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Home > Career
Application Form
Position
PERSONAL INFORMATION
Full Name
Place/Date of Birth
Address in Jakarta
Address of Origin
Telepohone Number
Mobile Number
Email Address
ID No.
Religion
Blood Type
Marriage Status
Single
Married
Divorce
Citizenship
NPWP Number
BCA Account No.
EDUCATION AND SKILL
A. FORMAL EDUCATION
Education Level
School Name
Subject
Year to Year
High School
University/Academy
Master
B. INFORMAL EDUCATION
Program/Class Name
Organizer
Year
Certificate/Description
C. LANGUAGE ABILITY
Foreign Language
Written
Oral
Description
M
GE
G
M
GE
G
M = Medium
GE = Good Enough
GE = Good Enough
FAMILY
A. FAMILY HIERARCHY
Parents
Full Name
Education
Age
Job Title
Father
Mother
I am number
of
sibling
Sibbling’s Name
Education
Age
Job Title
B. HUSBAND/WIFE/CHILDREN
Full Name
Education
Age
Job Title
Husband/Wife
Children
C. CURRENTLY STAYING IN:
Own House
Parents House
Rental House
Guest House
D. IN CASE OF EMERGENCY, WHO TO CONTACT?
Full Name
Complete Address
Telepohone Number
Mobile Number
WORKING EXPERIENCE
A. PREVIOUS JOB
Company Name
Job Title
Working Period
Reason of Resignation
B. OTHER THINGS RELATED TO APPLICATION
Reason/purpose you apply for a job to this company?
Are you willing to be placed anywhere according to the needs of companies, including mutations?
Who is the employee that you know in this company?
What is your relationship with that name above?
How do you know any jobs information at this company?
Who are your references outside of this company? (Name, company & telephone no.)
Type of vehicle that you use:
Privately owned or company (agency):
Willing to start working at this company on (dd-mm-yyyy):
Are you willing to undergo probation according to applied regulations?
MISCELLANEOUS
Did you ever seriously ill?
Yes
No
What was the illness?
On what year?
Did you ever get serious accident?
Yes
No
What was the accident?
On what year?
The result?
What do you do in your spare time?
What is your hobby?
Describe your best achievement/success up to date:
APPLICANT STATEMENT
I am willing to abide by all laws, which currently exist or that will be set later.
Agree
Not Agree
Any information I provide in this form is correct and true as one of the requirements to work in the company.
Agree
Not Agree
I am willing to be dismissed immediately by the company without receiving compensation and services in any form, if it turns out later on my statement is not true.
Agree
Not Agree
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