ASEC Employment Form-Hrd

FM-HRD-REC-04
ASEAN Secretariat
Jl. Sisingamangaraja 70A
Jakarta 12011
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EMPLOYMENT APPLICATION FORM

Position applied : _________________________
Date: ___________________________
Application Source:
ASEAN website (www.asean.org/opportunities)
Online advertisement (from other website)
Print advertisement
Others: ____________________________________
I.PERSONAL
Name : ____________________________________________ email address : _________________________
Last Name
First Name
Middle Name
Present Address :
__________________________________________________________________________________________
Street
City
Country
Zip Code
Telephone : _______________ (office) _______________ (residence) ___________________ (hand phone)
Date/month/year of Birth : _________________ Place of Birth : __________________
Gender :________________________
Marital Status :
Citizenship : _________________
Single
Identification Card KTP/Passport )
Issued by : _____________________
Married
No.: ________________________
Issued date : ____________________
Widow(er)
Place of issue : _______________
Expiration date : __________________
FM-HRD-REC-04
II. FAMILY BACKGROUND

a. Parents
Name
Relationship
Date
Of Birth
Education
Occupation
Father
Mother
b. Family / Dependent
Name
Relationship
Sex
Date
of birth
Education
Occupation
III. FORMAL EDUCATION

Years attended
Name of School
Start
Location
Ending
Major Degree
granted
Main Subjects
IV. EMPLOYMENT RECORD (Start from the most recent)

1. Years employed/duration
From
To
Name of
Organisation /
Company
Address/Phone
Position
Net Salary per annum

(Excluding allowances)
Starting
Final
FM-HRD-REC-04
Description of your work :
Reason for leaving :
Supervisors Name :
Telephone :
From
Name of
Organisation /
Company
Address/Phone
Position
To

Starting
Final
Description of your work:
Supervisors Name :
Telephone :
From
Name of
Organisation /
Company
Address/Phone
Position
To

Starting
Final
Description of your work :
Supervisors Name :
Telephone :
Salary expectation : __________________
Total working experience : __________ years
Please note that in evaluating your candidature ASEAN Secretariat reserved the right to approach your previous
employer(s) for references. It is not our policy to approach your present employer at the evaluation stage unless you
expressly authorize this.
Have you any objections to our making inquiries of your present employer?
Yes
No
Please note, however, that before making an offer of employment ASEAN Secretariat is required to contact both your
present and previous employers.
_______________________________________________________________________________________________
V. SKILLS
Remarks
Computer
MAINTENANCE
PC
LAN
(for computer related position)
Softwares :
Language
Speak
Fair
Good
Read /Write
Fluent
Fair
Good
Fluent
FM-HRD-REC-04
Other
VI. COURSE / TRAINING RECORD
Certification/Seminar/Course
Description/Type
On the Job Training/Training
Institution
Place/Location
Duration
Have you been charged for committing to any crime? If yes, please explain.
Are you a member of labour organization or political party? If yes, please state the name, address and your position in the
organization.
Employment by the ASEAN Secretariat may require assignment and travel to any
area. Have you any disabilities or reservations that may restrict your activities in
this respect?
If yes, please explain.
Are you under any obligation to return/stay in the service of your company in
recognition of sponsored training or education?
Please show your position at your current job in an organization chart.
Yes
No
Yes
No
If this space not enough, please use next page.

Please mention three (3) references
No.
Name
Occupation
Address & Email
Telephone
I hereby certify that the above information is true and correct. I agree that any misinterpretation made in this application
for the purpose of securing employment shall be grounds for termination or denial of employment. Final appointment will
be subject to a physical examination.
FM-HRD-REC-04
Applicants Signature : ___________________________

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FM-HRD-REC-04

EMPLOYMENT APPLICATION FORM

Identification Card KTP/Passport )

Issued date : ____________________

Place of issue : _______________

Expiration date : __________________

II. FAMILY BACKGROUND

III. FORMAL EDUCATION

IV. EMPLOYMENT RECORD (Start from the most recent)

Net Salary per annum

Description of your work :

Reason for leaving :

Net Salary per annum

Description of your work:

Reason for leaving :

Net Salary per annum

Description of your work :

Reason for leaving :

Total working experience : __________ years

(for computer related position)

If this space not enough, please use next page.

Address & Email

Applicants Signature : ___________________________

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