Application Form

English LanguageTraining
Assistance(ELTA)- NTT

(Please complete the form in English. Use X whenever appropriate)

Personal details

Full ANASTASIA KADEK DETY LESTARI □Male □ Female

name

Home AIRBAK,RT.014, RW. 007, KEL. OESENA, KEFAMENANU

address

Kec. MIOMAFFO TIMUR Kota/Kab. TIMOR Province NUSA

TENGAH TENGGARA
UTARA TIMUR

085239738929 Home/office -
HP no.
phone
th
Lestarianastasia@ymail.com Place/Date of OEBESA, OCTOBER 17 1993
Email
Birth
address
(dd/mm/yyyy)

S1 major PHYSICS S1 GPA (IPK) 3.90

(jurusan) (eg. 3.14)

Intended field of study for S2 PHYSICS

Have you applied for ELTA before? □ Yes □ No If YES, what year? 2014
th
What is your IELTS/TOEFL test score (if 467 When did JUNE 27 2015
any)? you take
it?

Which scholarship/s do you intend to apply for?

□ Australia Awards Scholarship □Chevening □ DIKTI □ Erasmus Mundus

□ Fulbright □ LPDP □ NZDS □ Other……………….
How did you get the information about ELTA?

□ Print media (please specify) ……………………………………….

□ Australia Awards Alumni □ Australia Awards Indonesia website □ RRI
□ Supervisor □ Other……………………
Employment

Are you
employed?
□Yes □ No If YES, employment status □ PNS □ Non-PNS
 Application Form
English LanguageTraining
Assistance(ELTA)- NTT

DOSEN TETAP NON- Period of working in the th

Job title JULY 10 2015 - NOW
PNS institution

Name of organization/institution TIMOR UNIVERSITY

Office address JL. EL-TARI KM. 9, KELURAHAN SASI, KEFAMENANU, TIMOR - NTT

TIMOR NUSA
Kec. KOTA KEFAMENANU Kota/Kab. TENGAH Province TENGGARA
UTARA TIMUR
 Application Form
English LanguageTraining
Assistance(ELTA)- NTT

CURRICULUM VITAE

OBJECTIVE To obtain English Language Training Asistance (ELTA)

PERSONAL Name Anastasia Kadek Dety Lestari

INFORMATION
Airbak,RT.014, RW. 007, Kel. Oesena, Kec.
Address
Miomaffo Timur,Kefamenanu

Telephone 085239738929

Nationality Indonesian

Date of Birth October 17th , 1993

Gender Female

WORK 10/07/2015 till now Lecturer At University Of Timor.

EXPERIENCE
2013 - 2014 Team Leader of Research at Student Creativity
Program – Research,Science and Engineering Faculty

2012 - 2014 Physics And Math Techer In Giving Private Course

2012 - 2014 Asistant Laboratory At Physics Laboratory of Science

and Engineering Faculty

2012 - 2013 The Committee Member of Physics Competition As

Competition Organizer

2011 - 2013 The Committee Member At Physic Assosiation Of

Science And Engineering Faculty As Coordinator Of
Education And Scientific Knowledge

2011 - 2012 The Committee Member Of Speech Competition As

Competition Organizer

2010 - 2011 The Committee Member Of Study Tour As Treasurer

To Managing Comittee Financial

Student of Physics of Science and Enginering Faculty

2010 - 2014
EDUCATIONAL of Nusa Cendana University Kupang
BACKGROUND
2007 - 2010 Student of Senior High School (SMA) Negeri 1 Soe
 Application Form
English LanguageTraining
Assistance(ELTA)- NTT

Student of Junior High School (SMP) Sint Vianney

2004 - 2007
Soe

Student of Catholic Elementary School (SD) Negeri

1998 - 2004
Maulafa

August 25th 2014 - Presenter Research of PIMNAS – 27 Organized by

August 29th 2014 State Minister for Education and Culture.

June 25th 2014 Participant Of Public Dialog “Komitmen PRIME

untuk Pelayanan Prima” organized by PT. Jasa
Raharja NTT (Persero) NTT and Science and
Engineering Faculty.

December 5th 2013 Participant of ASTROFISIKA Seminar “ Fotometri

Berkecepatan Tinggi Pada Bintang Variabel
Katalismik Dan Penggunaan Instrument
ULTRASPEC Di Teleskop Nasional Thailand &
Riset Astronomi Di Thailand, Saat Ini Dan Masa
Mendatang” organized By Physics Depatment and
TRAINING,
National Astronomical Research Institute of Thailand.
COURSE &
SEMINAR September 22nd 2013 Participant in Character Building Seminar “ONE
DAY LEARNING AND SHARING : TOEFL TIPS
AND TRICK” organized by LP3I Course Center
Kupang and Regional representative Kupang fo Van
Deventer – Maas Stichting

June 26th 2013-June 29th Participant of National Youth Leadership Training II

2013 2013, organized by State Minister for Youth and
Sports Affairs..

June 23th 2013 Participant in Character Building Seminar

“MANGROVE REHABILITATION” organized by
Regional representative Kupang fo Van Deventer –
Maas Stichting

November 13th 2012 Participant of “National Seminar of Science and

Engineering”, organized by Science and Engineering
Faculty.

September 22th 2012 Participant Of Leadership Training organized by

Nusa Cendana University
 Application Form
English LanguageTraining
Assistance(ELTA)- NTT

March 2012 – June 2012 Participant of IT Training Course (C Language) by

Korea Volunteers at University of Nusa Cendana.

Organisation Skill and competences:

PERSONAL SKILLS Good communicator, Encourager, Dedicated and Motivated Person, Able to work
& COMPETENCES in team, Goal Oriented, Leadership.

Artistic Skills and competences:

- Teaching
- Singing
- Writing
Computer:

Microsoft Office ( MS-Word, MS- Excel, MS-Power Point), Internet

Interpersonal:

Motivator, hard worker, friendly, honest, faithful, considerate, cheerful.

As Best Graduation 2014 for Science and Engineering Faculty at University of

Nusa Cendana.
AWARDS
As Delegation from NTT province at National Olimpiade of MIPA 2014.

As University of Nusa Cendana’s Delegation for PIMNAS (Pekan Ilmiah

Mahasiswa Nasional) XXVII 2014

5th Winner of MAWAPRES as Nusa Cendana Universitys Prestation Student.

I declare that all information made by me in this curriculum vitae is true, complete and correct to the
best of my knowledge, skill, and experiences.

Anastasia Kadek Dety Lestari

Application Form
English LanguageTraining
Assistance(ELTA)- NTT

TRANSKRIP
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English LanguageTraining
Assistance(ELTA)- NTT
Application Form
English LanguageTraining
Assistance(ELTA)- NTT

SALINAN KTP
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English LanguageTraining
Assistance(ELTA)- NTT

SURAT IZIN DARI ATASAN

 Application Form
English LanguageTraining
Assistance(ELTA)- NTT

SALINAN NILAI TES TOEFL

Checklist ()
1. Apakah Anda sudah membaca dengan seksama “Tanya Jawab” dan “Panduan Mengisi Aplikasi”
ELTA yang tercantum dalam website Australia Awards Indonesia? 
2. Apakah Anda sudah mengisi Aplikasi ini dengan benar dan akurat dan menjawab semua
pertanyaan dalam Aplikasi ini? 
3. Apakah Anda sudah melampirkan dalam Aplikasi ini :
 CV 
 Salinan Transkrip Nilai yang telah disahkan 
 Salinan KTP 
 Surat Izin dari Atasan 
 Salinan Nilai Tes IELTS atau TOEFL 