Eligibility (A)

Tokyo Institute of Technology

Global Scientists and Engineers Program (GSEP)
April 2018 Application Form
- Please type the answers or write legibly in print (block letters).
- Numbers should be written in Arabic numerals.
- Years should be written using the A.D. (19YY, 20YY) system.
- Acronyms and abbreviations should be spelled-out the first time.
- Personal data in this application will only be used for admissions purposes.

1. Name: ONDANG KELVIN KASVANI

(Family) (Given) (Middle)

2. Nationality: INDONESIA Date of Birth: 1999/02/26

(yyyy/mm/dd)

3. If you know a Tokyo Tech faculty or Tokyo Tech Alumni Association member, please
provide his/her contact information. (This is not mandatory, but he/she may be
consulted and his/her comments taken into account during the application
screening.)

Name: -

Relationship: -

Address: -

Tel: -

Fax: -

Email: -
 Eligibility (A)

4. Essays

A) Why do you wish to enter the Global Scientist and Engineers Program at the
Tokyo Institute of Technology? How will completing this degree contribute to
your career objectives? (max. 500 words)

I want to join the GSEP program because I want to fulfill my ambition to

contribute in the field of academics and engineering, so that in the future I can
take part in addressing various global issues that develop in society, especially
in my country Indonesia. One of the issues that developed in Indonesia is the
elimination of indigenous Indonesian culture with new cultures from outside
Indonesia as the impact of the globalization era. Japan is a world recognized as
a developed country that continues to innovate with the sophistication of
technology that follows the times, but with all the sophistication of existing
technology, does not make Japan lose its culture, Japan actually brings its
culture to go hand in hand with the times. This is what makes me very
interested in joining GSEP program and studying in Japan to see first hand the
indicators that I can apply in Indonesia to be able to maintain and elevate
Indonesian culture in this era of globalization as Japan has done very well.
By completing this degree, I hope to take part in bridging the good
relationship between Japan and Indonesia, especially in the field of science and
culture, and able to become an intellectual engaged in the field of academics and
engineering to take part in addressing various global issues that develop in
society through the approach of science and engineering.
 Eligibility (A)

B) Please tell us about yourself, including the following (max. 500 words):

▪ What are your academic strengths and goals?

▪ What kinds of activities have you initiated or taken part in as a student?
▪ What leadership experience do you have?
▪ Comment on your knowledge regarding Japanese culture and the language.
▪ List any awards or certifications that you have received in sports or
academia.

I am an open-minded student of new things that are willing to come out of

the comfort zone to explore new knowledge. Therefore I have a very high
curiosity and are very eager to understand new things, and are willing to accept
different cultures from my surroundings. My Academic Strengths are the
capital to reach my goal of becoming an intellectual engaged in academia and
engineering in order to be part of society to tackle global issues through science
and engineering approaches.
During my time, I became involved in many academic activities including
joining a student scientific research club and participating in various
individual and team competitions. I am also involved in non-academic activities
in the field of sports such as is incorporated in the school basketball team.
Outside of school I apply the knowledge I have gained in school by working as a
freelancer at an engineering consulting firm and being paid professionally.
During my work I gain a lot of experience by engaging in various construction
projects.
I have several times led the scientific research team of students to attend
various scientific research competitions. I also once led a team in the national
record-breaking activities in the field of painting. And I once led a team on a
transport access survey project organized by the West Nusa Tenggara
provincial transportation agency.
I think Japanese culture is a very unique and original culture. Japanese
culture is very inherent in the environment of society, it can be seen from how
proud and enthusiastic Japanese society in its involvement to follow various
cultural activities held. When other countries vying to encourage their people to
speak English to make their country look like a developed country that can
compete with other big countries, Japan does not do that, on the contrary,
Japan raised its culture and language to the international level and instilled a
sense of pride of teak His own country. This is what I have seen so far that
makes Japan a respectable and admired country by people from outside Japan.
Some of the awards I've achieved:
- 5th Winner in Provincial Scientific Writing Competition (PNB
Engineering Scientific Competition 2015) held by Bali State Polytechnic.
- 3rd Winner in Painting Capture Competition in Framework of Solving
National record of Longest Hand-held Cap Art of City Level held by Mayor
of Mataram (2015)
- 3rd Winner in Basketball Competition by Mataram Informatics and
Computer Management High School of Nusa Tenggara Barat Indonesia
(2014)

Date:
2017/08/26
(yyyy/mm/dd)

Signature:
 Eligibility (A)
[Questionnaire] Please type all your answers.
Admission results will be sent by post in mid-November 2017. Please write the postal address,
telephone and facsimile numbers, and email address at which you can be reached at this time.

