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    Blank Application New Employee Form

    Uploaded by

    bintang
    This employment application form collects personal information about the applicant including name, contact details, family details, education history, employment history, references, languages, certifications and skills. It also documents the applicant's authorization to investigate all information provided and release from liability for parties contacted during the hiring process. If hired, any false statements provided by the applicant would be grounds for dismissal.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Blank Application New Employee Form

    Uploaded by

    bintang
    26 views4 pages
    This employment application form collects personal information about the applicant including name, contact details, family details, education history, employment history, references, languages, certifications and skills. It also documents the applicant's authorization to investigate all information provided and release from liability for parties contacted during the hiring process. If hired, any false statements provided by the applicant would be grounds for dismissal.

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

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    This employment application form collects personal information about the applicant including name, contact details, family details, education history, employment history, references, languages, certifications and skills. It also documents the applicant's authorization to investigate all information provided and release from liability for parties contacted during the hiring process. If hired, any false statements provided by the applicant would be grounds for dismissal.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    26 views4 pages

    Blank Application New Employee Form

    Uploaded by

    bintang
    This employment application form collects personal information about the applicant including name, contact details, family details, education history, employment history, references, languages, certifications and skills. It also documents the applicant's authorization to investigate all information provided and release from liability for parties contacted during the hiring process. If hired, any false statements provided by the applicant would be grounds for dismissal.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 4

    EMPLOYMENT APPLICATION FORM

    Date of Application : (dd/mm/yy)

    1st interview : (dd/mm/yy) by

    2nd interview : (dd/mm/yy) by

    3rd interview : (dd/mm/yy) by

    PERSONAL INFORMATION
    Name of Applicant :

    ID card no :

    Citizen :

    Address :

    Zip Code / Postal Code :

    Resident/ Home phone# :

    Phone/Cell phone# :

    Alternative phone# :

    Email Address :

    Place/Date of Birth :

    Gender :

    Religion :

    Marital Status : S /M0 /M1 /M2 /M3 /……..

    Marital Status as of :

    Spouse Name :

    Spouse's Ocupation :

    Emergency Contacts
    Name (First and Last) Cell Phone # Alternative Phone# Relationship to You

    FAMILY INFORMATION

    Wisma Pondok Indah II Suite 201A Jln. Sultan Iskandar Muda Kav. V-TA
    Pondok Indah, Jakarta 12310 - Indonesia
    Phone + 62 21 769 7464 Fax + 62 21 769 7462
    Name Gender Place/date of Birth Education Occupation

    Spouse

    1st Child

    2nd Child

    3rd Child

    Name Gender Place/date of Birth Education Occupation

    Father

    Mother

    Sibling

    Sibling

    Sibling

    EMPLOYMENT DESIRED

    Desired Position :

    Date Available :

    Expected Salary :

    Are you working now? Yes No If Yes, may we contact your present employee Yes No

    Do you have any commitment to another company or person that might effect your employment with us?
    Yes No If Yes, Discribe fully

    How many miles/hours from home are you willing to travel ?

    How did you hear about us ? Internet Posting Friend, Relative, if so who
    Newspaper Ad Other
    Walk-in

    EDUCATION AND TRAINING

    School Name and Location #of Years Did You Type of Degree
    Type of School
    (City and State) Completed Graduated Earned
    High School

    Technical/Trade School

    College/University

    Graduate/Professional,
    or Other Education

    Wisma Pondok Indah II Suite 201A Jln. Sultan Iskandar Muda Kav. V-TA
    Pondok Indah, Jakarta 12310 - Indonesia
    Phone + 62 21 769 7464 Fax + 62 21 769 7462
    Licences/Certifications Licence# Where Issued Date Issued Date Expired

    PROFESSIONAL REFERENCES
    Please provide professional references
    (include only those people who have direct knowledge of your work experience - Supervisors or Hiring Managers)

    Name (First and Last) Company and Title Address Phone# Relationship to You

    EMPLOYMENT HISTORY

    Company Name : Type of Business :


    Address : Phone no :
    Supervisor's Name :
    From (Month and Year) : To (Month and Year) :
    Job Title : Salary per month :
    Work Performed :

    Reason For Leaving :

    Company Name : Type of Business :


    Address : Phone no :
    Supervisor's Name :
    From (Month and Year) : To (Month and Year) :
    Job Title : Salary per month :
    Work Performed :

    Reason For Leaving :

    Company Name : Type of Business :


    Address : Phone no :
    Supervisor's Name :
    From (Month and Year) : To (Month and Year) :
    Job Title : Salary per month :
    Work Performed :

    Wisma Pondok Indah II Suite 201A Jln. Sultan Iskandar Muda Kav. V-TA
    Pondok Indah, Jakarta 12310 - Indonesia
    Phone + 62 21 769 7464 Fax + 62 21 769 7462
    Reason For Leaving :

    Have you ever been asked to resign from a job ?


    No Yes, Please explain:

    SKILLS AND QUALIFICATIONS

    GENERAL SOFTWARE
    Microsoft Word Lotus Notes Internet Explorer
    Microsoft Excel Microsoft Access Microsoft Project
    Microsoft Outlook Microsoft Powerpoint Other

    LANGUAGES READ, WRITTEN, OR SPOKEN FLUENTLY :


    Bahasa Indonesia
    English
    Other
    Other

    OTHER SKILLS :

    CERTIFICATIONS

    Please read carefully before signing

    I certify that the facts and statements contained in this application are true and correct to the best of my knowledge.
    I understand that if employee, false statements on this application shall be grounds for dismissal.
    I authorize investigation of all statements made and references listed, by me herein, to give workway information
    for the purpose of consideration of my employment. I hereby release workway, and all parties contacted, for the purposes above
    stated, from any liability in connection with the investigation.

    I certify that I have read, fully understand and accept all terms of the Application Statement

    Date : (dd/mm/yy)
    Signature of Applicant,

    (Applicant's Name)

    Wisma Pondok Indah II Suite 201A Jln. Sultan Iskandar Muda Kav. V-TA
    Pondok Indah, Jakarta 12310 - Indonesia
    Phone + 62 21 769 7464 Fax + 62 21 769 7462

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