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  • Employment Application Cocana Edited

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    Ricky Aditya Sabwan
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    The employment application form provides personal details for Andriadi such as name, date of birth, address, education qualifications, languages skills, and health information. It also requests contact details, tax identification, and certification that the information provided is true. The applicant signs to agree that any false information could result in dismissal without notice from potential employment with Sunseth Hospitality Group.

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    The employment application form provides personal details for Andriadi such as name, date of birth, address, education qualifications, languages skills, and health information. It also requests contact details, tax identification, and certification that the information provided is true. The applicant signs to agree that any false information could result in dismissal without notice from potential employment with Sunseth Hospitality Group.

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    © All Rights Reserved
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    7 views2 pages

    Employment Application Cocana Edited

    Uploaded by

    Ricky Aditya Sabwan
    The employment application form provides personal details for Andriadi such as name, date of birth, address, education qualifications, languages skills, and health information. It also requests contact details, tax identification, and certification that the information provided is true. The applicant signs to agree that any false information could result in dismissal without notice from potential employment with Sunseth Hospitality Group.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    EMPLOYMENTAPPLICATIONFORM

    Nickname ANDRIADI
    Fullname ANDRIADI
    IDNumber(KTP/Passport) 5202110912910001
    PlaceandDateofBirth Lendang Are, 09 Desesember 1991
    MaritalStatus Single Separated Widow Married □Divorced
    Nationality INDONESIA

    Religion □Buddhism Hindu √ Islam □Christian □Catholic

    Others:

    DrivingLiaison(SIM) SIM C
    Bankaccountnumber BNI 1447122231
    PermanentAddress Desa Ungga. Kec. Praya Barat Daya. Kab. Lombok Tengah
    PhoneNumber 081928540215
    BPJSKesehatan 0000831761954
    BPJSKetenagakerjaan 13027556714
    TaxID 99.140.089.6-915.000

    ADDITIONALINFORMATION
    Personaldetails
    TemporaryAddress
    (ifyouraddressdifferentfrom
    yourID)
    andrialka1991@gmail.com
    EmailAddress
    COOKING, FISHING AND WATCHING
    Hobby
    FamilyMembers
    NameofSpouse:

    NameofChildren:

    EmergencyContactPerson&ContactNumber
    Name

    Relationship:
    ACADEMICANDPROFESSIONALQUALIFICATIONS
    TitleofDiploma/ Name of Dates
    Degreeifcomplete School/LocationUniv YearE YearCo
    d ersity/College ntered mpleted
    Dioploma 1 LP3A MATARAM 2011 2012

    LANGUAGESSKILLS:
    Languages SPOKEN READ WRITTEN
    Fluent Average Poor Fluent Average Poor Fluent Average Poor

    English √ √ √
    Arab √ √ √

    HEALTH:
    Doyou sufferofanyhealthproblemorAllergythatpreventsyou fromhandlingcertaintasks?

    No Yes

    Problem_

    Pleasesubmitthefollowingdocumentation:AcopyofyournationalID,FamilyCard(kartukeluarga),Educationcertificate,copy
    ofBPJSKesehatandanBPJSKetenagakerjaan (ifany)andacopyofyourtaxnumber.

    ICERTIFYTHATALLTHEINFORMATIONMENTIONEDINTHISAPPLICATIONFORMISTRUEANDCORRECT.ANYFALSEINF
    ORMATIONWILLALLOWTHEEMPLOYERTODISMISSMEWITHOUTANYPRIORNOTICEOR
    INDEMNITY.INCASEOFACCEPTANCEOFEMPLOYMENT,INFORMATIONRELATIVETOTHEAPPLICATIONMUSTBE
    KEPTPRESERVED AT SUNSETHOSPITALITYGROUP.

    SIGNATURE: ANDRIADI DATE: 18 NOVEMBER 2023

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