CONFIDENTIAL
APPLICATION FOR EMPLOYMENT
POSITION
APPLIED:
1.
FINANCE ASSISTANT MANAGER
(Full-Time / Temporary / Part-Time)
PERSONAL DATA / PARTICULARS:
Full Name (in block letters):
* Mr / Miss / Mrs / Mdm (please circle)
MULYADI
You want us to address you as:
Home
Telephone:
Office
Telephone:
Address: Jll. BEKASI TIMUR VI
Rt.14 Rw 10 KELURAHAN CIPINANG BESAR UTARA
Date of
birth:
Sex:
KECAMATAN JATINEGARA
Mobile:
JAKARTA TIMUR
Email:
21-04-1977
Male /
Female
Marital
Status
Age:
36
thn
Place
of
Birth:
JAKARTA
No of
Childre
n:
MARRIED
2 (TWO)
ID
Passport No &
3175032104771001
No
Expire Date
Bank Name & Account No (for disbursement of
salary)
NPWP Number 77.457.970.0-002.000
2.
02168859263
Zen2000id@yahoo,com
Nationalit
y:
Race/Ethni
c Group
Religion
INDONESIA
PADANG
ISLAM
FAMILY DETAILS: Particulars of spouse, children, parents, brothers & sisters
(*indicate person to contact in case of emergency)
S/N
1.
Name
NURCHASIYAH
Age
33
Relationship
WIFE
Occupation
ACCOUNTANT
2.
AULIA RAIHAN PRADISYAH
SON
STUDENT
3.
AURA A.ALYAKEISYAH
SON
STUDENT
4.
H.DARLEN
73
FATHER
UNEMPLOYEE
5.
HJ.MASNIAR
68
MOTHER
HOUSE WIFE
6.
MASWIR
42
BIG BROTHER
SALES
7.
HERIYANTO
38
BIG BROTHER
Electrical contractor
8.
HENNY GUSNITA
32
LITTLE SISTER
HOUSE WIFE
9.
10.
Application for Employment August 2013
Page 1 of 5
3.
QUALIFICATIONS
S/N
Education
Institution Location
Subjects Taken
Years
Grade
1.
UPI-YAI
JAKARTA
ACOUNTING
1994
1999
2.
SMUN 77
JAKARTA
IPS
1991
1994
3.
SMP-MUH III
JAKARTA
1988
1991
4.
5.
6.
7.
8.
4.
SKILLS
Languages (Indicate fluency, both written &
spoken)
INDONESIA
ENGLISH
ARABIC
Others
5.
Computers (Indicate software / programs
you are familiar with)
ACCURATE
MYOB
Experience with maintaining office budget
TELLS US ABOUT YOURSELF
Please give us a candid account of your personal qualities, other strengths and weaknesses.
Im an accounting
Ive been working five years as a Finance and Accounting
Ive Excellent analytical skills
Im Able to work independently
6.
EXTRA CURRICULAR ACTIVITIES
State your ECA in school / college / university / community / workplace giving level of participation and
office held.
Organisasi remaja ISLAM
7.
EMPLOYMENT HISTORY
Application for Employment August 2013
Page 2 of 5
Current
Employer
PT.QMI
From
2009
Previous
Employers
From
To
2013
To
Current
Position
SPV
Position
Present
Salary
Bonus /
AWS /
Benefits
5.000.000
Last Drawn
Salary
Reason for Leaving
MASA KONTARAK
Bonus /
AWS /
Benefits
Reason for Leaving
KAP
2006
2008
AUDITOR
2.500.000
INGIN MENAMBAH
PENGALAMAN
PT.MAJU
2004
2006
SPV ACC
1.000.000
INGIN MENAMBAH
PENGALAMAN
Please give details of your duties in your CURRENT and or / LAST organisation (where
applicable) and state any significant contributions you have made)
Performs Inventory accounting and valuation, including assisting in development and
maintenance of cost accounting systems.
Prepares Balance Sheets, Profit and Loss Statements, and other Financial Reports. Makes
adjustments to reporting to meet local, business unit and global management requirements.
