PT.

INDOFUN DIGITAL TECHNOLOGY

APPLICATION FOR EMPLOYMENT

PRIVATE AND CONFIDENTIAL

Please use block letters to fill in the form and *delete as appropriate

Position Applied Date Available

User Acquisition Staff 12-07-2021

From where did you learn about the above vacancy? (Please specify)
Jobstreet

Personal Particulars
Full Name

*Mr Irfanulchasan Nuriska

Rahman

I.D No. / Passport No. Date of Birth Marital Status

3318100903930003 09-03-1993 Married

Correspondence Address Email Address

Griya Merapi Asri, Taraman, Blok C-10 Sleman Yogyakarta Kotakpos2.irfan@gmail.com

Home Phone Number : - Contact Phone No.

081225522127

Education
Period (Month /
Name of School / College / University Year) Qualification Attained

From To
Universitas Negeri Semarang 2010 2014 Bachelor Of Management Economics
 Professional Qualification

Name of Issuing Authority Date of Issue Professional Qualification Attained

- - -

- - -

- - -

Personal Health Condition

Active Smoker (Yes/No) No
Have a congenital disease (Yes/No) No
Have an infectious disease (Yes/No) No

Employment Record (please start with present position)

Other
Period
Allowance Reason for
Name of Company Last Position (Month / Last Base Salary
s/Commiss Leaving
Year)
ion/Bonus

Vascomm Solusi Teknologi Customer Success From 2019 3.500.000 1.500.000 Covid-19
Specialist
To 2020
Aplikasi Karya Anak Bangsa Voucher Executioner From 2018 7.500.000 - Disbanded
Specialist Division
To 2019
Disdus Indonesia Partner Operations From 2016 4.900.000 - Got Offer from
Executive AKAB
To 2018
Language Proficiency

Please indicate by using “”

Excellence Good Fair Poor

English 
Bahasa Indonesia 
Mandarin 
Others (Javanese) 

Job-related Skills

Computer Knowledge Salesforce, Holistics, Trello, Pipedrive, Pipefy

(List names of software/systems
used)

Others
Referees
Please list two referees (exclude relatives)

Full Name Relationship Occupation Company Name & Tel. No.

Address

Dewi Ayudiana Putri Colleague Aplikasi Karya Anak Pasaraya Blok M, Jakarta 0813-2216-8585
Bangsa

Muhammad Sonny Faizal Colleague Synthesis Gatot Subroto Jakarta 0857-2871-8259

Development

Expected Salary Before

Tax IDR 4.000.000

Supplementary Information

DECLARATION

I declare that to the best of my knowledge and belief, the information I have supplied on this form and any
attachment, is complete, correct, accurate and up-to-date in every detail.

I further declare that I have not been convicted of any criminal offence in a court of law. I understand that my
misrepresentation, if made intentionally, will disqualify my application and may render me liable to summary
dismissal, even after employment.

Signature of Applicant: _ Date: 05-07-2021

 Confirmation of Employment
(For Official Use Only)

Position: Grade: Basic Monthly Compensation:

_

Unit: Contract Term:

Dept.:

Date of Commencement: Date of Offer:

Remarks:

Approved by Dept. Manager Signature Date

Approved by Executive Level Signature Date

Approved by HR Dept. Signature Date