Employement Application Form 2020
Employement Application Form 2020
Employement Application Form 2020
Formulir aplikasi diisi dengan “TULIS TANGAN” wajib di tanda Scan berwarna
1
tangan
Surat keterangan kerja /paklaring dari semua Perusahaan yang Scan berwarna
5
telah lampau
Buku tabungan LEMBAR AWAL SAJA yang terdapat nama & nomor Scan berwarna
12
rekening
-oOo-
Page i of 9
EMPLOYMENT APPLICATION FORM
I. PERSONAL DATA
Blood Type:
Ethnic:
Post Code:
Permanent Address: ID Number / Passport #:
Post Code:
Home Phone Number: Cell Phone Number 1:
Jamsostek Number:
Nationality:
A. Personal Details
Page ii of 9
B. Family Details
(Spouse and Children)
Name M/F Age Education Occupation Company
Spouse
Child 1
Child 2
Child 3
Child 4
C. Family Details
(Father, Mother, Brothers/Sisters, Including You)
Name M/F Age Education Occupation Company
Father
Mother
Bro./Sis. 1
Bro./Sis. 2
Bro./Sis. 3
Bro./Sis. 4
Bro./Sis. 5
Bro./Sis. 6
Bro./Sis. 7
A. Formal Education
Education School Name Major From Until GPA
High School
Diploma
Graduate - (S1)
Master - (S2)
Doctorate - (S3)
Page iii of 9
1. Scientific Publication Including Thesis
C. Language (Proficiency)
Listening Speaking Writing
Fluent Fair Slight Fluent Fair Slight Fluent Fair Slight
1. English
2. Bahasa
3.
D. Hobbies/Sport
E. List any other education, training, special kills, or certificate/licenses that you posses related to this job
F. Scholarship/Award/Prize Received
Year Award Specification Remark
III. REFERENCE
Please mention two persons that we can get information about you (not your family)
Name Relationship Home/Company Address Telephone
Please mention employee of PT TOBA SEJAHTRA who know you very well
Name Relationship Department Extension
Page iv of 9
IV. WORK EXPERIENCES
(GROSS / NETT)*
Name of Supervisor: Name of Director:
Major Achievement:
(GROSS / NETT)*
Name of Supervisor: Name of Director:
Major Achievement:
(GROSS / NETT)*
Name of Supervisor: Name of Director:
Major Achievement:
Page vi of 9
VII. OTHERS
Please read carefully before signing. If you have any question regarding the following statement, please ask for
assistance.
I certify that, to be of my knowledge of belief, the answer given by me to foregoing question and statement made by
me in this application are correct and complete. I understand that any false information contained in this application
may result in my termination at any time and without any liability to me for any continuation of salary, wages, or
employment related benefits)
I authorize you to communicate with all my former employers, school officials and person named and references. I
hereby release all employers’ school and individuals from any liability for any damage whatsoever resulting from
giving such information.
(……………………………………………)
Page vii of 9
INTERVIEW RATING (Filled by Interviewer)
2. EXPRESSIONS 7. ATTITUDE
Clearness of grammar – Vocabulary - Enthusiasm Reason for leaving previous job – Relation with other employee
Poor Bellow Meets Above Exceeds Poor Bellow Meets Above Exceeds
Expectation Expectation Expectation Expectation Expectation Expectation Expectation Expectation
Comment: Comment:
ACCEPTANCE APPROVAL
Page viii of 9
(Filled by Authorized Personnel)
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Page ix of 9