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Application Form

This document is a job application form containing personal information, education history, employment history, skills, and essay questions for Nugraha Satriatama. The form collects contact details, family information, formal education qualifications, work experience, references, language skills, computer skills, industry and salary preferences, and a signed statement authorizing an investigation into the application.

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nugrahasatriatama151
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39 views3 pages

Application Form

This document is a job application form containing personal information, education history, employment history, skills, and essay questions for Nugraha Satriatama. The form collects contact details, family information, formal education qualifications, work experience, references, language skills, computer skills, industry and salary preferences, and a signed statement authorizing an investigation into the application.

Uploaded by

nugrahasatriatama151
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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JOB APPLICATION FORM

PERSONAL INFORMATION
Name : NUGRAHA SATRIATAMA
Place / Date of Birth : / 0000-00-00

No Photo

ID Card Number :

Address on ID Card :

Current Address :

Mobile Phone Number : Home Phone Number :


Email Address :
Office Phone Number :
[email protected]
Gender : Blood Type :

Religion : NPWP Number :


BPJS Kesehatan
: BPJS Ketenagakerjaan Number :
Number
Status : Nationality :
:
Height Weight : Kg
cm
Sport / Hobbies :
In case of emergency : Phone Number :
who should we
contact? Relationship :

FAMILY
Relationship Name Age Education Occupation Company/Institution

FORMAL EDUCATION
Degree Name & Location of Institution Major GPA Period Graduated

NON FORMAL EDUCATION/TRAINING/COURSE/SEMINAR (Start with the most recent.)


Type of
Date / Period Certified
education/training/course/seminar

ACADEMIC AND PROFESSIONAL ACTIVITIES AND ACHIEVEMENTS


Academic and professional activities, achievements, awards, publications, or technical-
Date/Period
professional communities. Indicate type or name

Form No: F-HR2-002 Rev. 2


EMPLOYMENT HISTORY (Start with the most recent.)

Name & Address of


Company/Institution

Period (Month/Year) Entry: Exit:

Entry Position:
Position
Last Position:

Major 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

SKILLS
Language (not your native language):
Reading Writing Speaking
Language
Poor Fair Good Poor Fair Good Poor Fair Good

Computer Skills

Other Skills

PREFERENCE OF PROFESSION

Accounting Finance Marketing

Sales Supply Chain MIS

Human Resources Production Engineering

R&D/QA Other :

PREFERENCE OF INDUSTRY

Manufacturing Financials Property

Natural Resources Retail & Trading Other :

SALARY EXPECTATION
IDR 0
ADDITIONAL INFORMATION
Have you ever applied to PT Gajah Tunggal Tbk before?

If yes, when?

Company: -

Do you have any special medical condition?

If yes, please explain: -

Other companies outside PT Gajah Tunggal Tbk you are applying to:

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


Name Position Relationship

ESSAY
Please think about yourself and answer these questions:
1. What is your goals in life?
2. Please mention your strength and weaknesses!
3. What do people think or say about you?
4. Other information that you would like to share which may be helpful in considering your qualifications and interests.

1. -

2. -

3. -

4. -

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 & Signature Date

Thank you for taking time to complete this application

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