PT SMARTEC TEKNOLOGI INDONESIA

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Neo Soho Capital Lt.40 Unit SC-4003 (3x4)
Jl. Letjen S.Parman Kav.28 Jakarta Barat
Telp: 021-50135656

JOB APPLICATION FORM

应聘职位 Position Applied : ______________________________________

PERSONAL PARTICULARS
Name: __________________________________________________________ Gender: Male Female

Permanent Address : ______________________________________________________________________________________

(based on valid ID card)
____________________________________________________________ Postal Code: _______________

Current Address : ______________________________________________________________________________________

____________________________________________________________ Postal Code: _______________

Telp (Home) No.: ________________________ E-mail: ________________________ Telp (H/P): _________________________

Date of Birth: __________________ Nationality: ________________________ Height: __________cm Weight: ________kg

ID Card/Passport No.: ___________________ Driver’s License No.: ________________ NPWP No: ______________________

Father’s Name: _______________________________________________ Occupation: ___________________________________

Mother’s Name: ______________________________________________ Occupation: ___________________________________

Marital Status: Single Married Divorced If married, please state:

Spouse’s Name: ___________________________ Occupation: ___________________ No. of Children : ___________________

In case of emergency, please contact: __________________________________________ Contact Telp No.: ___________________

Personal characteristic (strength & weakness): ______________________________________________________________________

ACADEMIC QUALIFICATIONS
Educational Level School / College / Institution Location Major Year
Name Graduate
Secondary School
High School
Diploma
Bachelor
Others ………………………………..
TRAINING/COURSE
Type of Training/course Course / Institution Name Location Certificate Year
(Yes/No)
WORK EXPERIENCE
Company’s Name Year of Position Salary Reason of Leaving
Service
1.
2.
3.
4.

SKILLS
Languages Speaking Reading Writing Understanding
Good Fair Poor Good Fair Poor Good Fair Poor Good Fair Poor
1. ______________            
2. ______________            
3. ______________            

Computer Knowledge: ______________________________________________________________________________________

Hobbies, Interest: ______________________________________________________________________________________

Would you be willing to perform overtime or shift should the need arises? Yes No

Have you or any member of your family member even been working in this company?
Yes No
If yes, please state the name & relationship: _________________________________________________

Expected Salary : _____________________________________________________________

Expected Join Date : _____________________________________________________________

REFERENCES
Name Relationship Company’s Name & Address Contact No
1.
2.

I hereby certify that, to the best of my knowledge, all the information presented here is correct. If it is found that any of the
information is false, I agree that the company can terminate my employment without any compensation and advanced notice.
保证：我保证上述所提供的资料属实，若企业录用后发现有伪报，本人愿意接受企业无条件除名。

Applicant’s Signature: _________________________________ Date: _______________________________

FOR OFFICE USE ONLY

1st Interview:  Unsuitable  2nd Interview  Immediate Employment

2nd Interview:  Unsuitable  For reference  Immediate Employment

2nd Interviewer name & signature: _______________________________________________

(Form)HR-A.7