ANNEX A - FORM I - LETTER OF APPLICATION
Date:
Name of Individual Consultant : ... Address : ... Telephone/Fax/Email : ...
To : Project Manager c.q Bid Committee Project Management Unit (PMU) Office
Gedung Rektorat –PMU,Jl. Prof. Hamka. Air Tawar, Padang ,Indonesia
I would like to apply for the PMU expert advertised in website reg: ... dated 2012. I hereby apply to be qualified as of for the works: Individual Consultancy for The Reconstruction and Upgrading of State University of Padang Project (UNP).
I enclose my curriculum vitae together with copies of my experience data and certificates/testimonial.
I declare that the statements made and the information provided in duly completed application are complete, true and correct in every detail
Respectfully,
Signature & Materai Rp. 6000,-
ANNEX B - FORM II – CURRICULUM VITAE
CURRICULUM VITAE FORM
FOR PROCUREMENT AND TECHNICAL EXPERT SPECIALIST
Proposed position : 1. Contact Email or Phone :
Email : Phone : Mobile :
2. Full Name with Address :
Name :
Address :
3. Date of Birth :
4. Citizenship :
5. Educational Qualifications :
[Summarize college/university and others specialized education, giving name of schools, dates attended and degrees obtained]
Qualificatio Institutio Year
6. Membership of Professional Associations :
Name of Associations Status Registered
7. Others Training and/or Professional Qualification (s)
8. Country of Work Experience :
9. Languages :
Language Speaking Reading Writing
10. Employment Recording since Graduation:
[Starting with present position, list in reverse order every employment held] From to
Employer : Position Held : Duties :
From to
Employer :
11. Detailed Tasks [1]
Name of assignment or Project:
Year :
Location :
Client :
Main of Project features :
Position :
Activities performed :
[2]
Name of assignment or Project:
Year :
Location :
Client :
Main of Project features :
Position :
Activities performed :
If in the future, the information provided is not true and correct, we are willing to take all the consequences due to the rejection from the selection process.
Respectfully,
Signature & Materai Rp. 6000,-
ANNEX C - FORM III – COPIED OF EXPERIENCED DATA & CERTIFICATED CHECK LIST DATA
No. DOCUME Remark
1. Graduated Certificated Number: Dated:
2. ..etc
