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    Form Data Kandidat PT Mitra Seribu Saudara

    Uploaded by

    Muhammad Sobri Maulana
    This document is a personal information form for an applicant applying for a position in Grade IV or higher. It requests information such as personal details, education history, family background, skills, employment record, and other information related to the application. The applicant provides their name, date of birth, citizenship, address, marital status, formal education history, family members' details, languages and computer skills, previous work experience including positions and salaries, and references that can be contacted.

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    © All Rights Reserved
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    Form Data Kandidat PT Mitra Seribu Saudara

    Uploaded by

    Muhammad Sobri Maulana
    95 views6 pages
    This document is a personal information form for an applicant applying for a position in Grade IV or higher. It requests information such as personal details, education history, family background, skills, employment record, and other information related to the application. The applicant provides their name, date of birth, citizenship, address, marital status, formal education history, family members' details, languages and computer skills, previous work experience including positions and salaries, and references that can be contacted.

    Original Description:

    Ridho Arief Muharram

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    © © All Rights Reserved

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    This document is a personal information form for an applicant applying for a position in Grade IV or higher. It requests information such as personal details, education history, family background, skills, employment record, and other information related to the application. The applicant provides their name, date of birth, citizenship, address, marital status, formal education history, family members' details, languages and computer skills, previous work experience including positions and salaries, and references that can be contacted.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    95 views6 pages

    Form Data Kandidat PT Mitra Seribu Saudara

    Uploaded by

    Muhammad Sobri Maulana
    This document is a personal information form for an applicant applying for a position in Grade IV or higher. It requests information such as personal details, education history, family background, skills, employment record, and other information related to the application. The applicant provides their name, date of birth, citizenship, address, marital status, formal education history, family members' details, languages and computer skills, previous work experience including positions and salaries, and references that can be contacted.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 6

    Form No: HRD/K/PIF/62/13/R0

    PT. MITRA SERIBUSAUDARA


    GRAHA GRC board Gedung Annex Lt.2
    Jl.S. Parman Kav. 64 Jakarta 11410 Attached your
    Telp.(021)53666714 Fax (021) 53666720 recent photographs

    Pas Foto terakhir


    PERSONAL INFORMATION FORM 3x4
    Untuk Golongan IV ke atas
    (Harap ditulis dengan huruf cetak)
    (Please write in block letters)

    I. KETERANGAN DIRI / PERSONAL PARTICULAR


    Nama Lengkap / Full name Ridho Arief Muharram
    :
    Jenis Kelamin / Sex
    : Laki-laki
    Tempat & Tanggal Lahir / Place & Date of Birth : Cibubur, 31 Juli 1995

    Bangsa / Warganegara : Indonesia


    Nationality / Citizenship
    No. Kartu Tanda Penduduk :
    Citizenship Certificate No.
    :
    Agama / Religion
    Alamat Sekarang / Current Address :

    Alamat sesuai KTP / Address based on ID card :

    Telepon Rumah / Selular :


    Home Phone / Cell phone
    : [email protected]
    Alamat Email / Email Address
    :
    Berat & Tinggi Badan / Weight & Height
    Status Perkawinan / Marital Status : 1. Belum kawin 2. Kawin 3. Lain-lain / Jelaskan ………………………..
    Single Married Other / Please specfy

    II. PENDIDIKAN FORMAL / FORMAL EDUCATION


    Tingkat Pendidikan Nama Sekolah & Kota / School Sejak Hingga Ijazah yang diperoleh
    Level of Education name & Place From To Degree/certificate Obtained

    Sekolah Dasar SDN 1 Cibubur 2000 2006 -


    Elementary School
    SLTP SMPN 1 Cibubur 2007 2010 -
    Junior High School
    SLTA SMAN 1 Cibubur 2010 2013 -
    Senior High School
    Akademi -
    Academy
    Universitas Universitas Terbuka 2013 2016 -
    University

    Page 1 of 6
    Form No: HRD/K/PIF/62/13/R0

    III. DATA KELUARGA / FAMILY BACKGROUND


    Nama Hubungan Tanggal Lahir Pendidikan Pekerjaan
    Name Relation Date of Birth Education Occupation
    Arief Hidayat Ayah/father 02-01-68 SMA Buruh

    Fitriyah Handayani Ibu/mother 01-05-72 SMP IRT

    Kakak/adik 28-09-99 Sarjana Mahasiswa


    Dwitia Pratiwi
    Brother/sister
    Kakak/adik
    Brother/sister
    Kakak/adik
    Brother/sister
    Kakak/adik
    Brother/sister
    Kakak/adik
    Brother/sister
    Kakak/adik
    Brother/sister
    Kakak/adik
    Brother/sister

    IV. ISTRI/SUAMI DAN ANAK / SPOUSE AND CHILDREN


    Nama Hubungan Tanggal Lahir Pendidikan
    Name Relation Date of Birth Education
    Suami/istri
    -
    Husband/wife
    Anak 1 / child
    Anak 2 / child
    Anak 3 / child
    Anak 4 / child
    Anak 5 / child

    V. KEMAMPUAN / SKILLS
    Kemampuan / Skill Baik / Good Sedang / Average Kurang / Poor
    Bahasa Indonesia
    - - Membaca / reading Good
    - - Menulis / writing Good
    - - Bicara / speaking Good
    Bahasa Inggris / English
    - - Membaca / reading Good
    - - Menulis / writing Good
    - - Bicara / speaking Good
    Komputer (MS Word, Excels, dll) Good
    Computer (Ms Word, Excel, PPT,
    Publishing, Project)
    Lain-lain / Others (Please specify)
    1. Frontend (Vue JS, HTML, Good
    CSS, JS)
    2. Backend (Laravel, CI) Good

