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Formulir Calon Karyawan Employment Application Form
Formulir Calon Karyawan Employment Application Form
2 - 0618
Employee Application Form
Nama Lengkap
Full Name
Alamat Saat Ini
Current Address
Alamat Sesuai KTP Please Insert Your Recent
Photograph in Blue
Home Address - ID background
Telepon Rumah / HP
Home Phone / Mobile
Alamat E-Mail
Email Adress
PT Bayer Indonesia will not charge any cost from the candidate for the recruitment process.
Your personal data will be treated confidentially and will be used for recruitment purposes only 1
v1.2 - 0618
Employee Application Form
Ayah
Father
Ibu
Mother
Anak 1
1st Child
Anak 2
2nd Child
Anak 3
3rd Child
PT Bayer Indonesia will not charge any cost from the candidate for the recruitment process.
Your personal data will be treated confidentially and will be used for recruitment purposes only 2
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Employee Application Form
Anak 4
4th Child
Anak 5
5th Child
B. Istri, Suami & Anak / Wife, Husband and Wife
Suami
Husband
Istri
Wife
Anak 1
1st Child
Anak 2
2nd Child
Anak 3
3rd Child
Anak 4
4th Child
Anak 5
5th Child
Start
Nama Perusahaan Jabatan End (Month- Alasan Pindah
(Month-
Name of Company Position Year) Reason to Leave
Year)
Tulislah secara singkat tugas dan tanggung jawab Saudara pada jabatan terakhir / saat ini
Write down briefly about your duty and responsibility in the last / current position
1
2
3
4
5
6
7
8
PT Bayer Indonesia will not charge any cost from the candidate for the recruitment process.
Your personal data will be treated confidentially and will be used for recruitment purposes only 3
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Employee Application Form
B. Hal-hal lain yang berhubungan dengan lamaran kerja / Other matters connected with
your application
8 Jenis Kendaraan yang saudara gunakan, kepemilikan kendaraan, SIM yang dimiliki?
Type of vehicle you are using,vehicle ownership,your driving license
PT Bayer Indonesia will not charge any cost from the candidate for the recruitment process.
Your personal data will be treated confidentially and will be used for recruitment purposes only 4
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Employee Application Form
10 Apakah Saudara bersedia dipindahkan ke kota lain sesuai dengan kebutuhan perusahaan?
Are you ready to be relocated to other outside of town
Tunjangan / Allowance
Asuransi / Insurance
Saya bersedia melampirkan lampiran bukti berupa slip gaji / dokumen resmi lainnya
Referensi / Reference
Tuliskan 2 (dua) orang kenalan Saudara yang dapat dihubungi untuk referensi. Jangan cantumkan keluarga
Years
Years
3 Bila ada kesempatan untuk memperdalam ilmu, bidang apa yang Saudara pilih ?
If there is opportunity to continue your education, what filed do you want to choose
PT Bayer Indonesia will not charge any cost from the candidate for the recruitment process.
Your personal data will be treated confidentially and will be used for recruitment purposes only 5
v1.2 - 0618
Employee Application Form
Place Date
Dengan ini saya menyatakan bahwa seluruh informasi yang dinyatakan di
atas (“Informasi”) adalah benar dan selama diperbolehkan oleh undang –
undang saya memberikan persetujuan secara penuh tanpa bisa ditarik
kembali kepada PT Bayer Indonesia untuk dapat menggunakan Informasi
dalam keperluan proses rekrutmen dan administrasi HR terkait. Apabila
pernyataan-pernyataan saya di atas terkait Informasi terbukti tidak benar di
kemudian hari, Saya bersedia untuk diberhentikan seketika dan tanpa
mendapatkan pesangon dan/atau ganti rugi apapun.
I hereby confirm that all information given above (“Information”) are true
and If allowed by prevailing regulation I grant fully irrevocable consent to
PT Bayer Indonesia to utilize the Information for recruitment process
purposes and related HR Administration. If in the future my statements
above relating to Information are proven to be not true, I am willing to be
terminated immediately without any severance pay and/or any
compensation whatsoever.
(CANDIDATE NAME)
Applicants
PT Bayer Indonesia will not charge any cost from the candidate for the recruitment process.
Your personal data will be treated confidentially and will be used for recruitment purposes only 6