royal Thai Embassy’Permanent Mission of Thailand to the United Nations Royal Thai Consulate - General accredited to eligible countries territories The candidate is required to attach medival report or health status certification. No consideration will be given to the late submissions or incomplete applications/documents (Please atach photograph here) Course Name Anstitute: A. PERSONAL HISTORY | ossible. information will be used for travel arrangements.) | posible, Title Family name [Middle name Given name Gender (2s shown in passport and kindly attach the copy of your passport, information will be used _—_fortravel arrangement) eM T © Male a © Female - | City and country of birth onality Date of birth Age | Marital Religion | (DD MM-YY), Status T L l i IL Wor adress (Please complete this section as clear as | Tome address (Please complete Wis seaTon clear as jaformation will be used for tavel arrangements.) Fax No: (Country Code /Area_ | Telephone No Code’ Number) : Fax No, International Airporti( for departure ‘Name and address of person to be notified in cave oF Telephone No Relationship of this person to you‘Attachment 28 _Education Record: Languages: - READ _ _ WRITE SPEAK ] ‘Exel ] Excell ran | Fell Go] | ent_| Good | Fair | Foir | Good | Fair | FR Good | Fair Mother tongue - Tt a —_] English CT — J Eh Others - a | ~ I English Proficieney Test (please attach) OTOEFL Score CIELTs Score | or fora degree course) ___ Other (specify) rete aia Education Institution [Years Attended Desices. Diplomas | Special fields of | Please give a list of relevant publications researches (do not al B. EMPLOYMENT RECORD (It is important to give compl give details of your duties and respons! sibilities.) | Present or most recent post - Dates from to. Title of your post i ‘Name of organisation: Ministi zi Type of organisation: ae Official address: | Previous post Dates from Title of your post to | t | Name of organisation [Minis 1 a Type of organisation | Official address: From | To and Certificates I study al = i i | | | | | | Have you ever been trained/studied in Thailand? IF yes, what course. whore and for how long? No | .-.0 Yes, please specify... ~ 4 jach details) lote information, For each post you have ovcupied, ~__Description of your work including your personal responsibilities Description of your work, including your personal responsibilAttachment 28 C, REFERENCES (Please attach the recommendation letters trom three (3) persons acquainted with your and professional experiences.) D. EXPECTATIONS. | Please deseribe the practical use you will make of this training Mudy on your return home in tation to The responsibilities you expect to assume and the conditions existing in your country inthe field of your training (Give the attached paper. if necessary) "certify that my statements in answer tothe foregoing questions are true, complete and correct Ifaccepted for a scholarship award, [ undertake to: ) carry out such instructi | | | sand abide by such conditions as stipulated by both the nominating government and | the host government in respect of this programme of scholarship: |) follow the programme of scholarship, and abide by the rules of the University and Thailand International | Cooperation Agency in which [undertake the seholarship;, ©) fefrain from engaging in politcal activities, or any form of employment for profit or gain; <0 study fll time, make aeademic progress and submit progress teports to Thailand Intemational Cooperation Agency; ©) not bring any member of my family to stay with me during the course: 1) retum to my home country prompily upon the completion of my programme of scholarship. J also filly understand that if am granted a scholarship award and violate Thailand Intemational Cooperation Agency's rules and regulations. | may be required to return part or all ofthe scholarship paid, depending on the severity of the violation, without any appeal | Signature of candidate: Printed name: Date: oe exdeaniontrer|Attachment 28 3OVERNMENT AUTHORISATION (To be completed by the National Focal Point for International Development Cooperation in charge of nomination ofthe candidate (see guideline for TIPP for detailed information on omination.)) | Supervisor's Endorsement: | certify that, o the best of my knowledge, (a) all information supplied by the candidate is complete and correct: (©) the candidate has adequate knowledge and experience in elated fields and has adequate English proficiency for the purpose of the scholarship in Thailand, (On return from the scholarship the candidate will be employed in the following position Title of post Duties nd responsibilities. Signatuve of responsible supervisor (Official stampy Title Organisation: Official address: E-mail Date _ National Focal Point for International Development Cooperation E: rsement: {To be completed by the National Focal Point for Intemational Des lapment ¢ ‘operation, ples | ase affix seal here or | attach a Diplomatic Note) (Official stamp Page 4 of 4 pagesAttachment 28 Attachment MEDICAL REPORT - — = | Name oF Candidate, lace oie Country... cere | Physical Examination (To be filled in by physician) Height .......0...Cms. Weight kgs. Blood Pressure mmHg. Pulse ‘min. Vision Right Left Eyes... With glasses / Without glasses Check each item in appropriate column Items Normal Abnormal Additional Comments General ° fe) Skin, Sealp ° ° Lymph nodes ° ° | Eyes fo} ° Ears fe} O° _ Orthoscopie Exam | Nose Pharyy & tonsils Teeth | Thyroid gland Lungs Heart Abdomen “Liver Spleen Herma External genitalia Rectal exam Vertebrae | Locomotor Reflejes | Mental health status ©CAC0000D000CA0OCO0 SP0900000000000000Attachment 28 Page 1 of 2 pages | LABORATORY EXAMINATIONS : _ Blood group oe Blood film for malaria Hib ee MM WBC ose Cells.cumm. Differential PMN occ LYMP oo. %% Mono % Bos % Baso .... % Band coe Me Blast % Colour Sp. Gr pH Sugar | Alb. soe Blood Ketones ccc Ble Miero : WBC HPF, RBC HPF. Epethetial HPF Casts os HPD... Others ‘Stool examination for parasite & Ova Chest X ~ Ray report Urine pregnancy test ...... Is the person examined at present in good health and able to work full ine? Is the candidate able physically and mentally to carry on intensive study away from home? Is the candidate free from infection iseases (such as tuberculosis, leprosy. syphilis and filariash) and other Conditions (such as psychosis and drug addiction) which could present risks for anyone during the scholarship period? (For female candidate) Is the person examined pregnant? | Does the candidate have any condition or defect which might require treatment during the scholarship period? | Teertify that the candidate is medically fit to undertake the scholarship in Thailand. Phy: n signature (with stamp)... M.D. ( Full name and address of Examinin ) physteian (printed) Place and Date.Telephone: (printed) E-mail: Attachment 28 Page 2 of 2 pagesThailand International Cooperation Agency Ministry of Foreign Affairs of Thailand GUIDELINES for Thailand International Postgraduate Programme (TIPP) |. Qualifications {-1 Candidates must be nominated by the National Focal Point for International Development Cooperation in a country from the TIPP eligible countries tenitories list. (See “List of Eligible Countries/Territories 1-2 Candidates should be preferred working in the government sector or in the area which related to the course was provided {-3 Candidates must have Bachelor's degree and/or professional experience related field or related to graduate degree, 14 Candidates must have a good command of English. 1.5 Candidates whose first language is not English and Bachelor's de "© was not instructed in English, have to pass an English Language proficiency west according to criteria required by University regulations. 1.6 Its recommended that candidates be less than 50 years of age 17 Candidat must have good physical and mental condition LS TICA reserves the rights to revoke schola hip offered to awardees who violate rules and regulations 19 Other requirements apart from these will be under consideration by the University regulations,2. Procedures for application submissions 2.1 The candidates must fill in the online application fo m on TICA website: Thailand International Cooperation Agency (TICA), Menu: Fellowships and Scholarships, Sub - menu. ua Thailand International Postgraduate Programme, Click on. TIPP 2020 (ltps:/idoes google.com forms die/ IF AIpQLSccoS VDLBS UQBAY AVCLiGhaWkNgmaAA/viewformusp-pp_utl) ga JLTIBILINY_A- 2.2 The candidates must be nominated by the National Focal Point for International Development Cooperation (such as Mi istry of Foreign Affairs) oF by relevant central government agencies for which the nominated candidates currently work. Nomination must be in line with relevant tules and regulations of the nominating countries territories. The National Focal Point will forward the nominated candidates’ documents to the Royal Thai Embassy Permanent Mis sion of Thailand to the United Nations/Royal Thai Consulate ~ General accredited to eligible countries territories. Please prepare one (1) original with two (2) copies of each document as these following items: 1. TIPP application form (Down! a www.tica.thaigov.n ‘main. en/relation’75500-T1PP-Application-form.tim|) 2. Medical report 3. Transeript of Bachelor's degree (to show the courses that you have learnt throughout Bachelor's degree) 4. Certific e of Bachelor's degree 5. English test score (e.g. TOEFL, IELTS) 6. Recommendation Letter (At least 3 people) 7. Thesis proposal or other documents (As university request) All forms are duly filled out and endorsed by for International Development Ci he candidates’ supervisor and the National Focal Point Lof related docum nts must be in English sh Fach of eligible countriesterritones can nominate up to five (5) candidates per academic programme 2.3 The application procedure will complete when TICA has received the hard copy of the application form and other related documents through the Royal Thai Embassy/Permanent Mission of Thailand to the United Nations/Royal Thai Consulate neral averedited to eligible countries territories,2.4 Application trom should be summited to the Royal Thai Embassy/Permanent Mission of ‘Thailand to the United Nations/Royal Thai Consulate General aceredited to eligible countries! territories within 1 March 2021 3. Selection of candidates 3.1 In considering appl ions. particular attention shall be paid to the candidates" background, their current position in the service of their vovernment, and practical use they expect to make of the knowledge and experience gained from studying on the return to their Government positions, 3.2 Selection of candidates is also based on geographical distribution and unless priority is set for particular countries. cooperation frameworks, 4.1 Awardees are required to study full time and not to change the programme topic’ study plan 4.2 Any part time employment is not allowed. 