Sex
Place, Date of Birth
Religion
Nationality
Ethnic
Marital Status / (Sum of children : )
Current Mailing Address:
Own house Rented house Parents Others / Permanent Mailing Address:
Own house Rented house Parents Others
Tel. No. (Off)
(Res) / Tel. No. (Off)
(Res)
(H/P) Facs. / (H/P) Facs.
E-mail: / E-mail:
Driver License: Do you own a car: Yes / No Yes / No
Position :
Date of employment : until
Company
Company Address
Business Line
Current Position
Report directly (Name/Position)
Total number of employees
Number of Sub-Ordinates
Job Description /
Achievement /
How did you get employed / (Through Advertisement, Recommendation, etc.)
Reason for leaving
Last Drawn Salary
Sruktur organisasi perusahaan terakhir
Position :
Date of employment : until
Company
Company Address
Business Line
Current Position
Report directly (Name/Position)
Total number of employees
Number of Sub-Ordinates
Job Description /
Achievement /
How did you get employed / (Through Advertisement, Recommendation, etc.)
Reason for leaving
Last Drawn Salary
Position :
Date of employment : until
Company
Company Address
Business Line
Current Position
Report directly (Name/Position)
Total number of employees
Number of Sub-Ordinates
Job Description /
Achievement /
How did you get employed / (Through Advertisement, Recommendation, etc.)
Reason for leaving
Last Drawn Salary
Position :
Date of employment : until
Company
Company Address
Business Line
Current Position
Report directly (Name/Position)
Total number of employees
Number of Sub-Ordinates
Job Description /
Achievement /
How did you get employed / (Through Advertisement, Recommendation, etc.)
Reason for leaving
Last Drawn Salary
Position :
Date of employment : until
Company
Company Address
Business Line
Current Position
Report directly (Name/Position)
Total number of employees
Number of Sub-Ordinates
Job Description /
Achievement /
How did you get employed / (Through Advertisement, Recommendation, etc.)
Reason for leaving
Last Drawn Salary
SPECIAL ACTIVITIES
LANGUAGE SKILLS
Notes:E = Excellent,G = Good,F = Fair,P = Poor
OTHER PERSONAL INFORMATION
Computer Proficiency / (Program/Language : )Other Skills & expertise
Interest
What do you do in your leisure time?
What are your hobbies?
Do you read: a lot few a little
What kind of topics do you read?
You subscribe to (newspaper, magazines, etc.):
Core competencies:
Have you been dismissed or suspended from any position? Yes No.
If so, state details
Are you engaged in any business? Yes No.
What kind of business?
Current Salary: Expected salary:
Details of current remuneration package:
Do you have any other sources of income? Yes No.
When are you available for work: Notice Period:
Mother
Husband/Wife
Child
Brothers/Sister
You have ______brother(s)/sister(s) and are the ______child in the family.
Name: / Name:Position: / Position:
Company Name: / Company Name:
Company Address: / Company Address:
Nature of Relationship: / Nature of Relationship:
Tel: (Office) (Res) / Tel: (Office) (Res)
By signing this form I certify that the information in this application is factually correct, honestly presented, and is an accurate account of my professional experience. Should it be untrue, I would be prepared for a dismissal at any time without any conditions.
Signature: ______Date: ______