EMPLOYMENT
APPLICATION FORM
Personal Data
Name
Nickname
Place/Birth date
Religion
ID Address
Current Address
City: Province: Zip Code:
Home Ownership Status (tick one): Family House Rent Own House
Marital Status
ID Number (KTP)
Tax Number
(NPWP)
Telephone
Home:Mobile:
Emergency
Contact
Name:
Phone:
Address:
Physical Condition
State if there is any physical disability
State if you have any major illness/accident in the last six months
State your weight and height
State your blood type
Family Data
Relation Name Birth date Educatio
n Occupation Institution Spouse
Child (1)
Child (2)
Child (3)
Father
Mother
Sister (1)
(3)
Education
School/University Major Year GPA/Honors
Professional Qualifications Achieved
Professional Licenses/Certified Year Institution
Training/Course/Seminar/Program
Languages
Language Proficiency Qualification
(TOEFL/TOEIC/etc) English
Mandarin
Bahasa
Personality
Describe your strength and weakness
Describe what
activities & interest do you have
Describe
achievement/things that you are proud of
Working Experiences
(List from your last job) Company NameAddress
Phone Number
Position
Year, from-to
Number of subordinate(s)
Supervisor name
List Your duties
performed, skills used or learned,
advancement of
promotions while you worked at this
company
Employment Status Contract Permanent
Salary
Company Name
Address
Phone Number
Position
Year, from-to
Number of subordinate(s)
Supervisor name
List Your duties
performed, skills used or learned,
advancement of
promotions while you worked at this
company
Employment Status Contract Permanent
Salary
Company Name
Address
Phone Number
Position
Year, from-to
Number of subordinate(s)
Supervisor name
List Your duties
performed, skills used or learned,
advancement of
promotions while you worked at this
company
Employment Status Contract Permanent
Salary
References
Name Address Telephone Occupation
Applying for
Salary Expected
Available join date
______________________ ______________________
Signature & Name Date
Remark
(filled by human capital) Division______________________ ______________________
Signature & Name (Human Capital) Date
Attach a photo/scanned of your ID card or passport here
(First identity page and last page for passport)
Describe what is your purpose and expectation for applying to Mandiri Sekuritas