43 Awardees are not allowed to bring any family members to stay with them during study 5. Benefit of Awardees The Royal Thai Government will bear the following expenses for successful candidat their study in Thailand, The expenses include: 5.1 Return economy class air ticket and airport pick - up service Retum economy elas: uur ticket + International travel ~ Return economy class air ticket will be provided via the most direct and most economical route ft 1 the international airport at awardee’s respective country/territory to the Suvarnabhumi Intemational Airport, Bangkok Thailand. The award docs not cover domesti¢ travel cost in awardee’s respective country. Transit destination will be arranged, in case of a need for visa application to Thailand with the most direct and the most economic: All booking and changes to the booking. including setts f date of arrival and departure, must be done by TICA only. Ticket will be issued in electronic form (e-ticket) only Baggoge allowance quota isin line with the airlines" policy. Any purchase for extra baggage allowance is not covered by the awa;,)+ Domestic travel im Thailand ~ will be provided via the most economical route from the Suvarnabhumi International Airport, Thailand to the airport where the university located ‘Your scholarship is confirmed once the travel documents flights are verified Airport pick - up service Transfer to and from airport wil be provided to awardees. TICA will coordinate direetly with the Limousine ser AOTL +e, Upon arrival at the Suvarnabhumi International Airport, please proceed to the vousine Customer Relations counter and present thy struction of scholarship award for the Airport transfer. A taxi fare paid by awardees cannot be reimbursed 5.2 Monthly subsistence, settlement, books and thesis allowance Monthly subsist + Living allowance - Awardees will receive living allowance atthe amount of 7.000 Baht per month, ence allowance ~ Accommodation allowance - Awardees will receive aecon 7,000 Baht or 9,000 Baht per month odation allowance at the amount of Awardees need to bring pocket money of approxim ly USD300 to cover the payment of rental deposit (usually for 2 months) and advance rental for 1 month as requested by most accommodation owners, TICA will not be responsible for the deposit since awardees will receive back the deposit when their accommodation contract terminated. tlement allowance Awa dees will receive the settlement allowance at the amount of 6,000 Baht on their first arrival to Thailand, Books allowance Awardees will receive books allowance mount of 10,000 Baht per year. (Only 4 semesters for Master's degree) Thesis allowance Awardees are strongly recommended to make 1 ssary data collection in relation to their Proposed research topic, if itis to be done in their country, prior to coming to Thailand. Awardees will be given the thesis allowance as 2 lump sum amount of 20,(000 Baht for compulsory fieldwork or data collection and a lump sum amount of 1 000 Baht for thesis printing or 8,000 Baht for independent study (1S) printing5.3 Visa arrangement Awardees will be responsible for obtaining Non ~ immigrant visa Type “F™ prior to their travel to Thailand. TICA will provide facilitation to awardees who require visa application i.¢. liaising with the Royal Thai Embassy/Royal That Consula General and advising on appropriate procedure and neces documents for visa applica Awardees must cover all costs arising fiom visa application i.c. visa fee, travel cost to the Royal Thai Embasyy/ Consulate, postal fee (in « Visa application is made by post) transit visa fee (in case awardees needs to apply for visa to Thailand at a transit country). The vist fee can be reimbursed upon presenting an original receipt of the tee Awardees must not bring their family members with them during their scholarship Programme, Awardees in the scholarship programme cannot be used as reference for visa application to Thailand of his/her family member. 5.4 Tuition fee Awardees’ tuition fee will be directly reimbursed trom TICA, except equipment insurance fee. transcript and certificate f 5.5 Insurance Accident and Hospitalization Insurance during the period of study in Thailand will be provided. Cost of pre - exi 1 illnesses, dental treatment, brain disease, mental illness, pregnancy and glasses are NOT covered. Awardees are advised to obtain their own travel insurance which is fully covered for any costs arising from loss or theft of personal belongings 6. Contact address For more inf ‘mation, please contact Bureau of Intemational Cooperation on Human Resource Development Thailand International Cooperation Agency (TICA), Government Complex, Building B (South Zone), 8 Floor, Chaengwattana Rd, Laksi District, Bangkok 10210 THAILAND Website: www.tica.thaigov.net Email: ipp@mfa.mail,go.th