High School Kawangkoan State 1 High School Science 2014 2017 Diploma Polytechnic State Manado Civil Engeering 2017 2021 3.35 Under Graduate (S1) Master (S2) Doctorate (S3)
B. Non Formal Education : Course/Training/Seminar
Field/Kind Held by Level Year/Period Paid by
C. 1. Scientific publication including thesis
2. Extra curricular /Social/Teaching activities
Name of activities/organization Position Year/Period
1. 2.
D. Languages (fluent/slight)
Listening Speaking Writing
Fluent Fair Sligh Fluent Fair Sligh Fluent Fair Sligh t t t 1. Bahasa Indonesia yes yes yes 2. English yes yes yes 3.
E. Hobbies/sports
F. Scholarship/awards/prizes received
Year Award Specification Remark
III. REFERENCE
Please mention two persons that we can get information about you (not your family) Formatted: Font: Bold Name Relationship Home/Company Address Telephone MUHAMMAD FRIEND 081356647673 HIDAYATULLAH PALU, SULAWESI TENGAH VIRANA REGINA FRIEND 081343816450
2 No. of employees supervised, Directly : Indirectly: Major reason for leaving : Minor reason for leaving :
V. CURRENT OR LAST WORK CONDITIONS - SALARY & BENEFITS
2. Earliest date able to commence employment : May 2024
VII. OTHERS
1. Do you mind following probation period ? Yes, i do Formatted: Font: Bold
2. Do you mind taking psychological test ? Yes, i do 3. Do you mind doing business trip and/or following training overseas ? Yes, i do 4. Do you mind to be placed in other city ? Yes, I do 5. Do you mind working over time ? Yes, I do 7. Please provide your reason why you apply to this company ? because I have the potential to contribute to this company 8. Please specify kind of position you like to keep based on your ability or specialization ? processing data
9. Do you ever be captive or involved in any criminal act ?
If yes, please describe No, I dont
10. Do you currently have any debt with any institution/ company or person ? If yes, please describe
No, I don’t have
11. Have you had a rather severe illness/accident ? Month/Year If yes, please describe
No, I don’t have
12. Does it have a side effect presently ? Formatted: Font: Bold If yes, please describe Formatted: Font: Bold No, I don’t have
The above information is true and correct. I understand that the above information will be collected, processed, stored, Formatted: Font: Bold displayed, and transferred by the Company to process my application for employment at the Company or as otherwise required under the applicable laws and regulations, and I hereby consent to the collection, processing, storing, displaying, and transferring of the above information by the Company for the aforesaid purposes
I further understand that, in the event of my employment by the Company, I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery. Formatted: Font: Bold I hereby acknowledge that I have read and agree to the above statements. 4
