PUT YOUR

PHOTO
PLEASE
JL. Telaga Waja No.18a Petitenget, Kerobokan Kelod,
Kuta Utara-80361 Bali, www.kayumasresort.com

APPLICATION FOR EMPLOYMENT

Personal Detail
Date
n
:
Name
I Putu Yudi Ardiana
:
Position
Room attendant
Applied :
Date of
February 15st 2004
Birth :
Place of Birth Pohsanten
Current Banjar rangdu, desa pohsanten, kec.mendoyo,kab.Jembrana,
Address : bali
Phone
:
Email : Yudiardiana913@gmail.com
Emergency Contact
Name I Made Darna
:
Address & Phone
Banjar Randu,desa pohsanten,& +62 819-3762-3310
Number:
No. JAMSOSTEK :

NPWP :

Religion : Hinduism

Height: 171cm Weight: 70kg

Marital Status : Single

Number of Children :

Passport/KTP :
Expected
Salary :

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 JL. Telaga Waja No.18a Petitenget, Kerobokan Kelod,
Kuta Utara-80361 Bali, www.kayumasresort.com

About Family Members

(Wife, Husband, Parents, Siblings, Etc.)

Place of
Name Relationship/Age Occupation
Occupation

Educations
School/College/University Year Standard Passed/
Diploma or Degree
Institution Place From To
Obtained

Language Proficiency
Languages Spoken Written
Excellent Well Fair Excellent Well Fair
Indonesia

English

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 JL. Telaga Waja No.18a Petitenget, Kerobokan Kelod,
Kuta Utara-80361 Bali, www.kayumasresort.com

Working Experiences
(Start from most recent)
Period of
Name & Address of Reason for
Employment Position Salary
Employer Leaving
From To

References
(Relatives are not applicable)
Name Address Phone Occupation
Number

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 JL. Telaga Waja No.18a Petitenget, Kerobokan Kelod,
Kuta Utara-80361 Bali, www.kayumasresort.com

Brief Question and Answer

Question Answer

Have you ever had any serious illness

or any physical disability?

Have you ever been convicted in

court of law in any country?

Have you ever been dismissed or

suspended by any employer?

Do you have friends/relatives working

in this company? Please provide
name(s)

What do you do in you free time?

Sports activities? Hobbies?

What does genuine hospitality mean

to you? Please describe or define

Why are you the right person to work

at this company?

I hereby declare that every statement given by me in this form is true, correct and given
voluntarily. I have not wilfully withheld any information relevant to this application. I
authorise the Management to submit the said information to any person or organisation for
the purpose of any investigation which the Management may desire to make. I agree to
indemnify the Management from all liabilities, demands, claims, suits, proceeding, cost and
expenses of any nature in connection with the foregoing. I also agree that if any false
declaration is made by me, my contract may be terminated without notice.

Signature:
Date:

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 JL. Telaga Waja No.18a Petitenget, Kerobokan Kelod,
Kuta Utara-80361 Bali, www.kayumasresort.com

INTERVIEWER SHEET

1. HUMAN RESOURCES

Note:
Continue for next interview: Hold: Reject:

Name: Signature: Date:

Remarks:

2. DEPARTMENT HEAD

Note:
Recommended: Hold: Reject:

Name: Signature Date:

Remarks:

3. GENERAL MANAGER

Note:
Hired the Applicant: Hold: Reject:

Name: Signature Date:

Remarks :
Join Date :
Salary :

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