Bumi Resources Internship Application Form

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APPRENTICESHIP FORM

Position to be filled: __________________________

Personal Identity
Full Name
: ________________________________________________Sex:
Male
Female
Student ID Number
: ________________________________________________
Marital Status
:
Single
Married
Place/Date of Birth
: ______________/______________________________ e-mail: _____________________________
Address
: ____________________________________________________________Postal Code: __________
Phone Number
: Mobile/Cellular: _____________________Home:_________________ Office: _________________
Duration of Apprenticeship : _____________________to___________________________, 20___

Degree Level
(S2/S1/D3/etc.)

No.

Subject

Latest Formal Education


University/ Academy

Major

Duration (to)

Course/Training/Seminar (Related to Job)


Organizer

Duration

Organization

Organization Experience/Professional Membership


Duration ( to )
Position

Company

Internship Experience
Duration (to) Position

GPA

Place

Place

Last Salary (net/gross)

Reason for Leaving

Job Expertise (Describe three areas of expertise that you are very confident of doing related to your application)
Area of Expertise
Additional Evidence
Rating: 1-10 Certificate(Y/N)

No. Projects

Best/Outstanding Achievement (Describe project/assignment that you are very proud of in your career)
Your Role
Result

, 20

__________________________________
(Signature & Complete Name)

Note: you can use the other side of this form to give more explanation when necessary

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