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Tugas

I putu bima wiguna is applying for the position of bellboy at Archipelago International. He has a diploma in housekeeping from Gangga mandiri internasional. His most recent work experience was 6 months of housekeeping training at harper kuta legian, ending in November 2019. He speaks English and Mandarin at a basic level. Bima is currently unemployed and single. He does not have any pre-existing medical conditions and is authorized to work for Archipelago Hotels.

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bimawiguna16
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22 views4 pages

Tugas

I putu bima wiguna is applying for the position of bellboy at Archipelago International. He has a diploma in housekeeping from Gangga mandiri internasional. His most recent work experience was 6 months of housekeeping training at harper kuta legian, ending in November 2019. He speaks English and Mandarin at a basic level. Bima is currently unemployed and single. He does not have any pre-existing medical conditions and is authorized to work for Archipelago Hotels.

Uploaded by

bimawiguna16
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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Employee Application Form

The following information will help us to assess your employment opportunity with Archipelago International
(hereinafter called the “Employer”). All portions of this application pertaining to you must be completed. We
appreciate the time you spend completing this application form.

Position applied :
bellboy__________________________________________
Second position applied : bellboy_____________________________________
Salary Range Expectation : Dw kisaran 100 sehari__
________________________________________
Notice Period :-___________________________________________ Recent

PERSONAL DATA Photo


Full Name : I putu bima wiguna Date of Birth : 16-11-2002

Address :br dinas kedampal ,mengesta,penebel

City : Tabanan Post Code :000

Telephone (H) : 085737446763

Telephone (M) :085737446753

ID Skype :

Email : [email protected]

Facebook / Twitter :bimawiguna

I.D Card Number : 5102081611020001 Date of Expiry :no expiry

Marital Status : Single Religion :hindu

Height / Weight : 175cm Blood Group :O

EDUCATION AND TRAINING

Name and address of school,


Major Course or Decree of
University or other training From Date To Date
Study Certificate
institution

Gangga mandiri internasional - - housekeeping diploma 1

HR/Application Form/002 Page 1


Employee Application Form

RECORD OF PREVIOUS EMPLOYMENTS


1. Company Name : harper kuta legian
_____________________________________________________
Nature of Business : training______________________________________________
Position : housekeeping
_______________________________________________
Period : From 1 juni 2019__________________ To 30 november 2019
__________________________
Supervisor’s Name : hartini sujati
_____________________________________________________
Last salary : Rp -__________________________________________________
Reason for leaving : karena waktu trening sudah selesai
____________________________________________

2. Company Name : ______________________________________________________


Nature of Business : ______________________________________________________
Position : _____________________________________________________
Period : From ___________________ To __________________________
Supervisor’s Name : ______________________________________________________
Last salary : Rp ___________________________________________________
Reason for leaving : ______________________________________________________

3. Company Name : ______________________________________________________


Nature of Business : ______________________________________________________
Position : _____________________________________________________
Period : From ___________________ To __________________________
Supervisor’s Name : ______________________________________________________
Last salary : Rp ___________________________________________________
Reason for leaving : ______________________________________________________

REFERENCES (Non – Relatives)


1. Name :____________________ Occupation :______________________
Address / Email :______________________ Mobile Number :______________________

2. Name :____________________ Occupation :______________________


Address / Email :______________________ Mobile Number :______________________

3. Name :____________________ Occupation :______________________


Address / Email :______________________ Mobile Number :______________________

4. Name :____________________ Occupation :______________________


Address / Email :______________________ Mobile Number :______________________

LANGUAGE PROFICIENCY ( Language Spoken)

HR/Application Form/002 Page 2


Employee Application Form
Speaking Reading Writing
Language
Poor Good Excellent Poor Good Excellent Poor Good Excellent
english
Mandarin

FAMILY RECORD

Father’s Name : I MD KAWI JAYA _____________________________ Age : 54th_______ Occupation :

petani _________________

Mother’s Name : I WAYAN SARI ATI____________________________ Age : 42th_______ Occupation :

petani_________________

Permanent Address :

kedampal,penebel,tabanan____________________________________________________________________

City:tabanan______________________________ Telephone :

085737446753_____________________________________

Husband / Wife’s Name : ___________________________________________________________________


Date of Birth: ____________________________________ Occupation:____________________
Children :
1. Name :_________________________________ Date of Birth : ____________ Male__ Female __

2. Name :_________________________________ Date of Birth : ____________ Male__ Female __

3. Name :_________________________________ Date of Birth : ____________ Male__ Female __

GENERAL INFORMATION
Are you presently employed ? _______________________Yes ______________No ___________________
Have you ever been discharged from employment ? If yes, Please explain ___________________________
Can we contact your present employer for a reference ? _______________________Yes ______ No _____

Have you ever suffered from any of the following illnesses


ILLNESSES Yes No ILLNESSES Yes No
Tuberculosis Hepatitis
Heart Disease HIV / AIDS
Hypertension Venereal Disease
Diabetes Serious Illnesses
Epilepsy Injuries or Operations in last 5 Years

HR/Application Form/002 Page 3


Employee Application Form
Do you have any immediate family members (i.e. husband, wife, parents, child, brother, sister) working with any
of Archipelago Hotels ?Yes ______ No_tidak ada_ If yes, who and which unit ?
(1) ____________________________________________________________________________________
(2) ____________________________________________________________________________________
(3) ____________________________________________________________________________________

DECLARATION
I certify that all statements made on this application are true and complete to the best of my knowledge. I
understand that misrepresentation or omission when discovered, will subject me to discharge and I hereby
authorize any investigation relating to my work experience, education or reputation for the purpose of my
application for employment.

Applicant’s Signature ___________________________Date 20-12-


2022_________________________________
(……………………………..)

HR/Application Form/002 Page 4

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