employment application

personal data
name : NI LUH GEDE PUTRI YUNITA DEWI
photogra home address : BR. GAMBANG MUNGGU, MENGWI, BADUNG

telephone : +6285737530172

marital status ( ü ) single ( ) married ( ) widowed ( ) divorced

date of birth 30 JUNI 1996
religion HINDU height : 160 cm weight : 53 kg
id no. 510302700696000
position applied for SALES EXECUTIVE & RESERVATION expected salary : 4.500.000 - 5.000.000
second choice expected salary :

education
from certificate obtained or highest
name of school or university to year
year standard passed

primary school SD NEGERI 3 MUNGGU 2002 2008 GRADUATED

secondary school SMP NEGERI 3 KEDIRI 2008 2011 GRADUATED
senior high school SMK PARIWISATA DALUNG 2011 2014 GRADUATED
university STPBI DENPASAR (HOTEL MANAGEMENT) 2014 2017 GPA 3.9
university STIPAR TRIATMA JAYA (HOSPITALITY BUSINESS MANAGEMENT 2018 2019 GPA 3.8
university UNIVERSITAS TRIATMA MULYA (MASTER OF MANAGEMENT) 2022 PRESENT
special training ENGLISH COURSE AT PUSAT BAHASA STPBI LEVEL 1-6
other

languages understanding speaking reading writing

good fair poor good fair poor good fair poor good fair poor
indonesian ü ü ü ü
english ü ü ü ü
german
french
italian
japanese
 employment record ( list present job first )
1 company or firm : THE SHANTI COLLECTION address :JL. DRUPADI NO 4 SEMINYAK
position : RESERVATION & E-COMMERCE EXECUTIVE from : 2022 to : 2023 last salary : 4.500.000
reason for leaving : ENDS OF CONTRACT
2 company or firm : PT. MITRA BALI SUKSES address DENPASAR
position : ASST. STORE MANAGER from : 2020 to : 2022 last salary : 5.000.000
reason for leaving : FAMILY REASON
3 company or firm : L HOTEL SEMINYAK address JALAN PETITENGET NO 8L SEMINYAK
position : BUTLER & RESERVATION from : 2017 to : 2020 last salary : 3.500.000
reason for leaving : ENDS OF CONTRACT & COVID 19
4 company or firm : address :
position : from : to : last salary :
reason for leaving :
5 company or firm : address :
position : from : to : last salary :
reason for leaving :
6 company or firm : address :
position : from : to : last salary :
reason for leaving :

please describe your position including your superior/your staff at below colum

please explain if any other activities involved in organization

name of organization : field : position : length :
 family record
spouse
name : date of birth : occupation :

children
name ( m / f ) : dob : name ( m / f ) : dob :
name ( m / f ) : dob : name ( m / f ) : dob :

parents, brothers and sisters

name relationship age address occupation
NI DESAK PUTU SUKARYATI IBU KANDUNG 51 BR. GAMBANG MUNGGU IBU RUMAH TANGGA
KADEK AYU TRISNA DEWANTI ADIK 21 BR. GAMBANG MUNGGU MAHASISWA

in case of emergency
person to contact : NI DESAK PUTU SUKARYATI relationship : IBU KANDUNG
address : BR. GAMBANG MUNGGU, MENGWI, BADUNG phone no : +6281237159661

mark with an " x " no yes If so, give particulars

1 have you ever been dismissed from any employment because of misconduct X
or unsatisfactory performance ?

2 have you ever been arrested or convicted of crime ?

X
3 may an inquiry be made of your former employer regarding your quaifications X
and character ?

4 do you have any physical injuries / disability that may affect your work ?
X

declaration
i certify that to the best of my knowledge, the foregoing statements and medical history information given by me are true and correct.
after successfully passing the initial interview, employment will be subject to the result of the medical examination and second interview.

_____________________________ date : June 1st, 2023

applicant's signature
 for official use only
remarks by interviewer (s)
rating : 1. outstanding 2. excellent 3. good 4. fair 5. poor
first interview second interview
rating remarks rating remarks
Appearance/attitude
personality
communication ability
education
english comprehension
job knowledge
job interest
self confidence
related experience
technical
maturity

suitable/not suitable

reccomended other position

interviewed by: date: interviewed by: date:

acceptance
job title : requested to start on :

department : section :

salary : level :

department head : date :

human resources : date :

resort manager : date :

corporate : date :