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DIRECTORATE OF HUMAN RESOURCES
DIRECTORATE GENERAL OF HIGHER EDUCATIONMINISTRY OF NATIONAL EDUCATION
FORM A
A. PERSONAL DATA
1. Full name (capitalletters)
: SUWARDIYANTO(Last name) (First name)
2. Gender : Male Female3. Place & date of birth : Bondowoso, 19/January/1975
4. Home address &Phone No.
: Bumi Mangli Permai E 17 Jember
................................................... Pos code : 68136
Tel. : - Mobile : 08124975501
5. E-mail address : [email protected]. Marital status : Single Married7. Spousesoccupation
: House wife
8. Employment :
University : University of JemberFaculty : Mathematic and Natural Sciences
Department : Chemistry
9. Civil service data : NIP :197501191998021001
(if available)
Karpeg : J 000705(if available)
10. Rank (Golongan) : IIIb
B. EDUCATION BACKGROUND
1. Please state your university, field of study, and year of degree obtained ornon-degree training course(s) attended.
No.
Name of Institution
Yearattended
Degree/Certificate Field of
StudyFrom
To
1 University of Brawijaya 1992 1997
S1(undergraduate)
Chemistry
2 Institute Technology ofBandung
2000 2003
S2 (master) InorganicChemistry
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2. Academic Aptitude Test (Test Potensi Akademik-OTO/Bappenas), if available :
Score 621,83 Year obtained 2010
3. English proficiency :
IELTS :
Score 6,5 Year obtained 2011
Pre-TOEFL :
Score Year obtained
Institutional TOEFL :
Score 500 Year obtained 2010
Please indicate (thick) your proficiency in foreign language(s) :
English French German Japanese
Fair Good Verygood Fair Good Verygood Fair Good Verygood Fair Good Verygood
Spoken
Written
C. ACADEMIC BACKGROUND
1. Attach your official copies of English-translated academic transcript .
2. Title of your sarjana and M.S. thesis :
Title of sarjanascription : Pre-concentration of lead (II) ion by activated aluminaMini coloum
Title of master thesis : Synthesis and characterization of pyrochloreBi2(MM)O7
(M : Yb, Nd, Sm; M : Sb, Nb, Ta)
3. List of your research projects and your position at the projects mostly related to your
proposed study (1. Principal investigator, 2. member, 3. consultant, 4. enumerator, or 5.
other)
No.
Year Project Title Position
1 2002 Bismuth containing pyrochlore 22 2006 Structure change of rutile to anatase 13
4. List your recent scientific publications published in journals
No.
Year Article Title Journals name andplace of publication
1 2003 Synthesis and characterization ofpyrochlore Bi2(MM)O7
(M : Yb, Nd, Sm; M : Sb, Nb, Ta)
Indonesian Journal ofPhysics
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5. Write names of three academic referees (former advisors, direct academic advisors, etc)
No.
Name Relationship Country
1 Drs. Ach. Sjaifullah, MSc, PhD Head of Department Indonesia2 Drs. Siswoyo, MSc, PhD Colleague Indonesia3 Prof. Ismunandar, PhD Former supervisor Indonesia
D. PRESENT POSITION AND DUTIES
1. Teahing responsibilities . List name of courses taught in the past two years
No.
Course Titles
1 General Chemistry (Basic and advanced)2 Structure and Reactivity of Inorganics
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2. Administrative or other responsibilities :
Year Position2005-now Head of Basic Chemistry Laboratory
E. PROPOSED STUDY PROGRAM
1. Program : Ph.D.
Master NonDegree
Sandwich Program
2. Field of study :
Inorganic Chemistry
3. Main research interest : Photocatalyst and heterogeneous catalyst
4. Proposed university :
Name of university : University of Aberdeen
Country : United Kingdom
Name of advisor : Prof. Russell Howe
5. Length of proposedstudy
: 3 years
6. Research proposal : Please attach (separately) your research proposal that hasbeen discussed with or approved by your prospectiveadvisor. Please also provide or attach copies of yourcommunication letters or email to support that acommunication with your prospective advisor has beencarried out.
Verified by Dean of the Faculty of Date : 11 March 2011
Prof. Drs. Kusno, DEA, PhD
Signature of the candidate
Suwardiyanto, MSi
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NIP. 196101081986021001 NIP. 197501191998021001
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