CONFIDENTIAL

Photo
APPLICATION FOR EMPLOYMENT

Date of Application : _______________________

Position Applied For : _______________________
Date of Commencement : _______________________

PERSONAL DATA

Full Name / Nick name : ______________________________________/_______________

Sex : Male / Female *

Place & Date of Birth : ______________________________________________________

Address : ______________________________________________________
Phone Number / Mobile : ______________________________________________________
E-Mail : ______________________________________________________
Citizenship : ______________________________________________________
Identify Card No. : ______________________________________________________
Marital Status : Single / Married / Divorce *
Religion : Moslem / Christian / Catholic / Buddhist / Hindu / . . . . . . . *
Height and weight : ___________________cm /____________________kg
Hobby : ______________________________________________________
* Please sign the correct one

FAMILY DATA (Including you)

Relation Name M/F Place/Date of Birth Education Occupation

Spouse
Child
#1
#2
#3
#4
Father
Mother
Brother/Sister
#1
#2
#3
#4
 CONFIDENTIAL

FORMAL EDUCATION
(start with the latest education and backward)

Type of Location Major Course/ Graudated

Name of School Dates Attended Degree
School (City) Subject Yes No
From To

COURSES / TRAININGS

Dates Attended
Training Type Provider Location(City) Lisence/ Certificate
From To

LANGUAGE LITERACY
(Please mark the correct one)
P= Poor ; F= Fair ; G= Good ; E= Excellent

Literacy
Language Writing Listening Speaking Reading Remarks
P F G E P F G E P F G E P F G E

Indonesia

English

Others
__________

ORGANIZATION ACTIVITIES / EXPERIENCES

Organization Year City Position

Please mention your skill and competencies

______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
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WORK EXPERIENCES.

Start with present or most recent, list all previous employers.

Name of employer Name of last Employment dates Salary

supervisor
Address From Start

To Final
City
Your last job title
Phone number

Reason for leaving (be spesific)

List the jobs you held, duties performed, skills used to learned, advancements or promotions while you worked
at this company

Name of employer Name of last Employment dates Salary

supervisor
Address From Start

To Final
City
Your last job title
Phone number

Reason for leaving (be spesific)

List the jobs you held, duties performed, skills used to learned, advancements or promotions while you worked
at this company
 CONFIDENTIAL

Name of employer Name of last Employment dates Salary

supervisor
Address From Start

To Final
City
Jabatan terakhir/ Your last job title
Phone number

Reason for leaving (be spesific)

List the jobs you held, duties performed, skills used to learned, advancements or promotions while you worked
at this company

Please state the reasons why you are interested in applying in our company.
______________________________________________________________________________________________
______________________________________________________________________________________________

Please state your expected salary (Take Home Pay)

______________________________________________________________________________________________

If hired, When can day start working ?

______________________________________________________________________________________________

I certify that all facts in this application letter are true and complete. I understand that any false
information (or omissions) in this application, or its supporting documents, will be sufficient grounds for
refusal to hire or termination without any additional compensation other than for the work completed

_______________, _____________________

( ___________________________________ )
Signature and Full Name