Application Form
UNHCR MOSCOW
Internship Scheme
APPLICATION FORM
(YOU WILL BE CONTACTED ONLY IF UNHCR WISHES TO PURSUE THIS APPLICATION).
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Family Name
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First/Given Name
Fathimah Athiya Rahmah
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Gender
(M/F)
Female
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Date of Birth (Day/Month/Year)
9/04/2002
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Place of Birth
Bandung
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Present Nationality
Indonesian
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Date available for internship.
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From:
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10/08/2017
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To:
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11/08/2017
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Are you interested in a part-time internship? Yes ( *
) No (
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What are your preferred areas of work? 1/
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What are your objectives in undertaking an internship with
UNHCR?
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Languages -
Mother tongue:
____________________________________
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Language Competence:
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Read
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Write
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Speak
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Understand
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(specify)
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Easily/Not Easily
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Easily/Not Easily
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Easily/Not Easily
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Easily/Not Easily
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English
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Easily
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Easily
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Not Easily
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Easily
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1/ Select one (or up to five) area(s) :
Refugee protection (legal) – Community & social services
– Research/policy analysis – -Translation & other language support –
Editing/publications –
- 2 -
Higher Education (College and/or University, or equivalent)
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Institution
(Name, Place,
Country)
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Month/Year
Attended
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Degrees Obtained |
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Major Subjects
of Study
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Junior High
School 14,
Bandung,
Indonesia
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2017
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Senior High
School 3,
Bandung,
Indonesia
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2020
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Social
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Bandung
Institute of Technology
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2024
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Bachelor
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Business School and Management
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Degree(s) Expected:
Manager
Career Plans:
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I want to be a professional manager in a company
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Employment: Please describe any previous practical
experience you may have had.
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I once worked as a junior manager in a company
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- 3 -
Reference: Indicate
the name of your scientific adviser or the Dean of the Faculty who can recommend
you for the internship and describe your character and qualifications.
Full Name Full
Address Business
or Occupation
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Lina Rohmayani
Jl Parakan Saat no 16
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Lecturer
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Your Address:
Jalan Lebak no. 260
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Telephone No.:
087883810049
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E-mail Address:
fathimahathiyar94@gmail.com
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Insurance:
I hereby confirm that I hold a health/accident insurance policy with
the
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Company. My policy
number is
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223345678
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In case of emergency notify: Name:
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Address/Telephone:
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I certify that the statements
made by me in answer to the foregoing questions are true, complete and correct
to the best of my knowledge and belief.
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Signature
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Date
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