Job Application Form (JAF)

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RM FORMULIR DATA CALON KARYAWAN PRIBADI & RAHASIA


JOB APPLICATION FORM PRIVATE & CONFIDENTIAL

Jabatan yang dilamar


:
Position applied
Tanggal Kesiapan Bekerja
:
Work Readiness Date

KETERANGAN-KETERANGAN YANG BERSIFAT


A. PRIBADI PERSONAL PARTICULARS
Nama lengkap
:
Full name
Jenis kelamin Laki-Laki Perempuan
:
Gender Male Female
Tempat lahir Tanggal Lahir Umur
: : : Th
Place of birth Date of birth Age
Alamat (Sesuai Identitas)
:
Address (as per ID)

Alamat domisili
:
Domicile address

Telepon rumah Telepon selular


: :
Home telephone no. Mobile phone no.
Alamat e-mail
:
Email addres
KTP SIM
Jenis identitas Paspor Lain-lain
: Identity Driving
Type of identity Passport Others
Card license
No. Identitas No. NPWP
: :
Identity no. NPWP no.
Status perkawinan Lajang Menikah Cerai Lain-lain
:
Marital status Single Married Divorced Others
Agama Islam Katolik Kristen Hindu Budha Lain-lain
:
Religion Moslem Catholic Christian Hindu Budhist Others
Suku bangsa Warganegara
: :
Race Nationality
Berat Tinggi
: :
Weight Height

Deskripsikan tentang
anda :
Description about you
KEGIATAN-KEGIATAN LAIN
B. EXTRA ACTIVITIES
Hobi
:
Hobby
Olah raga
:
Sports
Kegemaran lain
Other interest
DATA KELUARGA
C. FAMILY DATA
Data keluarga termasuk dengan Anda (List of family mamber including You)
Nama Lengkap Jenis Kelamin Tanggal Lahir Pekerjaan
No.
Full Name Gender Date og Birth Occupation
Ayah
1
Father
Ibu
2
Mother
Saudata Kandung
3 1
Siblings
4 2

5 3

6 4
Data keluarga inti (List of main member)
Diisi bila Anda sudah menikah (filled it if you already married)
Nama Lengkap Jenis Kelamin Tanggal Lahir Pekerjaan
No.
Full Name Gender Date og Birth Occupation
Suami / Istri
1
Spouse
Anak 1
2
1st Child
Anak 2
3
2nd Child
Anak 3
4
3th Child
5

PENDIDIKAN & PENGALAMAN ORGANISASI


C. EDUCATION & ORGANIZATION EXPERIENCE
Pendidikan formal (awali dengan kelulusan tertinggi)
Formal education (start with highest qualification)
Universitas/Sekolah Jurusan IPK Tempat Kelulusan (tahun)
No.
University/school Major GPA Location Graduation (year)
s/d

s/d

s/d
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