Application Form

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PT.

PRISMAS JAMINTARA
Sona Topas Tower, 5A Floor
Jl. Jend. Sudirman Kav. 26
Jakarta 12920, Indonesia
Phone : (021) 2500392, 2506540, 5251879
Fax : (021) 2506700, 2506720
website: www.prismas.co.id
Desired Positions:
1.
2.
APPLICATION FORM
Name : (F/M) Age:
ID Card Number :
Religion :
Present Address :
put in here E-mail :
Pas Photo 4 x 6 (Colour) Telephone : Handphone :
Contact person in case of an emergency : Handphone:
Place & Date of birth : ,
Height : Weight :
Marital status (√) : Single Married Divorced Others
Driver’s License Type (√) : Car Motorcycle Car & Motorcycle No

FORMAL EDUCATION (Pendidikan Formal)


Name of School/ Attendance Period
Major Subject GPA
College/ University From To
Senior High School (SMU)
Academy (D3)
University (S1)
Post Graduated/Advanced Study

INFORMAL EDUCATION & CERTIFICATES / Ex:IELTS, TOEFL, JLPT, other Training


1. __________________________________________________________Score___________________Tahun. ________________
2. __________________________________________________________Score___________________Tahun ________________
3. __________________________________________________________Score___________________Tahun ________________

WORK EXPERIENCES
Date
Position
(dd/mm/yy)
No Name of Company Job Description
Location When When When When
Joined Leaving Joined Leaving
1.

DESCRIBE ABOUT YOURSELF WITH THE STRENGTH AND WEAKNESS AT LEAST 3!


__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________

REFERENCES

No. Name Name of Company Position Telephone/Handphone


1.
2.

We recruit and place professionals for better career to over 100 companies in Indonesia & overseas
PT. PRISMAS JAMINTARA
Sona Topas Tower, 5A Floor
Jl. Jend. Sudirman Kav. 26
Jakarta 12920, Indonesia
Phone : (021) 2500392, 2506540, 5251879
Fax : (021) 2506700, 2506720
website: www.prismas.co.id

1. Apakah terdapat hubungan dengan pegawai PT. Prismas Jamintara dan Klien
PT. Prismas Jaminatara?
 Tidak :
 Jika Iya :
Terdapat hubungan apa? Sebutkan hubungan tersebut!

2. Darimana Saudara mendapatkan informasi lowongan kerja/ Job Vacancy ini?

3. Apakah Saudara memiliki riwayat sakit keras?


 Tidak :
 Jika Iya, sakit apa?

Demikian formulir aplikasi ini saya buat dengan sebenar- benarnya dan dapat dipertanggungjawabkan.

___________, _________________

Signature

(______________________)

We recruit and place professionals for better career to over 100 companies in Indonesia & overseas

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