Employment Application Form
Employment Application Form
Employment Application Form
PERSONAL INFORMATION
Full Name : …………………………………………………………. Male Female
FAMILY
Marriage Status Single Married Others ………………………………….
Father
Mother
Siblings 1.
(include yourself) 2.
3.
4.
5.
Spouse
Child 1.
2.
3.
………………………………………………………………………………………………………………………………..
If there is an emergency situation, person we can contact (Please state – Name, Relationship, and Telephone Number) :
EDUCATION
Graduation
Education Institution Name Location Department GPA
Year
High School
Diploma/Academy
Bachelor
Master/Doctorate
2.
2.
Address
Telephone Number
Business Field
Entry Position
Number of Subordinate
Last Position
Number of Subordinate
Immediate Supervisor
Reason of Resignation
Working Achievement
1.
2.
3.
OTHERS
Please state and explain the kind of job which fit into your career plan
…………………………………………………………………………………………………………………………………………....
Please state and explain the kind of job you don’t like and feel reluctant to do
……………………………………………………………………………………………………………………………………………
Do you have a side job? If yes, state the name of your company and position Yes No
……………………………………………..
Do you have relatives who work in our company? If yes, please state their name Yes No
and relationship with you..…………………….........................
Have you ever / currently suffered severe illness or accident that makes you Yes No
hospitalized? If yes, please state ……………………………………
I hereby declare that all the given information above is true. If I falsify information, I’m ready to accept all the
consequences, and Management have a right to terminate my employment or doing other necessary course of action. If
I’m accepted, I agree to abide by the rules and regulations of PT. Temas, Tbk.
City Signature
Name :…………………………………….