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Application Form Staff

The document is an application for employment. It requests personal information such as name, date of birth, education history, work experience, health information, and references from applicants. Applicants must provide details to be considered for open positions.

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suwendragede02
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© © All Rights Reserved
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101 views2 pages

Application Form Staff

The document is an application for employment. It requests personal information such as name, date of birth, education history, work experience, health information, and references from applicants. Applicants must provide details to be considered for open positions.

Uploaded by

suwendragede02
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

APPLICATION FOR EMPLOYMENT

Position applied for Date:

PERSONAL INFORMATION

Full Name:

DOB: Nationality:

Gender: o Male o Female Marital Status: o Single o Married

ID no./Passport no: issued on: At:

Address:

Mobile no:

EDUCATION
School/ College/ Certificate/ Diploma/
Specialty Graduated year
University Name Degree obtained

Foreign Languages Spoken Written Comprehension


o Excellent o Good o Excellent o Good o Excellent o Good
Bahasa Indonesia
o Average o Average o Average

o Excellent o Good o Excellent o Good o Excellent o Good


English
o Average o Average o Average

o Excellent o Good o Excellent o Good o Excellent o Good


Other:
o Average o Average o Average

Computer literacy:

Other skills:

OTHER INFORMATIONS

How is your health? o Excellent o Good o Poor

Do you have any contagious disease o Yes o No

Have you ever been dismissed or suspended from previous employer? o Yes o No

Have you ever been convicted in Court of Law in any Country? o Yes o No

WORKING EXPERIENCES (From the most recent to the past ones)


Company name & Reason of
Period Position Salary Net (THP)
Scope of business Leaving

REFERENCES:
Contact Person
Company Name Email address Mobile No Relationship
/Position

When can you start your job if being recruited? o Immediate o Notice period of:

Your Expected total net salary (THP):

Your expected benefits:

Can you work in any regions? o Yes o No?

Other specific requests:

Hereby I authorized the Management of this Company to request information to any person or organization for the purpose of
investigation -References check. I agree that if any false declarations made in this application will conduct to terminate my contract
of service immediately without notice.

Applicant’s Signature Date:

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