DIRECTORATE OF HUMAN RESOURCES DIRECTORATE GENERAL OF HIGHER EDUCATION MINISTRY OF NATIONAL EDUCATION FORM A A. PERSONAL DATA 1.

Full name (capital letters) 2. Gender 3. Place & date of birth 4. Home address & Phone No. : SUWARDIYANTO (Last name) (First name) : Male Female : Bondowoso, 19/January/1975 : Bumi Mangli Permai E 17 Jember ................................................... Pos code : 68136 Tel. : 5. E-mail address 6. Marital status 7. Spouses occupation 8. Employment : University Faculty Department 9. Civil service data 10. Rank (Golongan) : Antok.fmipa@unej.ac.id : Single : House wife : University of Jember : Mathematic and Natural Sciences : Chemistry : NIP : 197501191998021001 (if available) : IIIb Karpeg : J 000705 (if available) Mobile : 08124975501 Married

B. EDUCATION BACKGROUND 1. Please state your university, field of study, and non-degree training course(s) attended. Year attended No Name of Institution . Fro To m 1 University of Brawijaya 1992 199 7 2 Institute Technology of Bandung 2000 200 3 year of degree obtained or Degree/Cer tificate S1 (undergrad uate) S2 (master)

Field of Study Chemistry Inorganic Chemistry

2. Academic Aptitude Test (Test Potensi Akademik-OTO/Bappenas), if available : Score 621,83 Year obtained 2010 3. English proficiency : IELTS : Score Pre-TOEFL : Score Institutional TOEFL : Score 500 6,5 Year obtained 2011

Year obtained

Year obtained

2010

Please indicate (thick) your proficiency in foreign language(s) :

English
Fai r Good Very good Fai r

French
Good Very good Fai r

German
Good Very good Fai r

Japanese
Good Very good

Spoke n Writte n

C. ACADEMIC BACKGROUND
1. Attach your official copies of English-translated academic transcript . 2. Title of your sarjana and M.S. thesis :

Title of sarjana scription Title of master thesis

: Pre-concentration of lead (II) ion by activated alumina Mini coloum : Synthesis and characterization of pyrochlore Bi2(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 . 1 2 3

Year 2002 2006

Project Title Bismuth containing pyrochlore Structure change of rutile to anatase

Position 2 1

4. List your recent scientific publications published in journals

No . 1

Year 2003

Article Title Synthesis and characterization of pyrochlore Bi2(MM)O7 (M : Yb, Nd, Sm; M : Sb, Nb, Ta) 2

Journals name and place of publication Indonesian Journal of Physics

5. Write names of three academic referees (former advisors, direct academic advisors, etc)

No . 1 2 3

Name Drs. Ach. Sjaifullah, MSc, PhD Drs. Siswoyo, MSc, PhD Prof. Ismunandar, PhD

Relationship Head of Department Colleague Former supervisor

Country Indonesia Indonesia 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 3 2. Administrative or other responsibilities : Year Position 2005-now Head of Basic Chemistry Laboratory

E. PROPOSED STUDY PROGRAM

1. Program 2. Field of study : Master Non Ph.D. Degree : Inorganic Chemistry : : : : : : : University of Aberdeen United Kingdom Prof. Russell Howe 3 years Please attach (separately) your research proposal that has been discussed with or approved by your prospective advisor. Please also provide or attach copies of your communication letters or email to support that a communication with your prospective advisor has been carried out. Date : 11 March 2011 Signature of the candidate Sandwich Program

3. Main research interest 4. Proposed university Name of university Country Name of advisor 5. Length of proposed study 6. Research proposal

Photocatalyst and heterogeneous catalyst

Verified by Dean of the Faculty of

Prof. Drs. Kusno, DEA, PhD

Suwardiyanto, MSi

NIP. 196101081986021001

NIP. 197501191998021001