EMPLOYMENT & INTERNSHIP APPLICATION

A. PERSONAL DATA / DATA PRIBADI

Name / Nama :

Present Address
:
Alamat Rumah Sekarang
Foto 3 x 4
Permanent Address
:
Alamat Tetap

Phone Number / No. Telp : Home/Rumah :

Place & Date of Birth Religion /

:
Tempat & Tgl Lahir Agama
Position Applied /
: Height /Tinggi : cm Weight/Berat : kg
Posisi yang dilamar
I.D Number / No KTP : No. NPWP :

No.Jamsostek : No.AIA(if applicable) :

Marital Status [ ] Single [ ] Married [ ] Widow [ ] Widower

Status Perkawinan Belum Kawin Kawin Janda Duda

Name: Phone:
Emergency Contact
Address: Relationship:

Salary Expectations :
Relatives work for Hilton Bali Resort and Spa
:
Keluarga yg bekerja di Hilton Bali Resort and Spa

B. EDUCATION / PENDIDIKAN
Name of School/ University From/Dari To/Sampai Remark
Nama Sekolah / Universitas (Year/thn ) (Year/thn ) Keterangan

University/Universitas

Senior High School/SMA

Junior High School/SMP

Others/Lainnya

C. TRAINING OR EMPLOYEMENT RECORD / RIWAYAT TRAINING ATAU RIWAYAT PENGALAMAN KERJA

Name of Company Section From To
Position / Jabatan Certificate / Sertifikat
Nama Perusahaan Bagian Dari Sampai
 D. LANGUAGES / BAHASA YANG DI KUASAI
Speaking Reading Writing
Good Fair Poor Good Fair Poor Good Fair Poor
English

Japanese

Chinese

German

French

Others

E. SKILLS / KEMAMPUAN
Typing: Words per minutes Shorthand: Words per minute Dictaphone □ Yes □ No
Word Processor □ Yes □ No Tlx.Machine □ Yes □ No Cash Register □ Yes □ No
Others:

F. OTHER INTERESTS OR HOBBIES

G. REFERENCE LIST
Name Address Occupation Length of acquaintance
 DECLARATION

I certify that to the best of my knowledge, the foregoing statements and medical history information given by me are true and
correct. I understand that if I am employed, any misrepresentation or omission by me herein will be sufficent cause for
dismissal from the service of HILTON BALI RESORT without notice or payment in lieu of notice.Upon this application becoming
successful, I understand that I will require a pre-employment medical examination and I agree to refund the expenseto the hotel
if I resign within the probationary period.

Date:
Applicant's Signature

Internship Statement ( Only for Internship )

1 I understand that the employer will thoroughly investigate my work and personal history and verify all
on supplied papers/document, and in interviews. I authorize all individuals, schools, and firms name
information requested about me, and I release them from all liability for damage in providing this
Saya mengerti bahwa perusahaan akan memeriksa latar belakang pekerjaan dan kehidupan pribadi dan
yang ada dalam lamaran ini, dokumen yang diberikan dan melalui wawancara. Saya memberikan
semua orang, sekolah dan perusahaan yang namanya tercantum untuk memberikan informasi tentang

saya membebaskan mereka dari tuntutan dalam memberikan informasi tentang saya.
2 I certify that all the statements herein are true and understand that any falsification or willful omission
for dismissal or refusal of employment.
Saya menyatakan bahwa semua pernyataan ini benar dan mengerti bahwa segala keterangan palsu atau
disengaja mengakibatkan pemutusan kerja atau pembatalan pekerjaan.
3 In case of termination of employment, I agree to return the confidentially of company documents
reports and I understand that not doing so may be grounds for further process based on applicable
Dalam hal terjadinya pemutusan hubungan kerja, saya menyetujui untuk mengembalikan hal-hal yang
system dokumen perusahaan, panduan, laporan keuanagan dan saya mengerti bahwa dengan tidak
mengakibatkan penyelesain berdasarkan peraturan perundangan yang berlaku.
4 I agree to follow all applicable rules and regulations of this company and agree to accept and sanction of
following these rules and regulations.
Saya bersedia untuk mentaati seluruh peraturan yang diterapkan di dalam perusahaan ini dan bersedia
saya tidak mentaati dan /atau lalai dalam mengikuti peraturan-peraturan tersebut

Trainee's Signature Date:

Tanda Tangan Trainee Tanggal: