Employment Application Form

Department / Position Applied for 1st Preference Human Resources Manager Recent Photo

2nd Preference Director of Human Resources

Salary Expected/Month (Gross): IDR.16.000.000 Date Available: 1 Month Notice

Section 1: Personal Particulars

Surname (English) Given Name(s) Name (Chinese if applicable) Gender Blood Type

Budi Permana Male B+

Place of Birth Date of Birth (DD/MM/YY) Race Religion

Jakarta
Nationality / Address 04-03-1986 Asian Islam

Indonesia / Rancalame – Bandung, Jawa Barat

I.D. / Passport No.

1471110403860002
Marriage Status  Single  Married  Divorced  Widowed

Telephone. No. ( Home ) Mobile Phone E-mail Address

081358855252 budipermana.sh@gmail.com

Section 2: Education Details

Name of School / Institute Period Certificate / Degree/
From To Qualification
Obtained
2003 2009 Bachelor of Law
Universitas Katolik Parahyangan Bandung

Section 3: Employment Experience

( Please write from present employment )

Period
From To Name of Employer Job Title Salary Reasons For
11-2019 2-2020 Nilamani Hotels ( The Sakala Resort – Camakila Benoa ) Cluster HR & Training IDR.18.000,000 Hotel Closed due to

Covid-19
10-2018 10-2019 Swiss-belhotel International ( Head Office Jakarta ) Regional Manager – IDR.22.000.000 Unwilling moved to

Training & Learning East Office Area

06-2017 09-2018 Marriott International (Sheraton Yogyakarta – Westin Ubud) ) L&D Manager IDR.9.000.000 Better opportunity

06-2016 07-2017 Sol House Bali Legian by Melia Hotels ( Pre-opening) Training Manager IDR.7.000.000 Join one of the best

International Chain

Section 4: Reference Check

（Please provide details of individuals who have worked with you）

Name Company Designation Contact No. / Email Address

Yolla Octavia The Seminyak Resort DoHR 081337585756

Gregg Hoehn Soori Bali GM 081246748800

Section 5: Language & Skill

Please tick in the appropriate boxes（(）
English Good Average Basic Other Language Good Average Basic
Spoken X
Reading X
Written X

 Software Applications ( Please specify ) Sunfish, VHP, Talenta

 Driving License  First Aid Certificate  Others ( Please specify ) A & C

____________

Section 6: Person to Notify in Case of Emergency

Full Name: Susanti Relationship: Sister

Address: Telephone No.:

Bandung 082127777297

Section 7: General Information Yes No If yes, please advise details

Please tick in the appropriate boxes（(）
Have you ever been employed by sister hotels at Melia Hotels X
Company: Sol House
International?
Bali Legian

Do you have any family relatives employed by our hotel? X Name:

Department:
 Relationship:

Have you ever been found guilty of misconduct in your previous employment? X

Do you have any matters not yet cleared with your former employer? X

Have you ever signed any confidential agreement with your former employer? X

Are you now in pregnant, confinement or lactation period? X

Have you been convicted of a crime? X

Do you have physical disability, impairment, serious illness? X

Have your profile been presented to one of MHI’s hotels in the last 12 months? X
Company:

Declaration: All statements completed by me in the Employment Application Form are true and correct. A false statement of
dishonesty to any questions may be grounds for my immediate discharge from employment with the Hotel. I also authorize any

investigation of the above information for purpose of verification.

Applicant’s Signature:　 Budi Permana Date: 24 February 2021

　 ____________________________________ ______________________________________

The above information only serves the purpose of recruitment. All application form will only be used for consideration of your application for the related

position within this Hotel only. In case of being employed by the hotel, the information collected will be kept confidential in the employee personal record

for human resources management functions.