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APPLICATION FORM 2024

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Robertus Rufus Bowie

Academic year: 2024

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COMPETENCY PHOTO APPLICANT

APPLICATION FORM

Position applied for : Location Preferred :

PERSONAL INFORMATION

Name ID No. (KTP/SIM/PASPORT) :

Home Address

Sex : Do you Live in : Own House

Rented House With Parents Others

[ [ [ [

] Tel. No. (Office)

] (Residence)

] (Mobile Phone)

] (E-mail)

Date of Birth : Age : Place of Birth :

Marital Status : Nationality : Religion :

Driving License : Do you have own vehicle : □ Yes □ No If you do, what kind :

EDUCATION & PROFESSIONAL QUALIFICATION

FROM – TO (STATE YEAR) NAME OF SCHOOL, COLLEGE STATE LEVEL, ATTAINED MAJOR COURSE OR SUBJECT

Computer proficient □ Yes □ No Type of Program : Language Skill

Bahasa English Chinese

Spoken □ □ □ □

Written □ □ □ □

Do you have any relatives or friends working at this company? □ Yes □ No If yes, Please mention :

Relation Full Name Business Line / Department Location

Are you interested in any other position : □ Yes □ No If yes, please mention :

Current Salary : Salary Expected :

Details of current remuneration package :

When you available for joint our company : Notice Period :

(2)

Name of Employer : Address of Employer :

Phone No.

Date of Joint Date Employment Ended

State nature of employer’s business : Position Held :

Name & designation of immediate supervisor :

Total number of employees in company : Number of staff supervised by you : Give detailed description of duties / responsibilities :

How did you get employed in this company (through advertisement, recommendation, etc)

Reason for leaving : Last drawn salary :

Name the people from this employer that can be

your reference : Phone no.

Name of Employer : Address of Employer :

Date of Joint Date Employment Ended

State nature of employer’s business : Position Held :

Name & designation of immediate supervisor :

Total number of employees in company : Number of staff supervised by you :

Give detailed description of duties / responsibilities :

How did you get employed in this company (through advertisement, recommendation, etc)

Reason for leaving : Last drawn salary :

Name the people from this employer that can be

your reference : Phone no.

Other Employment

Name of Company Main Business Start – End Date Position

EMPLOYEMENT HISTORY

(commence with current or last employment)

(3)

FAMILY DETAILS

RELATIONSHIP NAME AGE ADDRESS Phone No. OCCUPATION

PRESENT / PAST

PERSONAL REFERENCES

Give names or persons of responsibility who have known you for at least 3 years

Name : Name :

Position : Position :

Company Name : Company Name :

Company Address : Company Address :

Tel : (Office) (Res) Tel : (Office) (Res)

Name of companies with which you have pending application for employment (Give dates of application)

1.

2.

3.

□ Yes □ No State date :

Additional Information

1. Please write down why you believe that you are suitable for the position you are applying.

2. Please Sign Below your name and date

Have you applied with this company or group before?

(4)

Interview comments

□ Recommended

□ Recommended but to other position such as………..

□ Not Recommended

Referensi

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