Biographical Information: Personal Data

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BIOGRAPHICAL INFORMATION

PROGRAM APPLIED/INTENDED: Edmonds College

PERSONAL DATA
Full Name as passport Katrina Anabeth Suherman
Place and Date of Birth California, March 10 2003
Ethnic Indonesian
Passport Number X809856

Issuing Date May 10 2019

Expired Date May 10 2024


Permanent Address (include Code Pluit Barat IV No. 32,Penjaringan, Pluit, 14450
Pos)

Home Phone 021 6605078


Mobile 08119997555
Fax
Email Address [email protected]
EDUCATION BACKGROUND
HIGH SCHOOL (SMA)
● Name of High School SMAK 1 BPK PENABUR JAKARTA

● Address 12, Jl. Tanjung Duren Raya No.4, RT.12/RW.2, Tj.


Duren Utara, Kec. Grogol petamburan, Kota Jakarta
Barat, Daerah Khusus Ibukota Jakarta 11470
● Years attended (from..to) 2019-2021

● Program attended SCIENCE


JUNIOR SCHOOL (SMP)
● Name of Junior School SMAK 6 PENABUR

● Address Jalan Muara Karang Raya Blok 23 S No.23 RT.1/RW.2,


Jl. Pluit Raya No.12, RT.1/RW.2, Penjaringan, North
Jakarta City, Jakarta 14450

● Years attended (from …to) 2017-2019

● Program attended Bilingual class


PARENT INFO
FATHER
Full Name as passport Adrian Suherman
Place & Date Of Birth Jakarta, 12 Mei 1973
Address Pluit Barat IV No. 32,Penjaringan, Pluit, 14450

Phone/Mobile 08111771345
Email Address [email protected]
Occupation President Director
● Name Of Company Multipolar

● Address of Company Menara Matahari 20th-21th floor, Boulevard Palem Raya


7, Lippo karawaci 1100

● Phone 08111771345

EDUCATION
Post Graduate Degree if any
( major, name institution, year Insead-Wharton MBA program 2006
of graduation)

Bachelor Degree (major, name Stanford University , Master of science in electrical


of Institution, year of engineering, 1998
Graduation)
The university of arizona, bachelor of science in
computer engineering, 1995

Full Name as passport Dolly Gusnawan


Place & Date Of Birth Jakarta, 22 Agustus 1972
Address Pluit Barat IV No. 32,Penjaringan, Pluit, 14450

Phone/Mobile 08111006321
Email Address [email protected]
Occupation Entrepreneur
● Name Of Company PT Lautan kencana hidup
● Address of Company Jl. Kyai Caringin No.22, RT.11/RW.4, Cideng, Kecamatan
● Phone Gambir, Kota Jakarta Pusat, Daerah Khusus Ibukota Jakarta
10150

08111006321

EDUCATION
Post Graduate Degree if any
(major, name institution, year of
graduation)

Bachelor Degree (major, name Industrial Engineering, University of Arizona, 1995


of Institution, year of
Graduation)
DATA TEST
Test DATE OF TEST RESULT Note

TOEFL/IELTS 19 Desember 2020 7.0

SAT (1)

● 1st test

● 2nd test

● 3rd test

SAT (2)

● 1st test

● 2nd test

● 3rd test

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