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CURRICULUM VITAE

(Please complete all fields… write “N/A” if not applicable)

1. PERSONAL DATA Name:

Date of Birth:

Place of Birth:

Nationality:

Contact Address:

Tel (home):

Tel (Mobile):

Fax : Email:

2. ACADEMIC/PROFESSIONAL PARTICULARS

(a) Field of Specialization:

Major Field of Specialization, Fine Field Specialization

(b) Academic Qualifications

Degree, Major, Year, University, Country, Dissertation Title, GPA

(c) Academic Honors and Awards

Name of the Award, Awarding Institution, Year

(d) Membership of Professional Bodies

Name of Professional Body, Membership Grade, Joining Date (MM/YY)

(e) Language Proficiency

List of spoken/written languages and level of proficiency

3. CAREER DETAILS

(a) Academic Positions Held

Rank, Department, College, University, Country, Period (MM/YY- MM/YY) (b) Professional/Industrial Positions Held

Position Title, Department, Company, Country, Period (MM/YY-MM/YY)

(2)

- 2 -

(c) Administrative Positions Held (Dates: MM/YY-MM/YY)

Position Title, Department, College, University, Country, Period (MM/YY- MM/YY)

4. Teaching

(a) Summary of Courses Taught

Course Code, Course Name, Number of Times Taught, Evaluation

(b) Participation in Academic Accreditation

Name of Program, Role, Institution, Name of Accreditation Body, Period (MM/YY-MM/YY)

(c) Research Students Supervised/Trained

Level Number of Trainees

Postdoctoral Fellows PhD Students

Master Students

Undergraduate Students

(d) Participation in Thesis and Oral Examination Committees

Level Number of Examinations

PhD Students Master Students

(e) Training

Training Activity (e.g. Teaching & Learning Methods, Use of IT in

Teaching & Learning, etc…), Training Institution, Country, Period (MM/YY- MM/YY)

5. RESEARCH

(a) Research Interests

List of research interests in order of priority.

(3)

- 3 - (b) Publications/Citations Data

Type of Publication Number of Publications

Articles in International Refereed Journals

Conference Papers Books/Book Chapters Edited Books

Patents

Others (specify)

Citation Source Number of Citations

(c) Research Grants

Type of Grant, Role (e.g. Principle Investigator), Title of Project, Awarding Body, Duration (MM/YY-MM/YY), Grant Amount

(d) Patents

Title of Patent, Patent Number, Date, Name of Inventors and their Institutions

(e) Participation in Regional & International Conferences Name of Conference/Workshop/Forum/Symposium, Place (City &

Country), Date (include only last five years) 6. SERVICE

(a) Membership of Institutional, National, or International Scientific Advisory Boards

Name of Institution/Board, Type/Grade of Membership, Period (MM/YY- MM/YY).

(b) Membership of Conference Committees

Name of the Committee, Role, Name of Conference/Workshop/Forum/

Symposium, Place (City & Country), Date

(c) Service as Reviewer Journals

Name of Journal, ISSN No., Publisher (since: MM/YY)

(4)

- 4 - Conferences

Name of Conference/Workshop/Forum/Symposium, Place (City &

Country), Date

(d) Membership of Journal Editorial Boards

Name of Journal, ISSN No., Publisher (since: MM/YY)

(e) Invited Presentations at Scientific Meetings/Workshops

Title of Presentation, Name of Conference/Workshop/Forum/Symposium, Place (City & Country), Date

(f) University Service

Name of Institution, Country, Period (MM/YY-MM/YY)

Specify Administrative Appointments, Name of Committees/Boards/

Councils, Role

(g) Service to Profession/Industry

Name of Organization, Country, Role, Period (MM/YY-MM/YY)

(h) Public Service

Appointment, Organization, Period (MM/YY-MM/YY)

7. List of Publications (in chronological order, starting with most recent )

(a) International Refereed Journals (Published or Accepted only!) Authors, Title of Article, Name of Journal, Publisher (Country), Pages, Year

(b) Conference Papers

Authors, Title of Article, Name of Conference/Workshop/Symposium/

Forum, City & Country, Dates, Publisher (Country), Pages, Year

(c) Books/Book Chapters

Authors, Title of Book/Chapter, Publisher (Country), Pages, Year

(d) Other Publications

Authors, Title , Publisher (Country), Pages, Year 8. References

Provide the Names and Contact Information of at Least 3 References

Referensi

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