Analyzes Revenue, COGS, Gross Margin, and Inventory to ensure accuracy of financial
statements. Reviews Product Line Profitability with Business Partners and Management to ensure
informed decision making.
Provides specialized analysis and support for New Product Pricing, Cost Accounting, Inventory
Accounting, General Accounting, etc.
Generates customer billings and follows up on outstanding balances as necessary.
Devises and implements process improvements to Inventory Accounting and Financial Reporting
and other finance operations as needed.
Previous Work or Sales Experience
(where applicable)
How do you think your current or last
employer would rate you on a scale of 1
(one) to 5 (five) with 5 being the highest
on the following:
Honesty
Punctuality
What did you sell
Initiative
Dependability
What do you enjoy about working with people?
Customer Service
Leadership
Do you have cash register experience?
How do you rate yourself as a sales person?
What are your career objectives?
(You may like to discuss the type of organisation and the sort of work you are looking for
and the levels you hope to obtain)
To gain a position as a finnace bringing my acounting skills, strong attention to detail
and personal attributes of enthusiasm and willingness to learn in SAP is a MUST into the organisation.
Do you have any concerns regarding this positions?
What was it about my qualifications that most appealed to you for this role?
If I was starting in this position today, what would you advise me to learn first and
Application for Employment August 2013
Page 3 of 5
do first?
What opportunities do you make available for professional development and
training?
Can we refer to your :
a.
Present Employer
Yes
No
b.
Previous Employer
Yes
No
If successful, how soon can
you join us?
5-12-2013
Salary Expected?
ID
R
8.000.000
NEGOTIABLE
Per
month
Reference
Name
1 BUDIYANSAH
CARTIC.co
2
3
4
9
OTHER RELEVANT INFORMATION
.
If yes, please state
class
X
No
Mobile Phone / Office
Number
Company
Country of
Issues
Do you have any relative who is working in this Company? If yes, please write the name and the position
below:
___________ NO _____________________________________________________________________________________
9
DECLARATIONS
.
Please answer the following questions by deleting "YES" or "NO" in the boxes provided. If
"Yes", give details in the right hand margin.
1. Have you ever been charged or convicted of any Yes No NO
criminal offence by any Court or detained by the
authorities under the provisions of any law in
any country?
(Please give full details even if you were
eventually acquitted)
2. Has any bankruptcy action ever been taken Yes No NO
against you or any Court judgement / order ever
been made against you ordering you to pay a
debt to someone?
3.
Have you ever been suspended or dismissed
from the services of any employer?
Yes
No
NO
4.
Have you ever been hospitalised or suffered
from any mental illness / disease / disability for
which you have received medical treatment?
(e.g. diabetes, tuberculosis, AIDs, epilepsy etc)
Yes
No
NO
ATTENTION APPLICANT: Please review carefully all the information given in your application form
BEFORE SIGNING.
I hereby declare that the information contained in this form is true and correct to the best of my knowledge and
that I have not withheld any relevant particulars. In the event of employment, this declaration shall be part of
my Contract of Service.
I understand that false or misleading information given in my application or interview (s) shall render me liable
for dismissal without notice and without assigning any reason.
2 DESENBER 2013
Date
Application for Employment August 2013
MULYADI
Signature of Applicant
Page 4 of 5
INTERVIEW EVALUATION
FOR HRD USE
Interviewed HR
Date
Value Remarks - Scale 1 (poor) to 5 (very good)
Keep it simple
Straight forward and open minded
Entrepreneurial spirit
Constant Improvement
Cost-Conscious
We are one team
We believe in People
Remarks
Result of
Interview
Suitable
Selected
KIV
Not
FOR USER USE
Interviewed User
Date
Skills Remarks - Scale 1 (poor) to 5 (very good)
Remarks
Result of
Interview
Suitable
Selected
KIV
Not
Approved by Manager
Head of Department
HR Manager
Signature & Date
Signature & Date
Signature & Date
APPOINTMENT
Designation
Level
Department
Company
Date of Appointment
Starting Salary
Allowances
Probation
Application for Employment August 2013
Page 5 of 5