    Page 2 of 6
    Form No: HRD/K/PIF/62/13/R0

    3. Framework CMS Good


    (wordpress)
    4. Database (SQL) Good
    5. Digital Marketing Good
    6. SEO Good
    7. Android developer (flutter) Average
    8. Social Media Marketing Good

    VI. PENGALAMAN KERJA / EMPLOYMENT RECORD


    Diisi mulai dari perusahaan saat ini / Please fill in from your current company
    Nama Perusaahan (1) PT Apindo Karya Lestari
    :
    Company Name
    Periode kerja / Working Period : 2018-2020
    Alamat Perusahaan BSD Tangerang
    :
    Company Address
    Jenis Bisnis / Type of Business : Epoxy Lantai
    Jabatan / Position : SEO Specialist
    Jumlah Karyawan / Number of Employees : -20
    Jumlah Bawahan di bawah supervisi Anda 1
    :
    Number of sub-ordinates supervised by you
    Alasan keluar Mengundurkan diri karena pandemic dan berusaha untuk
    Reason for leaving :
    freelance
    Gaji terakhit yang diterima 8.000.000
    :
    Last Drawn Salary
    Deskripsi lengkap tanggung jawab
    Detailed description of responsibilities

    Tolong Gambarkan posisi Anda di dalam organisasi termasuk posisi atasan dan bawahan Anda
    Please draw your position in the organization including your superior/s and subordinate/s

    Nama Perusaahan (2) : PT

    Page 3 of 6
    Form No: HRD/K/PIF/62/13/R0

    Company Name
    Periode kerja / Working Period :
    Alamat Perusahaan / Company Address :
    Jenis Bisnis / Type of Business :
    Jabatan / Position :
    Jumlah Karyawan / Number of Employees :
    Jumlah Bawahan di bawah supervisi Anda
    :
    Number of sub-ordinates supervised by you
    Alasan keluar / Reason for leaving :
    Gaji terakhit yang diterima
    :
    Last Drawn Salary
    Deskripsi lengkap tanggung jawab
    Detailed description of responsibilities

    Tolong Gambarkan posisi Anda di dalam organisasi termasuk posisi atasan dan bawahan Anda
    Please draw your position in the organization including your superior/s and subordinate/s

    VII. HAL-HAL LAIN YANG TERKAIT DENGAN LAMARAN


    OTHERS INFORMATION RELATED TO THIS APPLICATION
    Siapa karyawan / karyawati yang Saudara kenal di : Tidak kenal
    perusahaan ini? Apa hubungannya dengan Saudara?
    Who is/are employee/s you acquitted in this company? What
    kind of relationship between you and the employee?
    Referensi Karyawan : Nama :
    Tuliskan 2 (dua) orang kenalan Saudara yang dapat Alamat :
    dihubungi, (jangan cantumkan anggota keluarga) Jabatan :
    List 2 (two) or more persons to be contacted, do not include No. Telp :
    relatives Nama :
    Alamat :
    Jabatan :
    No. Telp :

    Page 4 of 6
    Form No: HRD/K/PIF/62/13/R0

    Apakah kami dapat menghubungi pihak-pihak yang Ya / Yes  Tidak / No  Mohon jelaskan /
    tercantum di atas untuk proses rekrutmen? Please specify
    May we call those listed people related to recruitment
    process?
    Gaji yang diharapkan / :
    Expected salary
    Jika Saudara diterima, kapan Saudara dapat mulai bekerja? :
    If you are appointed, when will you be able to start work?
    Apakah Saudara memiliki kendaraan Pribadi / SIM ? : Ya / Yes  : SIM A SIM B SIM C
    Do you own vehicle / driver license?
    Tidak / No 
    Apakah Saudara saat ini sedang menjalani peradilan hukum : Ya / Yes : Di mana / which company
    (pidana, perdata, atau hubungan industrial dengan pihak ke
    tiga/perusahaan lain)?
    Are You being associated with the law (criminal law, civil law,
    or industrial relations with other companies)?
    Tidak / No 

    VII. Penempatan Lokasi Bekerja


    Apakah Saudara bersedia dipindahkan ke lain Kota / Kabupaten sesuai kebutuhan perusahaan?
    Ya 
    Tidak , Tuliskan minimal 5 Kota / Kabupaten yang diinginkan untuk lokasi penempatan :

    1. 2.
    3. 4.
    5. 6.
    7. 8.
    9. 10.

    Saya menyatakan bahwa informasi yang saya berikan dalam Formulir Calon Karyawan termasuk
    lampiran-lampiran, beserta resume (riwayat hidup) untuk aplikasi yang saya berikan kepada perusahaan
    adalah benar dan akurat. Apabila informasi tersebut tidak benar, saya bersedia menerima segala
    konsekuensi yang ditetapkan oleh perusahaan termasuk PHK tanpa pesangon dan tidak menuntut
    apapun kepada perusahaan baik sekarang atau di kemudian hari.
    I certify that the information given in this Application Candidate form, including its attachment and CV is
    correct and accurate. If the information was untrue, I would be prepared to get any consequences
    determined by the company, as well as getting termination without any separation pay and do not
    demand any other dues at the moment and in the future.

    Jakarta, ….................................
    Calon Karyawan / Candidate

    Page 5 of 6
    Form No: HRD/K/PIF/62/13/R0

    (............................................)

    Page 6 of 6

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