PT.

DANTRINDO APPLICANT DATA FORM HR DIVISION

TTRINDOTrindo\\\
1. POSITION APPLIED
Position Applied / Name of PT
Information Resources Newspaper v Internet Job Fair Head Hunter References
2. APPLICANT IDENTITY
Full Name / Nick Name YULIA RETNO WARDHANI
Place / Date of Birth SURABAYA, 22 JULI 1991
Ethnic / Religion KATHOLIK
Height / Weight 158/70
Marital Status Single v Married Divorced Death Divorce Pas Photo
No. KTP / Tempat Penerbitan
Driver License V SIM C SIM A SIM B1 SIM B2
ID Card Address PONDOK MANGGALA BC 3 NO 11
PONDOK MANGGALA BC 3 NO 11 ###
Domicile Address Phone Number
Mobile Phone Number 82119754678 Email [email protected]
3. FAMILY COMPOSITION OF PARENTS (including yourself)
Note Name M/F Age Education Job
Father AGUSTINUS EDDY HARSONO M 67 S2 -
Mother YUSTINA F 62 SMA -
1st Brother BERNADUS TEDDY P M 38 S2 PASTOR
2nd Brother
3rd Brother
4th Brother
5th Brother
4. OWN FAMILY STRUCTURE
Note Name M/F Age Education Job
Wife/Husband RAYNOLD PASARIBU M 42 S1 GURU
1st Child EBEN PASARIBU M 7 TK
2nd Child AKAASH PASARIBU M 4 -
3rd Child
4th Child
5. FORMAL EDUCATION
Education level Name of School City Major Graduation Year Score
Elementary School SDK ST CAROLUS SURABAYA 2003
Junior High School SMPN 4 SBY SURABAYA 2006
Senior High School SMAN 9 SBY SURABAYA IPA 2009
Diploma - ...... PENS ITS SURABAYA ELEKTRONIKA 2013 3,27
Bacelor Degree
Master Degree
6. ORGANIZATIONAL EXPERIENCE
Name of Organisation Type of Activity Position Year City
KMK ITS TREASURER 2010-2011 SBY
UK3 PENS ITS KADIV HUMAS 2010-2011 SBY
7. LANGUAGE SKILL
Language Verbal Written
INDONESIA V Active Passive V Active Passive
INGGRIS v Active Passive V Active Passive
Active Passive Active Passive
8. CURRENT JOB DESCRIPTION (if currently working) /
LAST (if not working)
Name of Company PT KEDAWUNG SETIA TBK
Type of Company MANUFAKTUR
Address MSTRIP WARUGUNUNG, SBY
Phone Number -
Working Periode (Month & Year) APRIL 2017-APRIL 2023
Career History :
Period (Month &
Position Supervisor's Name Subordinates Job Description
Year)
Beginning April 2017-April 2019 Moh Anwar - PPIC STAF

Last April 2019-April 2023 Yusi Vivin PURCHASING STAF

Latest Position Description:
Who are you responsible to (Name & Position)?
mrs Nathalia, Manager SCM
Describe your company's organizational structure and show where you are!

Andi Subroto ( Director )__>Mrs Nathalia ( Mgr SCM ) --> Yusi ( Spv Purchasing )--> Me ( Purchasing Staf )

Briefly describe your main duties:

1. Purchase all needs from division 4.Ensure payment from vendor have been paid
2. Ensure all apurchase order completely approved by management 5.
3. Sourcing vendor and material, control develop new item up to mass p 6.
Briefly describe other additional duties, if any:
1. 3.
2. 4.

Describe the compensation package you receive (salary and other benefits):
Component Amount Note
Salary (Gross)
Allowance
Deduction
Take Home Pay 5800000
Are you willing to bring your last pay slip to confirm the data above? v Yes No
9. PREVIOUS EMPLOYMENT HISTORY (order from newest)
Name of Company (1) PT CITRA LANGGENG OTOMOTIF
Type of Company DEALER
Address JAKARTA, FATMAWATI- SBY HR MUHAMMADPhone Number
Initial Position SERVICE ADVISOR Number of Employee 50
Last Position KOORD WORKSHOP Number of Subordinates

