APPLICATION FORM
NOTE:
YOUR APPLICATION WILL NOT BE PROCEDED IF YOU ARE NOT FILL THIS FORM CORRECTLY AND PROPERLY
PERSONAL DATA
APPLIED POSITION:
FULL NAME OF APPLICANT: M/F
ADDRESS OF APPLICANT:
PHOTO
ZIP CODE:
MOBILE PHONE: OFFICE PHONE NUMBER:
EMAIL: FAX:
PLACE / DATE OF BIRTH: MARITAL STATUS: SINGLE MARRIED
WIDOW/WIDOWER DIVORCE
RESIDENCE: PARENTS OWNED ID KTP NO:
OWNERSHIP
RENT ROOM RENT OTHERS BLOOD TYPE:
FAMILY DETAILS: (INCLUDING YOUR NAME)
EDUCATION LAST EMPLOYMENT
RELATIONSHIP NAME AGE
TITTLE EMPLOYER
FATHER
MOTHER
SIBLING 1
SIBLING 2
SIBLING 3
SPOUSE
CHILDREN 1
CHILDREN 2
CHILDREN 3
PLEASE WRITE DOWN THE NAME WHO WE CAN ASK ABOUT YOU COMPLETELY
NAME ADDRESS / PHONE NUMBER RELATIONSHIP
1.
2.
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EMEGENCY CONTACT PERSONS
NAME ADDRESS / PHONE NUMBER RELATIONSHIP
1.
2.
FORMAL EDUCATION
PERIOD DEGREE
EDUCATION INSTITUTION NAME START - END MAJOR PASS/NOT
ELEMENTARY
SCHOOL
SECONDARY SCHOOL
HIGH SCHOOL
ACADEMY/
UNIVERSITY
VALUE GRADE POINT AVERAGE: GPA=
NON FORMAL EDUCATION : COURSE / TRAINING / SEMINAR
COURSE
FIELD/KIND BY WHOM CITY PERIOD YEAR
LANGUAGES (FLUENT/SLIGHT)
KIND OF LANGUAGE SPEAKING LISTENING WRITING READING
INDONESIAN
ENGLISH
WORK EXPERIENCE
NAME / ADRESS / WORK LAST INCOME RESPONSIBILITY REASON FOR
PHONE OF COMAPNY PERIOD CHANGE
1.
2.
3.
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JOB INTEREST
QUESTIONS ANSWER
1. HOW DID YOU LEARN ABOUT OUR COMPANY TO
APPLY ?
(Explain!)
2. DO YOU HAVE ACQUAINTANCE, FAMILY, OR
REALTIVE WORKING IN THIS COMPANY?
(If Any, Specify!)
3. WHAT IS THE REASON YOU WANT TO WORK IN OUR
COMPANY?
4. IN YOUR OPINION, WHAT FACTORS ARE YOUR
ADVANTAGES IN SUPPORTING YOUR
ACHIEVEMENT/SUCCESS DURING THIS?
5. MENTION WHAT FACTORS DO YOU FEEL AS YOUR
WEAKNESSES THAT COULD BE OBSTACLES FOR
YOURSELF IN ACHIEVEMENT?
6. WHAT ACHIEVEMENTS/SUCCESSS DURING YOUR
WORK ARE THE MOST IMPORTANT AND
SUCCESSFUL? WHAT IS THE REASON?
7. WILL YOU BE ASSIGNED OUTSIDE OF THE CITY?
8. HOW MANY DAYS AFTER RECEIVED, ARE YOU ABLE TO
START WORKING AT THIS COMPANY?
COMPESATION CONDITIONS & BENEFITS
CURRENT SALARY (GROSS)
CURRENT FACILITIES AND BENEFITS
EXPECTED SALARY
I HEREBY REPRESENT THAT THE INFORMATION I PROVIDED ABOVE IS CORRECT AND IF ANY INFORMATION
IS TRUE OR MISLEADING I WILL RESIGN FROM THIS COMPANY.
APPLICANT’S SIGNATURE DATE
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