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Standard Application Form of NLEC-2024

The document is an application form that collects personal information, education, employment history, family details, language proficiency, hobbies, and references from the applicant. It includes sections for preferences regarding interview notice and availability to join, as well as a declaration of the accuracy of the provided information. The form also allows for additional information that may be relevant to the prospective employer.

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haryosenoaliwinardi
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37 views10 pages

Standard Application Form of NLEC-2024

The document is an application form that collects personal information, education, employment history, family details, language proficiency, hobbies, and references from the applicant. It includes sections for preferences regarding interview notice and availability to join, as well as a declaration of the accuracy of the provided information. The form also allows for additional information that may be relevant to the prospective employer.

Uploaded by

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

Name :

ID Card No :

Current Home Address :

Gender : o Female o Male

Telp. Np. Office : HP :


Residence : Email :
Emergency Contact :

Date of Birth : Age :


Place of Birth :
Marital Status : Nationality :

EDUCATION & PROFESSIONAL QUALIFICATION


FROM - TO (STATE DATE) NAME OF SCHOOL, COLLEGE STATE LEVEL ATTAINED MAJOR COURS

PREFERENCES
Notice of Interview : days
Availability to join : month (s) notice

EMPLOYEMENT HISTORY (Commence with current or last employment)


Date of Employment :
Date Employment Ended : -
Name of Employer :
Address of Employer :

State nature of employer's business :


Position Held :
Name & designation of Immediate Supervisor :
Total number of employee in company :
Number of staff supervised by you :
Give details description of duties/responsibilities :

How did you get employed in this company :


(Through Advertisement, Recommendation, etc)
Reason for Leaving :
Last Drawn Salary :

Date of Employment :
Date Employment Ended :
Name of Employer :
Address of Employer :

State nature of employer's business :


Position Held :
Name & designation of Immediate Supervisor :
Total number of employee in company :
Number of staff supervised by you :
Give details description of duties/responsibilities :

Last Drawn Salary :

Date of Employment :
Date Employment Ended :
Name of Employer :
Address of Employer :
State nature of employer's business :
Position Held :
Name & designation of Immediate Supervisor :
Total number of employee in company :
Number of staff supervised by you :
Give details description of duties/responsibilities :

How did you get employed in this company :


(Through Advertisement, Recommendation, etc)
Reason for Leaving :
Last Drawn Salary :

FAMILY DETAILS
OCCUPATIO
N
RELATIONSHIP NAME ADDRESS AGE PRESENT
/PAST
Father
Mother
Brother/sister

Do you have any relation or family who work in government, police/military, law firm/advocate? (if yes, please fill in)

RELATIONSHIP NAME ADDRESS AGE N

LANGUAGES
INDONESIA ENGLISH CHINESE (SPECIFY) JAPANESE ………………..
SPOKEN o Native Speaker o Profes o o o
WRITTEN o Native o Profes o o o

HOBBIES,GAME & OTHER INTERESTS


ADDITIONAL INFORMATION - Give any additional information which you consider may be of interest to a prospective employer
, if possible state why you believe you are suitable for the position you are applying

ORGANIZATION CHART OF COMPANY MOST RELEVANT TO POSITION APPLIED FOR.


(previous or current employer)
State name of company, indicate where you fit in within the organization.

EMPLOYEMENT REFERENCES (From past & present employment)


NAME :
POSITION :
COMPANY NAME :
COMPANY ADDRESS :

TELP (OFFICE)/HP :

NAME :
POSITION :
COMPANY NAME :
COMPANY ADDRESS :

TELP (OFFICE)/HP :

NAME OF COMPANIES WITH WHICH YOU HAVE PENDING APPLICATION FOR EMPLOYMENT
(Give dates of application)
1. None
2.
3.

Day/date Signature

I hereby declare the informations provided are correct.

If false information is found, the current or future employee recruitment process will be canceled
PHOTO

AINED MAJOR COURSE OR SUBJECT


NAME OF EMPLOYER

n)

NOTES

………………..
o
o
oyer

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