Employee Data Form
Position Discussed: SAP SD
Personal Information
Form of Address Full Name
(Mr/Mdm/Ms, etc.) (As indicated in ID/Passport/NPWP (Indonesia). Pls underline surname/family name.)
Known As Chinese Character (if applicable)
Date of Birth (dd/mm/yyyy) Place of Birth Country of Birth
Nationality Marital Status Religion Gender
Personal ID
Type ID Number Date of Issue Date of Expiry Place of Issue
(dd/mm/yyyy) (dd/mm/yyyy)
Contact Details
Address Type Address Postal Code Country Telephone Numbers
Family Details
Family Full Name Gender Place & Date of Birth Job Title
Members (Relationship) (As in ID/Passport. Pls underline (Place,dd/mm/yyyy)
surname / family name)
Education - Formal and Professional
Start Date End Date Duration Education Institution Country
(dd/mm/yyyy) (dd/mm/yyyy)
Language Skills
Language Read Write
Working Experience
Start Date End Date Company Name Last Position Held Name of Superior
(dd/mm/yyyy) (dd/mm/yyyy)
Please draw the latest organisation chart of your present/last job. Indicate Clearly your position, your supervisor and your subordinate
Current and Expected Remuneration
Monthly Basic Salary Variable Bonus Commission/Allowance Other Benefits Expected Salary
Involvement In Social / Political Activities (if applicable)
Organisation/Club From To Country Nature of Activities
Declaration
Please tick the appropriate box Yes No
Are/have you declared a bankrupt?
Have you been convicted of any criminal charge?
Have you been suspended or dismissed by any company/organisation/government services?
Are you suffering/have you suffered from any disease/physical defects/mental illness?If so, give
details
Are/have you declared a bankrupt?
Are/hhave you been addicted drugs
Do you have/have you had any involvement in any business undertakings? If so, give details.
Have you sign a promissory note or an acknowledgement of indebtedness which the amout
pledged
has not already been fully paid?
Do you have other source of income besides your salary? If so, give details.
Characters Referees (Names of relatives should not be given)
Name, Occupation, Years Known,
Employer, Mobile
Office,
Email
Rainer
Name, Occupation, Years Known,
Employer, Mobile
Office,
Email, [email protected]
Could we conduct a reference check with your present and previous employers? If no, please state reasons Yes
Additional Information
Date available to start work :
Are you filling to travel in the course of your employment?
Are you willing to relocate?
Why you wish to join in this company? I think this is very good environment for to develop skills, knowledge and get experiences
What is your career objective? Looking for better career prospects, profesional growth and work opportunities
Please furnish any additional information you consider to be helpful in your applicant
DECLARATION
I hereby declare that all the information given by me in this form and the copies attached are true and correct and that I am liable to be dismissed if it is found to be otherwise, notwithst
contract of service with the company. I acknowledge that employment is subject to my passing a medical examination.
Signature of Applicant Date
Nama Lengkap
Recent Photograph
Country of Issue
Employer
Qualification Major
(Bachelor, Masters, (Business Administration,
CPA, etc) Accountancy, Mechanical
Engineering, etc)
Speak
Designation of Last Drawn Salary Reasong for Leaving
Superior
Notice Period
it is found to be otherwise, notwithstanding any provisions in my