Job Description
Working Period (Month & Year) OKT 2015- OKT 2016 Salary per Month 4000000
Reason to stop FIRST PREGNANT, I WANT TO TAKE CARE MY BABY HEATH
Supervisor Name : ASCHAAB NOOR Position : MGR AFTERSALES
Working Hours 8 HOURS
Name of Company (2) PT MEDION FARMA JAYA
Type of Company MANUFACTURE
Address BANDUNG Phone Number
Initial Position STAFF INVENTORY CONTROL Number of Employee 500
Last Position STAFF INVENTORY CONTROL Number of Subordinates 3

Job Description
Working Period (Month & Year) SEPT 2013- SEPT 2015 Salary per Month 6000000
Reason to stop LOOKING FOR JOB IN HOMETOWN
Supervisor Name : YULIANTO Position : ASS MGR ENGINERING
Working Hours 8 HOURS
Name of Company (3)
Type of Company
Address Phone Number
Initial Position Number of Employee
Last Position Number of Subordinates

Job Description
Working Period (Month & Year) Salary per Month
Reason to stop
Supervisor Name : Position :
Working Hours
Describe real experience that constitutes your success in carrying out your duties and mention the company:
1. 3.
2. 4.
10. PROFESSIONAL REFERENCES TO CONTACT
(do not include family/friends)
Name Position Phone Number Company Relation
 MOH ANWAR SPV PPIC AND WAREHOUSE 81359223453 KEDAWUNG SETIA EX SPV
NATHALIA MGR SCM 8983580229 KEDAWUNG SETIA MGR SCM
11. PARTIES WHO CAN BE CONTACTED IN EMERGENCIES
Name Address Phone Number Relation
RAYNOLD PONDOK MANGGALA BC 3 NO 11 ### HUSBAND

12. OTHERS
1 Have you ever applied to PT. Dantrindo before? If "Yes", explain! NO

2 Do you have friends / relatives who work at PT. Dantrindo If "Yes", explain! NO
Apart from PT. Dantrindo, which companies are you currently applying to?
3 I DIDN’T APPLY ANYWHERE
For what position?
HONESTLY I HAVENEVER WORKED AT
PMA COMPANY AND I HOPE IF I WORKED
4 Why are you interested in working at PT. Dantrindo?
AT THERE SO I CAN IMPROVE MY ENGLISH
SKILL
What kind of work environment do you like?
5 OFFICE
(Factory, Office, Laboratory, Field)
Would you be willing if we asked for references on companies where you have Current Company Yes No
6
worked? Previous Company V Yes No
If accepted, are you willing to:
4.1. work in a shift system? Yes V No
7
4.2. work out of town? Yes V No
4.3. stationed outside the city? Yes V No
Do you have other commitments as:
5.1. Business entity owner Yes V No ………………………………………..
8 5.2. Holders of executive or non-executive positions in a business entity Yes V No ………………………………………..
5.3. Side job V Yes No ………………………………………..
If one of your answers is "Yes", explain!
Have you ever suffered from serious/chronic pain/severe accident/surgery? If "Yes",
9 NO
explain!
Yes V No
10 Do you smoke ?

11 Have you ever had any contact with the police? If "Yes", explain! NO

12 Do you have any permanent physical problems? If "Yes", explain! NO

13 What has been your hobby so far? WATCHING FILM ON NETFLIX

14 What kind of person do you like most? PEOPLE WHO HAVE INTEGRITY, COMMITME

15 Who is the best boss you have ever led? Why? MRS NATHALIA, BECAUSE SHE CAN BE A B

16 Who is the worst boss you have ever led? Why? -

17 Which of your qualifications do you think is most important for this position? PURCHASE SKILL (negosition, sourcing ),P

18 What is the best experience in your career? I was a secreatry director for temporary

19 What is the worst experience in your career? -

20 In relation to work, what is most important to you? WORK BALANCE

21 In relation to your future/career, what short-term plans/activities have you undertaken? I WANT TO RENOVATE MY HOUSE
Car V Motorbike Other
22 Plan for transport to Dantrindo?

5,5- 6 JT
23 When accepted, what net salary (Take Home Pay) do you expect?

24 Describe the positive things that are your strengths and the negative things that you want to develop
Positive things: Negative things:
HARD WORKER, DILIGENT, FORGETFUL PERSON, BUT I ALWAYS USE STICKY NOTE FOR MY
Applicant statement:
I hereby declare that the information I have provided above is correct. If it turns out that there is any untruth, I will be fully responsible for all
consequences as determined by the Company, including unconditional termination of employment relations or action through other legal
channels.
29-Nov-23 Comment :

YULIA RETNO
( Applicant's Name )