Rio Tinto Simandou Project Employment Form12a

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Expert Afric Recruitment

Tel : +224628537335

Donka, E.1253,Commune de Dixinn


Conakry

CONFIDENTIAL  
 

   

  Please complete and return this form to the:


   
  Human Resources Department  
  HR Manager Danso Camara  
   
Please send your applications on this form to
expertafric@consultant.com 

Position applied for 1:      

Position applied for 2      

Expected Monthly Salary in USD      

    Personal Details    
   
Name SUGENG       Marital Status: MARRIED     
   
Date of Birth: 24 DEC 1980       (dd/mm/yyyy )Place of Birth: CILACAP     
   
Postal Address:JL. TENTARA
PELAJAR RT 03 RW 03 TRITIH
KULON KEC. CILACAP UTARA
KAB. CILACAP JAWA TENGAH        

Current Location: CILACAP      


Fax:       Mobile:        
 

Phone (Res.) +6285647845862 Phone ( Office )      


 
E-mail (1): Riyanto.sugeng80@yahoo.com E-mail (2):      

   
May we contact you at work? Yes No  

Do you have any relative/s who is / are currently working with Rio Tinto?
If yes,   Yes No 
Name Designation Relationship

Education /Qualifications
Please summarise your information starting with your most current/recent.
Years Type of Degree/ Field of Study/ Places of Education/ Grades/
Name of
Institution/Board/univer
From To Certificate earned Major Subjects sity Division
SMK DR. SUTOMO
1997 2000 SENIOR HIGH SCHOOL ELECTRONICA CILACAP
1994 1997 JUNIOR HIGH SCHOOL       SMPN O1 JERUKLEGI      
1988 1994 ELEMENTARY SCHOOL       SDN 08 TRITIH KULON      
                                 
                                 
                                 
                                 
                                 
                                 
                                 
         
              

Training  Relevant to the Job


 
MM/YYYY Place Topic/ Title of Training Institutions
From To City/ Country
                             
                             
                              
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             

Employment History/Work Experience


Salary Expectation:      
Please summarise your previous jobs starting with your most current/recent. Also mention the each step in the
Organisation with dates in each position  
Name of Organisation: PT. KOIN PRATAMA
Details of the Organisation:
ENGINEERING & CONSTRUCTION

Reason for leaving the Organisation:


JOB COMPLETION

Dates of employment Monthly


( MM/YYYY ) Job title Duty Station Salary Tasks Performed
From To
JUNE APRIL 2015 PIPE FITTER II MEASURE AND 350 USD COMPOSE THE PIPE MAKE
2014 INSTALL FOLLOWING EXAMPLE
FROM COMPANY
                                   
                                   
         
Name of Organisation: SUMITOMO RUBBER INDUSTRIES, LTD
Details of the Organisation:
CERTIFICATE OF COMPLETION OF TECHNICAL INTERN TRAINING

Reason for leaving the Organisation:


CONTRACT COMPLETION

Dates of employment Monthly


( MM/YYYY ) Job title Duty Station Salary Tasks Performed
From To
AUGUST AUGUST 2006 MACHINE PLASTIC 1.250 USD
2003 OPERATOR MOLDING
WORK
( COMPRESSIO
N) COMPOSE THE CAR TYRE
                                   
                                   
         
Name of Organisation:      
Details of the Organisation:      
     

Reason for leaving the Organisation:


     
Dates of employment Monthly
( MM/YYYY ) Job title Duty Station Salary Tasks Performed
From To
                                   
                                   
                                   
         
Name of Organisation: PT. KOIN PRATAMA
Details of the Organisation:
ENGINEERING AND CONSTRUCTION

Reason for leaving the Organisation:


JOB COMPLETION

Dates of employment Monthly


( MM/YYYY ) Job title Duty Station Salary Tasks Performed
From To
JUNE APRIL PIPE FITTER MEASURE AND 350 USD
2014 2015 INSTAL THE COMPOSE THE PIPE FROM FOLLOWING
PIPE SUPPORT EXAMPLE FROM COMPANY
                                   
                                   
         
         

Name of Organisation: SUMITOMO RUBBER INDUSTRIES, LTD


Details of the Organisation:
CERTIFICATE OF COMPLETION OF TECHNICAL INTERN TRAINING

Reason for leaving the Organisation:


CONTRACT COMPLETION

Dates of employment Monthly


( MM/YYYY ) Job title Duty Station Salary Tasks Performed
From To
AUGUST AUGUST MACHINE PLASTIC 1250 USD
2003 2006 OPERATOR MOLDING
WORK
( COMPRESSIO
N )_ COMPOSE THE CAR TYRE
                                   
                                   
         
         
 
 

        IT Skills     
  Please give details of your computer literacy.  
OFFICE APPLICATION
  
 
 
 
 

 
                
Achievements, Personal Qualities & Skills
List experience, achievements, knowledge, personal qualities and skills which you feel are relevant to development and
emergency work. You may include formal and informal, paid and unpaid work.
   
WORK AT SUMITOMO RUBBER INDUSTIES AS OPERATOR MACHINE TO MAKE PLASTIC MOLDING BE CAR TYRE
, HARD WORKER AND DICIPLINE ARE MY MOTIVATION FOR WORK

   

Personal Statement
Please describe the main reasons for your application and what you believe you can offer Rio Tinto. This is perhaps the
most important part of your application.
I MAY STATE THAT I AM QUALITIFIED AS THE SAME POSITION , OR HOPEFULLY HIGHER POSITION AT RIO
TINTO. I BELIEVE I CAN GIVE THE BEST OF ME FOR RIO TINTO.

  
Language Skills
Please list your knowledge of any languages, indicating the level of fluency against each of the  
following: 1 = fluent 2 = working knowledge 3 = basic  
   
Language Read Write Speak Understand  
 INDONESIAN 1  1  1  1   
 ENGLISH 2  3  3  3   
 JAPANESE 1  2  2  2   
                
                
                
                
                 

Leisure
Please note here your leisure interests, sports and hobbies, other pastimes etc.  
MUSIC, TABLE TENNIS.

Referees
Please give the names and addresses of two referees who have known you for at least two years, and who
are not relatives. One of them must be your current or most recent employer.  
 
Referee No: 1 Referee No: 2
   
Name: ACHMADI FREEPORT INDONESIA Name:      
   
Address: Address:  
Line1:JL,TENTARA PELAJAR RT 02 RW 03 NO. 140
TRITIH KULON CILACAP UTARA KAB, CILACAP Line1:     
Line2:      Line2:     
Line3:      Line3:     
   
Fax:       Fax      
   
Telephone: +6281391079393 Telephone:        

Email Imam_achmadi140@yahoo.com Email       

Relationship to you: I yes Relationship to you:      

   

Availability for online Interview & Appointment


   
Please give any dates when you are NOT available for online interview. (We cannot undertake to avoid  
these dates, but will try to do so):  
none
 
If appointed, when could you take up duty?
soon  

Declaration
1. I agree that any offer of employment is subject to satisfactory references
2. I agree that the organisation reserves the right to ask me to undergo a medical examination. (Should we require further
information and wish to contact your doctor with a view to obtaining a medical report).
3. I confirm that the above information is complete and correct and that any untrue or misleading information will give my
employer the right to terminate any employment contract offered without notice period.
4. I agree that information contained within this application and supporting documents is true.
DATE: October 02 , 2015  

SIGNED:

 
               
         
 
 
   
 
                 

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