Address: F-11 PERUMAHAN BUKIT CEMARA TUJUH, RAYA TLOGOMAS STREET, MALANG
CITY, EAST JAVA.
Postal code： 65151 Country: INDONESIA
Phone number: +62 – 81 999 988 567
Fax number: -
Email address: [Link]@[Link]

Applicants who intend to apply for the Japanese Government (MEXT) Scholarship are requested to
provide the following information:

 Japanese embassy or consulate nearest to your residence in your home country:

24TH M.H. THAMRIN STREET, JAKARTA PUSAT, DAERAH KHUSUS IBUKOTA JAKARTA 10350,
INDONESIA

MEXT Scholarship students are required to embassy or consulate in their country of nationality.

 International airport in your country of nationality that you will use to travel to Japan:

Name of Airport: NGURAH RAI INTERNATIONAL AIRPORT

Location (City/Province/Country) of Airport: DENPASAR/BALI/INDONESIA

In accordance with MEXT regulations, MEXT Scholarship students will be provided an economy
class air ticket from the international airport closest to their place of residence in their country of
nationality to Narita or Haneda International Airport.

Please provide your (expected) postal address, telephone number, and email address in your home
country as of April, 2018.

 Unchanged from November 2017

 Expected residence as of April 2018

Address: F-11 PERUMAHAN BUKIT CEMARA TUJUH, RAYA TLOGOMAS STREET,

MALANG CITY, EAST JAVA 65151 INDONESIA.
Phone number: +62 - 81 999 988 567
Email: [Link]@[Link]

If your address changes after submission, please inform the Tokyo Institute of Technology
Admissions Division.

E-mail: [Link]@[Link]
 Eligibility (A)
Tokyo Institute of Technology
Global Scientists and Engineers Program (GSEP) 2018
Application Check Sheet
Name in Full (FAMILY NAME, First Name) Nationality

ONDANG KELVIN KASVANI INDONESIA

1. Select the eligibility and conditions that correspond to your application to GSEP.

 (a) I wish to enroll in this program as a MEXT scholarship student. (Eligibility (A))
 (b) I wish to enroll in this program as a privately-funded international student. I currently do
not live in Japan. (Eligibility (B))
 (c) I wish to enroll in this program as a privately-funded international student. I currently live
in Japan. (Eligibility (B))

2. This section only applies to those who selected 1(a).

Among those admitted, the top ten students will be awarded MEXT scholarships. In the case you
are NOT awarded a MEXT scholarship, are you willing to enroll in this program as a
privately-funded international student? Please check the corresponding box.

 (a) No
 (b) Yes

3. This section applies for those who selected 1(b) or 2(b).

Applicants who did not qualify for the Japanese Government (MEXT) Scholarship may apply for
the Monbukagakusho Honors Scholarship for Privately Financed International Students offered
by the Japan Student Services Organization (JASSO).

Do you wish to apply for the Monbukagakusho Honors Scholarship for Privately Financed
International Students?
 Yes
 No

Please note that those who are already recipients of a scholarship are not eligible to apply for the
JASSO scholarship. The scholarship will provide a monthly stipend of ¥48,000 (JPY), and is subject
to change in accordance with JASSO directives. The scholarship will be provided from April 2018 to
March 2019 (12 months). Please note that recipients of this scholarship are still required to pay
admission and the tuition fees.
 Eligibility (A)
4. [Application Documents]

Eligibility
Please check the following boxes（）and submit these application documents by the
deadline.
(A) (B)
(1)Application Form for GSEP Eligibility (A)
 (Attached form: original, no photocopies)
(1)Application Form for GSEP Eligibility (B)
 (Attached form: original, no photocopies)

  (2)Questionnaire (Attached form, should be typed)

  (3)Check Sheet (Attached form, this form)

 (4) Application Form for MEXT scholarship (Attached form: original, no photocopies)

(5) Passport photocopy (photocopy of the page(s) that show the applicant’s name,
nationality, date of birth and photo)
*Only applicants who currently reside in Japan are required to submit the Certificate
  of Residence (juminhyo) or a photocopy of both sides of their Residence Card (zairyu
card) to prove their status of residence and authorized period of stay. Only original
copies of the Certificate of Residence will be accepted.

  (6) Official Academic Transcripts (Original or certified true copy)

(7) Certificate of Graduation or Expected Graduation (Original or certified copy)

*If the applicant’s high school does not issue graduation certificates, please check the
  following box.
 I have submitted other notarized documents that authenticate my graduation
and/or expected graduation.

(8) TOEFL, TOEIC or IELTS test scores

(No photocopies -- only original documents will be accepted. TOEFL-ITP,
TOEIC-ITP, TOEIC-IP will not be accepted.)
If you have not requested the official score sheets to be directly delivered to the
Admissions Division of Tokyo Tech by the ETS/British Council, please leave the boxes
unchecked.
   TOEFL (Test Date: . . )
 IELTS (Test Date: . . )

Applicants who have requested an exemption from the submission of English test
scores, please check following box.
I have requested for an exemption from submitting English test scores.
(9) The "Payment Verification" page(printed copy)
Please print out the "Payment Verification" page that appeared on the screen at the
 end of the payment process and include the sheet in your application package.
Tokyo Tech will NOT accept any payments made by cash or check.

[Individual Assessment]
 I have applied for the Individual Assessment of Admission Eligibility.