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ISRSF ESSAYCOMPETITIONFORINDONESIANWOMEN

FORM

Personal Information

Name : Pepi Nurapipah

Gender : Female

Place and date of birth : Bandung, April 17, 1992

Current Address

Address : omple! Permata Biru, Blo! A" 1, #inunu!, #ileun$i%

#it$ : Bandung

Pro&ince : 'a(a Barat

Postal #ode : )*+9+

mail Address : p-a.fah/$ahoo%co%id#ellphone : *021217*10

Current Position and Institution

3hat is $our current position4 : #ler!ship Ph$sician

Are $ou a permanent lecturer in a uni&ersit$4 : 56 N

Are $ou interested in pursuing $our doctorate degreein a top8tier American uni&ersit$4 : 56 N

f $es, (hat is $our preference .eld of stud$4 : inter&entionalcardiolog$ fello(

Brie$ describe (hat do $ou do4 :

am recentl$ graduated from medical school and (aiting for replacement as

internship ph$sician% ;oda$, (or! as cler! and assisting inter&entional

7/25/2019 Women_Essay_Competition_Form (1).doc

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cardiologist in National #ardio&ascular #enter P : +%*

S-%!&raduate De#ree$

6tarted>completed $our 62 degree : 56 N

5ear start $our 62 degree :

5ear complete $our 62 degree :

nstitution (here doing or did 62 program :

@epartment>Facult$ is or (as program of stud$ :

;itle of 62 thesis :

5our 62 thesis ad&isor :GPA>P :