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Rio Tinto Simandou Project Employment Form12a
Rio Tinto Simandou Project Employment Form12a
Rio Tinto Simandou Project Employment Form12a
Expert Afric Recruitment
Tel : +224628537335
CONFIDENTIAL
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
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
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:
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: