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26 views2 pages

App Form

Uploaded by

mlarasati2005
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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Bro./Sis.

II. EDUCATION AND SKILLS

A. Formal Education Formatted: Font: Bold

Education School’s Name Major From Until GPA


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


Formatted: Font: Bold
Basic monthly salary: Rp. 4.150.000 Co. Car (Model/cc):
Formatted: Font: Bold
THR : Rp. 4.150.000 House (value/month): Rp.1.500.000/month
Formatted: Font: Bold
Bonus : Rp. 2.150.000 Medical : 1. BPJS Kesehatan
Formatted: Font: Bold
Commission : Rp.500.000 2.
Allowances : 1.Lunch: 3.
2.Meal: 45.000/day Others: 1. Credit allowance
3.Fuel/Tol/...: reimbursement 2. Leave travel ticket (round-trip)
4. 3.

VI. SALARY AND COMMENCEMENT OF EMPLOYMENT

1. Desired monthly gross salary ? Rp.10.500.000 Formatted: Font: Bold


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

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