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    Job Application Form

    Uploaded by

    Pangeran Hasibuan
    This document contains a job application form with sections for personal information, family details, formal education history, non-formal training, employment history, references, skills, and language proficiency. It concludes with essay questions, a statement authorizing an investigation into the application, and a signature line. The form requests extensive details to evaluate candidates for employment positions at PT Gajah Tunggal Tbk.

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

    Job Application Form

    Uploaded by

    Pangeran Hasibuan
    8 views5 pages
    This document contains a job application form with sections for personal information, family details, formal education history, non-formal training, employment history, references, skills, and language proficiency. It concludes with essay questions, a statement authorizing an investigation into the application, and a signature line. The form requests extensive details to evaluate candidates for employment positions at PT Gajah Tunggal Tbk.

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    © © All Rights Reserved

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    This document contains a job application form with sections for personal information, family details, formal education history, non-formal training, employment history, references, skills, and language proficiency. It concludes with essay questions, a statement authorizing an investigation into the application, and a signature line. The form requests extensive details to evaluate candidates for employment positions at PT Gajah Tunggal Tbk.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    8 views5 pages

    Job Application Form

    Uploaded by

    Pangeran Hasibuan
    This document contains a job application form with sections for personal information, family details, formal education history, non-formal training, employment history, references, skills, and language proficiency. It concludes with essay questions, a statement authorizing an investigation into the application, and a signature line. The form requests extensive details to evaluate candidates for employment positions at PT Gajah Tunggal Tbk.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 5

    JOB APPLICATION FORM

    PERSONAL INFORMATION
    Name :
    Place / Date of Birth :
    ID Card Number :
    Address on ID Card :

    Current Address :

    Mobile Phone Number : Home Phone Number :


    Office Phone Number : Email Address :
    Gender : Male / Female Blood Type :
    Religion : NPWP Number :
    BPJS Kesehatan : BPJS :
    Number Ketenagakerjaan
    Number
    Status : Single / Married Nationality :
    Sports / Hobbies :
    Height : Cms Weight : Kgs
    In case of emergency : Phone Number :
    who should we
    Relationship :
    contact?

    FAMILY
    Relationship Name Age Education Occupation Company/Institution
    Spouse
    1.
    Children 2.
    3.
    Father
    Parents
    Mother
    1.
    Siblings 2.
    3.
    Father in Law
    Mother in Law

    Form No: F-HR2-002 Rev. 4


    FORMAL EDUCATION
    Graduated
    Degree Name & Location of Institution Major Period GPA
    (Select One)

    Doctoral  Yes  No
    Master  Yes  No
    Bachelor  Yes  No
    Diploma  Yes  No
    High School  Yes  No

    NON FORMAL EDUCATION/TRAINING/COURSE/SEMINAR (Start with the most recent. Copy & paste the table if needed.)
    Type of education/training/course/seminar Date / Period Certified
    1.  Yes  No
    2.  Yes  No
    3.  Yes  No

    ACADEMIC AND PROFESSIONAL ACTIVITIES AND ACHIEVEMENTS


    (Start with the most recent. Copy & paste the table if needed.)
    Academic and professional activities, achievements, awards, publications, or technical-
    Date / Period
    professional communities. Indicate type or name
    1.
    2.
    3.

    EMPLOYMENT HISTORY
    (Please inform all of your employment history. Start with the most recent. Copy & paste the table if needed.)

    Name & Address of


    Company/Institution

    Period (Month/Year) Entry: Exit:


    Position & Duration Position: Duration:
    Copy & paste the table if needed Position: Duration:

    Latest Roles & Duties

    Salary (Net) Entry: Last:

    Other Benefits

    Reason of Leaving

    Form No: F-HR2-002 Rev. 4


    Name & Address of
    Company/Institution

    Period (Month/Year) Entry: Exit:


    Position & Duration Position: Duration:
    Copy & paste the table if needed Position: Duration:

    Latest Roles & Duties

    Salary (Net) Entry: Last:

    Other Benefits

    Reason of Leaving

    Name & Address of


    Company/Institution

    Period (Month/Year) Entry: Exit:


    Position & Duration Position: Duration:
    Copy & paste the table if needed Position: Duration:

    Latest Roles & Duties

    Salary (Net) Entry: Last:

    Other Benefits

    Reason of Leaving

    REFERENCES (list of referees who know your academic or professional performance, not family member)
    Name Address Phone Number Relation
    1.
    2.
    3.

    SKILLS
    Language (not your native language):

    Form No: F-HR2-002 Rev. 4


    Writing Reading Speaking
    Language
    Poor Fair Good Poor Fair Good Poor Fair Good
    1.
    2.
    3.

    Computer Skills:
    1.

    2.

    3.

    Other Skills:
    1.

    2.

    3.

    PREFERENCE OF FUNCTION
     Accounting  Engineering  Finance  Human Resources
     HSE  Internal Audit  Legal  Marketing
     MIS  Procurement  Production  QA/QC
     R&D  Sales  Supply Chain  Other:

    SALARY EXPECTATION

    ADDITIONAL INFORMATION
    Have you ever applied to PT Gajah Tunggal Tbk before?  Yes  No If yes, when:
    Do you have any special medical condition?  Yes  No If yes, explain:
    1.
    Other companies outside PT Gajah Tunggal Tbk you are
    2.
    applying to :
    3.

    List of friends or relatives now employed by PT Gajah Tunggal Tbk :


    Name Position Relationship
    1.
    2.
    3.

    ESSAY

    Form No: F-HR2-002 Rev. 4


    1. What is your goal in life?

    2. Why do you want to join PT Gajah Tunggal Tbk?

    3. Please mention your strength and weaknesses!

    4. What do people think or say about you?

    5. Other information that you would like to share which may be helpful in considering your qualifications and interests.

    PLEASE READ THIS STATEMENT CAREFULLY

    I hereby confirm that the information given by me on this Job Application Form is accurate. I understand that any
    falsification will be considered as a sufficient cause for dismissal. I authorize PT Gajah Tunggal Tbk to do a thorough
    investigation in regards of this application concerning my personal information, education background, employment history
    and any breach of rules.

    ________________________ _____/_____/________
    Name and Signature Date

    Form No: F-HR2-002 Rev. 4

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