E/HCR/OPM/15 Rev 1/Jan '12

HUMAN CAPITAL REQUISITION FORM

I. POSITION REQUIRED A. Position Title B. Job Grade C. Reporting to D. Confidential E. Commencing Date F. Ending date (if any) II. DETAIL OF JOB A. Key Job Duties: (Please attach an organizational chart, highlighting this position and job description. B. Scope of Works: 1. No of Subordinates 2. Responsibility areas : 1.a Direct Staff 1.b Indirect Staff : Please state of responsibility areas, such as, Indonesian Ports, ATS Vessel, etc. : : : : : : Yes No Dept / Div Headcount : : Budgeted, new hiring Budgeted, replacement Unbudgetted Cost Centre :

3. Location (town)

: Please state of job location / based.

4. Purpose for position

: Please state rationale for requesting this position.

5. Job Challenge

: Please state the immediate goals for the first 6 months

6. Training Plan

: Please state the proposed training plan for the requested position

7. Career Plan

: Please state the proposed career development plan for the requested position

8. Interaction Network

: Please state the interaction network, such as: vendor, tax office, court, etc. a. Internal b. External : :

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E/HCR/OPM/15 Rev 1/Jan '12

III MINIMUM REQUIREMENTS 1. Formal Education : High Sch Majoring of 2. Skills Atribute : Please state the required skills atributes, such as: SAP, Six Sigma, etc. 1 2 3 3. Years of Experience 4. Business Understanding : : 1 2 3 IV APPROVAL Request By: Acknowledge By: Approved By: years at the same of job Diploma Degree Master

.. Position: Date :

Head Dept Date :..

.. HR Manager Date : .

GA Director Date : .

This Human Capital Requisition Form (HCRF) has been approved by respective parties, and has been submited to HR Department, Received By Date : . : Signature:

FOR UNBUDGETTED POSITIONS ONLY Approved By:

MANAGING DIRECTOR

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