Job Application Form: (Start With The Most Recent.)

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JOB APPLICATION FORM

PERSONAL INFORMATION
Name : CANDRA PUTRA ADIANSYAH
Place / Date of Birth : Tangerang / 2006-11-25

ID Card Number : 3671092511060001

Address on ID Card : CIBODAS BESAR BANTEN , Tangerang

: Jl Omega 3 No. 198, RT. 07/RW. 05, Kel. Karawaci Baru, Kec. Karawaci, Kota Tangerang
Current Address
BANTEN , Tangerang

Mobile Phone
: 085759772261 Home Phone Number :
Number
Office Phone Email Address :
:
Number [email protected]
Gender : Male Blood Type :

Religion : Islam NPWP Number :


BPJS Kesehatan
: 0001645211092 BPJS Ketenagakerjaan Number :
Number
Status : Single Nationality : Indonesia

Height : 175 cm Weight : 55 Kg

Sport / Hobbies : Bermain Sepak Bola


In case of
: Amelia putri Phone Number : 089684733442
emergency
who should we
Relationship :
contact?

FAMILY
Relationship Name Age Education Occupation Company/Institution
Senior High
Mother Keluarga suripto 50 buruh
School

FORMAL EDUCATION
Degree Name & Location of Institution Major GPA Period Graduated
Senior High smas pgri 109 tangeramg, JL.UNTUNG SUROPATI II NO.14, Senior High Apr 2021 -
85 Yes
School Cimone Jaya, Kec. Karawaci, Kota Tangerang Prov. Banten School / ips Apr 2024

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


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

Form No: F-HR2-002 Rev. 2


ACADEMIC AND PROFESSIONAL ACTIVITIES AND ACHIEVEMENTS
Academic and professional activities, achievements, awards, publications, or
Date/Period
technical-professional communities. Indicate type or name

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

Anas Tangerang 082113483172 kaka ipar

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

indonesia v v v

Computer Skills
microsoft office

Other Skills
berkomunikasi, beradaptasi, bekerja dalam tim, bertanggung jawan dan manajemen waktu

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 5,000,000
ADDITIONAL INFORMATION
Have you ever applied to PT Gajah Tunggal Tbk before?

No

If yes, when?

Company:

Do you have any special medical condition?

No

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. membanggakan kedua orang tua saya


2. Kekuatan saya adalah saya dapat bekerja keras dengan tim saya dan saya dapat membagi waktu antar pekerjaan
dan hal-hal pribadi. Kelemahanku adalah aku mudah lupa ketika sedang gugup
3. pekerja keras

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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