Full Name (sae wih 1 Cara, Nick Name ean Place of Birth cue county tenet Gender [X]Female Blood Type [B coun seas Clmarted ——_(lovere fatoen cme Citizenship [X]indonesia [“]Others [WU Height / Weight [ileqalom 7 E-mail Address ‘Skype ID. eee rosy (Dar Nonbr Dlalrislols[ei7iol [olor a al 1] Sedo LL] LL] LL Passport Naner EEELCEEEEEELE EEE) sereote OC} SS) Co) Use eer i | | NPWP Name NPP Number NPWP Adress eee) OEE Oia Adress (eunber&. see) teamewiniowy ea : ([Bekast Selatan) ame — _ Phone Number ae.) htt Handphone Number 1 sioizoe Handphone Number 2 — Residential Address 5 Palen 1 F636 (oumber& street) (Current acaress) Kron ecaraa a [Bekasi Seletan Poomee cau (awa Sat} Prene Number —— Handphone Number 1 | Handphone Number 2 ISO Family Members tation = Prac crien| HESSEN yr] adins | Oeeptn Husband? : ‘wie children : 1 2 a a 5 6 7 Parents Father rare Bakarbessy ‘nbon | aovse | t| Bakae Penson PN Water Frederka ‘anton | 14/080 |p | Beka Pensun-PNS ‘Siblings (Including yourself) 1 Demey 8B fmbon | aonaea | t | Betas wienia 2 Yuslin LB Ambon: 18/11/86 L Ambon wiraswasta 3 Veliane 8 Ambon 2106/89 Pp Magelang : 4 Jeanet Bakarbessy Bokasi | 270196 |p Bokasi - 3 6 7 Emergency Contacts Fulton Date of ith Za) Gender CMae—([x]Female Pace of Bt E59 Reaion Existing parents CJoties |) Adress eee eee] [SSeeeeeseeenememsesesseseeesesesssesses] (81 [x12] 90¢ [l=] ae feces (igsan¢ — : ‘Mer n [Megelang a (Swe Tengen A [Daz oa aoe] 1. College Name Educational Degree [oipioma [x ]Bachelor| |Master [Decor [Joes [d Major lim Hoku City (akarta ‘Years of Completed (ol7] [4[4) unt [1 Jo] [4[e] pa : [2] Tae mm mW2. College Name | Educational Degree [[Disloma —[|Bachelor|“|Master [Doktor [Other [ Maj | cay “Years of Completed po oo mo ns Subject, Institution Period endian Vue Profs Ada PPA) FHP Low Stoc ibe 2020 Organization Name Position Period (OSIS SMA Tunas Jakasampurna ‘Anggota 20102012 Unit Kegiaten Kulah - TIMI Pedul AIDS ATMA JAVA ‘Anggota zot4 Repertences (Start from Your labest experience) Company Name Latest Poston Pees ois) (ie) 18) wei Gir) Cola GLa) a mW BaF Resta Lending [Sera roy Wa alan Tarena Cie 79 Base Slay (800000 nations Beneft [Joar [Japs [ ]Medical nsurance [Communication Allowance [x]Meat [-]Transpont []THR Cponus JPracement Aowance —[[Positona Alowance [JOters Company Adress city Company Type [Pubic company [XIPrvate Company Glee el | Industry Type Division Supetor Name | Supetor Position (age |‘Company Name EEE Latest Postion FI Peed CS ak eg] on oe a ee Reason for Leaving | Basi Slry nts Company Adress ee] oxy CompanyType [lpi Company IPs Conpany [_JState Own Company — [JOthers [| Inds Type | Divison ee Super Name J supeterPeston Or ———<“<—is—S—sS 3 ‘Company Name Latest Postion eee] Peed [ee gee ge a) ge] aoe aim Reason fr Leaving ee] Basi Slry eee Company Adress eee] oxy ‘Company Type [Public Company [)Private Company se. ress Indust Type | Divison |] Super Name ee] Supt Psion 01, Menyiapkan Dokumen legal perusahaan Sebelum tejadinya PKS _(SIUP, NPWP, Aka Notars, DLL) (02, Membuat atau merapihkan Dokumen yang berkatan dengan adminstasiPojek yang sedangiaken berjalan 103, Membuat dokumen yang beri mengenai detail has perkerjaan proyek, dengan cara berkoordinaslangsung dengan staff lapangan, 104, Membuat dokumen(PowerPoint) dar has perkerjaan proyek yang sedang beraian untuk di presentaskan oleh Manajr proyeksetian ‘Meeting Thulan bersamadrekur noe ere een SS 05. [MT Contact NumberB Last Medical Check-Up_ ) a) am Medical Check-Up Type = [__|Regular Check-Up _[_|Siokness [[Jeeneral Check up Clothers Place (Hospital eT | - | Aerie Do you have any serious ilness J surgeries / accidents? = []¥es (Sd [x]Ne Have you ever been hospitalized within the last 2(two) years? |Yes (0 [x)No ‘Smoking [ves Eyes Condition Jsitinder [X]Minus []Pus [others irenath iain = ongalana Serr nan Sasa orang nr ar Serer yang ba Trang pecaya dt apablabetleara dl depan orang Eanyak ea a aa ee a Epnded iy Gay ano paced Bata BB ont San FE Roepe Eon Foes ‘ality Cle) [it morihnotce [others a {Im wiling to have psychological test & medical checkup [_|¥es — [X |No- ‘Have you ever been involved in criminal case ? [\¥es_ [x|No I i [| \Whatis he bggest fre in your if? Balun Es jd Febggan orn Whats the bggest success in youre? [ Meni UR rafanan Ons a an 078 What tnd true uealy made you sessed How oyou manage? Have you ever ben rough ny proces of resumen n ata or ipo Group and subsides? Wyouhave.whenisn? | Bempemsh Do you have any famly rend whois woking win Meat or ippo Goup an eubtiaen? Ifyou have, please prove us with the deta! (Name, Occupation, Relation, and PT) Akbar, Legal Sia Taman, Wakata = Do you agre tobe located anywhere in Indonesia? [Yes No It yes, please mention the preferred cttes of ogion ? Where do you et the information ofthe job opportunities of ths company? Jobsteet oo "hereby ceri thatthe facts inthe above employment application are true and complete tothe best of my knowledge and authorize | understand that if employed, flsied statements of any kind or omissions of facts called for on this application shall be considered sufficient basis fr cismissal. mr Jeanet Bakarbessy