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    Form Isian Candidat

    Uploaded by

    grafika93.printingdesign

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Form Isian Candidat

    Uploaded by

    grafika93.printingdesign
    9 views4 pages

    Original Title

    Form Isian Candidat (2)

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    9 views4 pages

    Form Isian Candidat

    Uploaded by

    grafika93.printingdesign

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 4

    PERSONAL PARTICULAR FORM

    Name (Underline Surename)

    Position Applied

    Home Address (based on ID card)

    Home Address (current address, if different from above)

    ID # Sex Marital Status


    Date of Birth / Age Residence No. of Children
    Telephone

    Place of Birth Bussiness Height/Weight


    Religion HP Blood Type
    Citizenship E-Mail

    Health Conditions; Medical Records (stated your serious illness, if any) :

    FAMILY RELATIONSHIP
    FAMILY RELATIONSHIP NAME F/M AGE OCCUPATION ADDRESS
    Husband / Wife
    Child # 1
    Child # 2
    Child # 3
    Child # 4
    Child # 5

    PARENTS, BROTHERS & SISTERS


    NAME RELATIONSHIP F/M AGE OCCUPATION ADDRESS
    1
    2
    3
    4
    5
    6
    1/4
    EDUCATION
    FORMAL
    Dates Certificate
    School, College, University Highest Level Attained
    From To Yes No

    INFORMAL
    Dates Certificates
    Training / Course Attended Highest Leve Attained
    From To Yes No

    COMPETENCE & SKILL


    Speaking Writing Operating
    LANGUAGE COMPUTER
    Fair Good Excellent Fair Good Excellent Fair Good Excellent

    OTHERS

    HOBBY / INTEREST

    EXTERNAL ACTIVITY
    Organization Position From To Remark

    2/4
    CAREER HISTORY (Give particular starting with present employer)
    1
    Name and Address of Employer (State type of bussiness)

    Working period (Months / Year)


    Beginning Position
    Monthly Salary (Start / End)
    Brief description of duties and responsibility

    Reason for leaving

    2
    Name and Address of Employer (State type of bussiness)

    Working period (Months / Year)


    Beginning Position
    Monthly Salary (Start / End)
    Brief description of duties and responsibility

    Reason for leaving

    3
    Name and Address of Employer (State type of bussiness)

    Working period (Months / Year)


    Beginning Position
    Monthly Salary (Start / End)
    Brief description of duties and responsibility

    Reason for leaving

    3
    Name and Address of Employer (State type of bussiness)

    Working period (Months / Year)


    Beginning Position
    Monthly Salary (Start / End)
    Brief description of duties and responsibility

    Reason for leaving

    How soon would you be able to start at a new place ?

    Salary Expected
    3/4
    What is your motivation to join our company ? (please choose one of the choice below):

    A Money

    B Level of Position

    C Seeking for working experience

    D Others (Please Mention)

    Please describe or give any additional information about your self

    Would you mind travel out of town anytime either in short period or in long period
    YES / NO

    Do you mind to be relocated in our branch office outside Jakarta ?


    YES / NO

    Reason if YES :

    Would you mind to work overtime ?


    YES / NO

    Do you know anyone in this company ?


    YES / NO
    Who ?

    Are you willing to take the consequence should we found the above information not true ?
    YES / NO

    I confirm that the above information given by me is correct and that I have not willfully suppressed any material fact.

    Jakarta, ………………...

    (…………………………..)
    4/4

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