JOB APPLICATION FORM

I. APPLICANT PERSONAL DATA

POSITION APPLIED:

COMPLETE NAME / NICK NAME:

ADDRESS (PERMANENT): 3x4

ADDRESS (TEMPORARY):

 Male Height: Weight: Religion: Nationality:

 Female ………… cm ………… kg
BIRTH PLACE: Date of Birth:
MARITAL STATUS: No. ID Card / Passport:
 Single  Widow / Widower Driving License: No. Driving License:
(A/B/C)
 Married  Divorce
No. of Chidren: Telephone no: Email address:
Handphone no:

II. EDUCATION (PLEASE WRITE DOWN ALL)

EDUCATION SCHOOL NAME PERIOD CERTIFIED DEGREE

A. Formal Education
1. Elementary School ….. to …..
2. Junior High School ….. to …..
3. Senior High School ….. to …..
4. Undergraduate ….. to …..
5. Post Graduate ….. to …..
B. Informal Education (Seminar/Training) Period
1.
2.
3.
4.
C. Organization Activities
1.
2.
3.
4.
HOBBIES: LANGUAGE:
1. 1.
PT. SOFTEX INDONESIA
Head Office: The Prominence Tower, 5th Floor, Jl. Jalur Sutera Barat No. 15, Alam Sutera, Tangerang 15325 T (6221) 30055108 F (6221) 30055109
Factory: Jl. Raya Serang KM 7, Komplek Industri Gajah Tunggal, Tangerang 15135 T (6221) 5901293 F (6221) 5901292
 2. 2.

III. FAMILY (PLEASE INCLUDE YOURSELF)

Birth of CURRENT JOB

SEX LAST
RELATION NAME Date
(M/F) EDUCATION
(dd/mm/yy) Position Company
Father
Mother
Father in law
Mother in law
Brother/Sister 1
Brother/Sister 2
Brother/Sister 3
Brother/Sister 4
Wife/Husband
Child 1
Child 2
Child 3
Child 4

IV. EMPLOYMENT HISTORY

A. Last /Current Employment:

Joined date: Company’s name:

Resigned date: Core business:
Start designation: Tel. no:
Last designation: Address:
Supervisor’s name: Director’s name:
Reason for leaving: Latest salary:

Facility(s)/Benefit(s) (details):

PT. SOFTEX INDONESIA

Head Office: The Prominence Tower, 5th Floor, Jl. Jalur Sutera Barat No. 15, Alam Sutera, Tangerang 15325 T (6221) 30055108 F (6221) 30055109
Factory: Jl. Raya Serang KM 7, Komplek Industri Gajah Tunggal, Tangerang 15135 T (6221) 5901293 F (6221) 5901292
 B. Employment:

Joined date: Company’s name:

Resigned date: Core business:
Start designation: Tel. no:
Last designation: Address:
Supervisor’s name: Director’s name:
Reason for leaving: Latest salary:

Facility(s)/Benefit(s) (details):

C. Employment:

Joined date: Company’s name:

Resigned date: Core business:
Start designation: Tel. no:
Last designation: Address:
Supervisor’s name: Director’s name:
Reason for leaving: Latest salary:

Facility(s)/Benefit(s) (details):

D. Employment:

Joined date: Company’s name:

Resigned date: Core business:
Start designation: Tel. no:
Last designation: Address:
Supervisor’s name: Director’s name:
Reason for leaving: Latest salary:

Facility(s)/Benefit(s) (details):

PT. SOFTEX INDONESIA

Head Office: The Prominence Tower, 5th Floor, Jl. Jalur Sutera Barat No. 15, Alam Sutera, Tangerang 15325 T (6221) 30055108 F (6221) 30055109
Factory: Jl. Raya Serang KM 7, Komplek Industri Gajah Tunggal, Tangerang 15135 T (6221) 5901293 F (6221) 5901292
 How did you know PT. Softex Indonesia?

References:
Name Tel. No Relation Occupation & Company

Emergency Contact:
Name Tel. No Relation Occupation & Company

Please state your expected salary: ……………………….. to ………………………..

Please explain your job description and responsibility in current position

PT. SOFTEX INDONESIA

Head Office: The Prominence Tower, 5th Floor, Jl. Jalur Sutera Barat No. 15, Alam Sutera, Tangerang 15325 T (6221) 30055108 F (6221) 30055109
Factory: Jl. Raya Serang KM 7, Komplek Industri Gajah Tunggal, Tangerang 15135 T (6221) 5901293 F (6221) 5901292
 V. QUESTIONS

QUESTIONS YES NO REMARKS

1. Have you ever been sick for more than 7
consecutive days in the last 2 years? If yes,
please state your disease!
2. Have you ever been involved in criminal
case or politics, which causes you to be
detained by the enforced or be punished? If
yes, please explain!
3. Do you have a private vehicle? If yes, please
state!
4. Do you have a family/acquaintance who
works in Gajah Tunggal Group or PT. Softex
Indonesia that willing to take
responsibilities of your actions/statements?
If yes, please write down his/her name and
your relationship with him/her!
5. Are you willing/capable to work in Gajah
Tunggal Group or PT. Softex Indonesia with
the conditions below:
a. Undergo 3 months’ probation period
b. Obey all rules that have been made and
will be made by the
company/supervisor
c. Will not demand:
i. Transport fee from and to the
office
ii. Housing from the company
d. Willing to be placed anywhere/any
positions according to the company’s
needs/decision
6. Please describe yourself with your own words, try to be as objective as possible without
explaining your background (education, experience, etc.). For example, try to explain by
answering these questions: What is the most important thing in your life? What are your
ambitions/goals? What motivates you? What is the foundation for your moral and ethics?
What other people’s opinions about you?

PT. SOFTEX INDONESIA

Head Office: The Prominence Tower, 5th Floor, Jl. Jalur Sutera Barat No. 15, Alam Sutera, Tangerang 15325 T (6221) 30055108 F (6221) 30055109
Factory: Jl. Raya Serang KM 7, Komplek Industri Gajah Tunggal, Tangerang 15135 T (6221) 5901293 F (6221) 5901292
 I hereby state that the above information is correct and true, and with this I state that if one day the
data/answer I have given are wrong, I will get my punishment according to the company’s
regulations. And I am willing to be fired/dismissed without demanding anything from the company,
if I violate the company’s regulations and/or the consequences of my actions are not reasonable and
endanger the company according to the company during the probation or after the probation
period.

……………………………, ………/………/………

______________________________

(NAME)

PT. SOFTEX INDONESIA

Head Office: The Prominence Tower, 5th Floor, Jl. Jalur Sutera Barat No. 15, Alam Sutera, Tangerang 15325 T (6221) 30055108 F (6221) 30055109
Factory: Jl. Raya Serang KM 7, Komplek Industri Gajah Tunggal, Tangerang 15135 T (6221) 5901293 F (6221) 5901292