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Employment Application Form

1) The document is an employment application form for PT. International Test Center. It requests personal details like name, address, nationality, education history, employment history, references, and reasons for applying for the position. 2) The form instructs applicants to complete all items, circle the appropriate responses for starred items, indicate "N/A" if an item does not apply, and submit copies of identification documents if invited for later stages of the hiring process. 3) It warns that false information could lead to disqualification or dismissal and that the company does not provide reasons for rejecting candidates.

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Yopie Febrianto
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64 views4 pages

Employment Application Form

1) The document is an employment application form for PT. International Test Center. It requests personal details like name, address, nationality, education history, employment history, references, and reasons for applying for the position. 2) The form instructs applicants to complete all items, circle the appropriate responses for starred items, indicate "N/A" if an item does not apply, and submit copies of identification documents if invited for later stages of the hiring process. 3) It warns that false information could lead to disqualification or dismissal and that the company does not provide reasons for rejecting candidates.

Uploaded by

Yopie Febrianto
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 4

F-ITC-HRD-01-02

PT. INTERNATIONAL TEST CENTER

Paste here a recent


photograph of yourself
EMPLOYMENT APPLICATION FORM
(CONFIDENTIAL)

PLEASE READ THESE INSTRUCTIONS CAREFULLY


1. This form is to be completed and returned to PT. INTERNATIONAL TEST CENTER, Plaza Sentral
17th Floor, Jl. Jend. Sudirman Kav.47, Jakarta 12930
2. Do not leave any item blank, if it is not applicable to you, indicate “N.A”.
3. For those items accompanied by an*, please circle the appropriate item
4. When submitting your application forms, please indicate on the top right hand corner the post applied
for
5. Except where indicated, copies of your birth and educational certificates and testimonials need not to
accompany the application. These will be asked for at a later stage.
6. False particulars of material facts will render you liable to disqualification, or, if appointed, to dismissal
and/or appropriate legal proceeding
7. We do not enter into correspondence with regard to the reasons for non-selection of candidates.

A. POST APPLIED FOR How did you come to know about


this vacancy? (give medium and
date)

B. FULL NAME Mr/Ms/Mrs* KTP No.


(In block letters,
underline surname)
Given name Passport No.

C. ADDRESS Residential Address Home Telephone

Post Code Mobile phone

D. NATIONALITY, Date of Birth Nationality


RACE, BIRTH, HEIGHT,
MARITAL STATUS AND
RELIGION Age Race Height Weight

Place of Birth

Marital Status: Religion:


Single/Married/Divorced/Widowed* Buddhist/Christian/Hindu/Moslem/Others*

Date of Marriage:

E. EMPLOYMENT PASS Date of Expiry Date


AND WORK PERMIT Issues
(FOR NON CITIZEN)

003/Employment Application Form/HRD Page 1


F. SPOUSE’S Spouse’s / Next –of-kin’s name
/NEXT OF—KIN’S
DETAILS OR Buddhist/Christian/Hindu/Moslem/Others Passport No. Date of Birth
FAMILY MEMBER *

Occupation/Employer Citizenship

Address Phone number

G. PARTICULARS Name Relationship Age Occupation, Name Citizenship Marital Status


to Applicant of Employer/School
PARENTS/ (if applicable)
BROTHERS/
SISTERS/CHILDREN

H. QUALIFICATIONS

INSTITUTION / NAME OF YEAR DIPLOMA OR


SCHOOLS SCHOOLS DEGREE MAJOR
COMMENCED COMPLETED

HIGH
COMMUNITY
UNIVERSITY
TECHNICAL
OTHERS
SPEED IN WPM TYPINGSHORT ABILITY IN COMPUTER
HAND
WHAT OTHER OFFICE MACHINES OR EQUIPTMENTS CAN YOU OPERATE?

SCHOLARSHIPS/BURSARIES/PRIZE/AWARDS
a) State any scholarship you hold or have
held, indicating type, duration, value and
bond (if any)

b) State any prize or awards you have won


indicating the reason for which they were
awarded
HIGHER DEGREES/POST-GRADUATE/PROFESSIONAL QUALIFICATIONS: Have you done or are considering post
graduate studies, a business course, and equivalent? If so, please give details.

003/Employment Application Form/HRD Page 2


If you are a post graduate student, please give the title and summary of the content of your post-graduate course of research,
and whether you think it relates to any of our activities: (if space is insufficient, please attach separate sheet)

I. QUALIFICATIONS Name
Give qualifications of 2 referees
(other than relatives). They should Address
be responsible persons who know
you well and at least one should be
well acquainted with you in your Occupation and Organization Phone number Period of knowing
private life. Names of distinguished
persons must not be given unless Name
they know you well and have agreed
to be your referees. Testimonials Address
from these referees should not be
sent. PT. INTERNATIONAL TEST
Occupation and Organization Phone number Period of knowing
CENTER will contact or write to
them if necessary
J. EXTRA CURRICULAR ACTIVITIES OR HOBBIES
State your ECA or hobbies in school/college/university/community/workplace giving level of participation/office held.

K. CURRENT EMPLOYER

Name/Address of Position Held Period Present salary Bonus/AWS/ Reason for wanting
Employer Fringe to leave
From To From To
Benefits

If applicable, please draw a simple chart showing your position in your current employer’s organization, and give details of
your duties

L. PREVIOUS EMPLOYMENT HISTORY, INCLUDING PART-TIME JOBS (Use separate sheet of paper if space is
insufficient).

Name/Address of Position Held Period Last Drawn Salary Bonus/AWS/ Reason for wanting
Employer From To Basic Allowances Fringe to leave
Benefits

003/Employment Application Form/HRD Page 3


REFERENCES TO PREVIOUS EMPLOYERS AND SALARY EXPECTED

M. CONCLUSION
(Please state, how you are able to perform your contribution to our company if you finally join us)

I, the undersigned person, declare that the information as above mentioned is true and can be
responsible.

Date:

________________________________
Name of Applicant

003/Employment Application Form/HRD Page 4

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