Scribd Logo
Upload

Welcome to Scribd!

  • 42 views

    FHRT-009 (Employee Aplication Form)

    Uploaded by

    Muhammad Haekal Fahlepi
    1) The document is an employment application form completed by Avia Soraya Rachma. 2) It includes personal details such as name, date of birth, address, education history, employment history, and references. 3) Avia is currently employed as a document controller at PT Tripatra Engineers and Contractors and is seeking a new position in back office management.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    FHRT-009 (Employee Aplication Form)

    Uploaded by

    Muhammad Haekal Fahlepi
    42 views4 pages
    1) The document is an employment application form completed by Avia Soraya Rachma. 2) It includes personal details such as name, date of birth, address, education history, employment history, and references. 3) Avia is currently employed as a document controller at PT Tripatra Engineers and Contractors and is seeking a new position in back office management.

    Original Title

    FHRT-009(Employee Aplication Form).docx

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1) The document is an employment application form completed by Avia Soraya Rachma. 2) It includes personal details such as name, date of birth, address, education history, employment history, and references. 3) Avia is currently employed as a document controller at PT Tripatra Engineers and Contractors and is seeking a new position in back office management.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    42 views4 pages

    FHRT-009 (Employee Aplication Form)

    Uploaded by

    Muhammad Haekal Fahlepi
    1) The document is an employment application form completed by Avia Soraya Rachma. 2) It includes personal details such as name, date of birth, address, education history, employment history, and references. 3) Avia is currently employed as a document controller at PT Tripatra Engineers and Contractors and is seeking a new position in back office management.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 4

    Doc.

    No : FHRT-009
    Form
    Rev. No : 00
    Date : 01 Jan 2011
    EMPLOYMENT APPLICATION
    Page : 1 of 4

    Please kindly complete this form. Thank you for your attention and cooperation.

    PERSONAL DATA
    Name AVIA SORAYA RACHMA
    Gender M/F
    Place & Date of Birth SERANG, 15 NOVEMBER 1994
    KEBON NANAS RT 007/001 KOTA TANGERANG
    Address (KTP)
    KOMPLEK BONA SARANA INDAH BLOK A5 RT 006/001 KOTA
    Address (current) TANGERANG

    KTP number 3671115511940003


    Home
    Phone Number
    Mobile 081317951216
    Religion ISLAM
    Height & Weight 170cm & 60 kg
    Marital Status SINGLE
    Place & Date of Marriage

    Emergency Contact

    Name ABDUL AZIZ RACHMAN


    Relation KERABAT DEKAT
    Address PONDOK PEKAYON INDAH BLOK C9/22. BEKASI SELATAN

    Phone Number Home


    Mobile 081286604025

    EDUCATIONAL BACKGROUND
    Year
    Degree Certificate GPA Organization Name (City/Location)
    Entry Finish
    SD 2001 2007 Yes SDN PANUNGGANGAN 1
    SMP 2007 2010 Yes SMPN 4 TANGERANG
    SMA 2010 2013 Yes SMAN 7 TANGERANG
    KULIAH 2013 2017 Yes 3.68 UNTIRTA

    EXTERNAL COURSE
    Year
    Degree Certificate Organization Name (City/Location)
    Entry Finish
    GENERAL ENGLISH,
    VICTORIA EDUCATION CENTER
    BASIC AND 2010 2012 No
    TANGERANG
    INTERMEDIATE

    Code : EAF X:\HR\HR Admin\FORM,.doc,010111


    Doc. No : FHRT-009
    Form
    Rev. No : 00
    Date : 01 Jan 2011
    EMPLOYMENT APPLICATION
    Page : 2 of 4

    FAMILY DATA
    Name Gender Place & Date of Birth Details
    Spouse:
    Child:
    1.
    2.
    3.
    Spouse Job
    Position
    Employer
    Office Address
    Phone Number

    Place
    Name Relation Address Details
    & Date of Birth
    JAKARTA, 14-12-
    RUSLAN EFFENDY,SH.MH Father KOMPLEK BONA
    1963
    MEDAN, 14-02-
    SRI MULYANI Mother KOMPLEK BONA
    1970
    MEDAN, 15-12-
    ADE SOPHIA RAHMA Sister KOMPLEK BONA
    1992
    TANGERANG,
    M. HAEKAL FAHLEPY Brother KOMPLEK BONA
    13-06-2003

    EMPLOYMENT HISTORY
    Period
    Employer Position Last Salary Reason For Leaving
    From to
    LAW FIRM SECRETARY MASALAH GAJI.
    Rp. 2.800.000
    2014 RUSLAN
    2016
    EFFENDY &
    ASSOCIATES
    PT. TRIPATRA DOCUMENT DITEMPATKAN DI
    CONTROL Rp. 7.000.000 – SITE
    2017 ENGINEERS Rp. 10.000.000
    PRESENT
    AND
    CONTROCTORS

    Code : EAF X:\HR\HR Admin\FORM,.doc,010111


    Doc. No : FHRT-009
    Form
    Rev. No : 00
    Date : 01 Jan 2011
    EMPLOYMENT APPLICATION
    Page : 3 of 4

    EXTRA ORGANIZATIONAL ACTIVITIES / MEMBERSHIP


    Period Organization Organization Type Position
    2013-2015 HIMPUNAN MAHASISWA KEMAHASISWAAN SEKRETARIS
    DIKSATRASIA
    2014-2017 HIMPUNAN MAHASISWA BEASISWA SEKRETARIS
    PENERIMA BEASISWA PGN

    Critical Illness
    Have you had any serious accidents
    No
    in the past 3 (three) years

    Asma / Bronchitis / TBC


    Any serious health condition Lever / Hypertension / Diabetic
    Neural / Rheumatik / Cholesterol

    No
    Have you been hospitalized for any
    If Yes, mentioned the illness:
    illness
    Length of stay:

    PLEASE LIST 2 REFERENCES OTHER THAN RELATIVES AND PREVIOUS EMPLOYERS


    Name Address Position Relation
    ABDUL AZIZ PEKAYON BEKASI SEATAN ATC KERABAT DEKAT
    VINNI ANGGI PAMULANG DOCUMENT CONTROL KERABAT DEKAT

    Others:
    Position Desired
    When you will be ready to work? JUNE, 2019
    Like : BACK OFFICE (MANAGEMENT)
    Kind Of Work
    Dislike: HEALTH

    Salary Desired THP Rp. 7.000.000

    I declare that the above information is true.

    Jakarta, _____ ________________ ______

    Applicant

    Code : EAF X:\HR\HR Admin\FORM,.doc,010111


    Doc. No : FHRT-009
    Form
    Rev. No : 00
    Date : 01 Jan 2011
    EMPLOYMENT APPLICATION
    Page : 4 of 4

    Code : EAF X:\HR\HR Admin\FORM,.doc,010111

    You might also like