EMPLOYMENT APPLICATION FORM

POSITIONS APPLIED FOR

Assistant Resto & Bar Manager Current Salary : Basic 9Mio, Exclude Meal fee 70k/day &
1st PREFERENCE Service charge

2nd PREFERENCE Assistant Resto Manager Salary Expectation : Basic 9Mio

3rd PREFERENCE FO Manager Notice Period : 1 month notice

PERSONAL DETAILS
NAME ENGLISH NAME GENDER DATE OF BIRTH
ESTI KANIA WIATI ECHI WOMAN AUGUST 6, 1996

MOBILE PHONE NO. TELEPHONE NO. E-MAIL ADDRESS

08565251546 - [email protected]
ADDRESS
HEIGHT WEIGHT
Mandalika Homestay, Jl. Pariwisata, Kuta, Kec. Pujut, Kabupaten Lombok Tengah, Nusa
170 56
Tenggara Barat
MARITAL STATUS V SINGLE MARRIED DIVORCED WIDOWED

V EMPLOYMENT
UNEMPLOYMENT
CURRENT EMPLOYMENT STATUS
LAID OFF 、SOCIAL SECURITY-GUARANTEED LAID-OFF
RETIRED、EARLY RETIRED
UNDERGRADUATE STUDENT

EMERGENCY CONTACT
NAME RELATIONSHIP TEL NO. ADDRESS
LINGGA BROTHER 087737829505 TANAH BARU, BOGOR

NAME RELATIONSHIP TEL NO. ADDRESS

RIVINIA MOTHER 085780577676 TANAH BARU, BOGOR

EDUCATION
LEVEL MAJOR NAME OF SCHOOL MONTH/YEAR QUALIFICATION

SENIOR HIGH SCHOOL TUNAS HARAPAN CHRISTIAN HIGH FROM : 2012

SOCIAL SCIENCE SCHOOL TO : 2013

UNIVERSITY MARKETING FROM : 2013 BACHELOR OF

MANAGEMENT UNIVERSITAS PAKUAN BOGOR TO : 2018 ECONOMICS
FROM :

OTHERS TO :
FROM :
TO :

EMPLOYMENT RECORD
NAME OF COMPANY POSITION DATE OF JOINT - LAST WORK SALARY REASON FOR LEAVED

SOIREE MUSIC BAR & DINING ASST. RESTAURANT 9MIO, EXCLUDE MEAL FEE
LOMBOK MANAGER MAY 2024-CURRENT 70K/DAY & SC
 ASST. FRONT OFFICE
WHITE ROCK BEACH CLUB BALI MANAGER FEB 2022-MAY 2024 8MIO+SC
ASST. FRONT OFFICE
MDA GROUP SOUTH JAKARTA MANAGER NOV 2021-FEB2022 8MIO THP
KEMANG VILLAGE RESIDENCES, TENANT RELATIONS
LIPPO KARAWACI TBK OFFICER N0V 2018-NOV 2021 6MIO

BCA BRANCH, AIA FINANCIAL FINANCIAL ADVISORY JAN 2018-NOV 2018 5MIO
JMS PRODUCTION PURCHASING ADMIN
EO&EXHIBITION &EVENT COORDINATOR OCT 2015-DEC 2017 5MIO+PROJECT FEE

YOUR FORMER EMPLOYER OR SUPERVISOR FOR REFERENCE

NAME COMPANY POSITION TEL NO. YEARS KNOWN

SOIREE MUSIC BAR &

AZIZ DINING HR 087703422262 LESS THAN 1 YEAR

RENALDI PT. LIPPO KARAWACI TBK FINANCE 08999545327 10 YEARS

GABY JMS PRODUCTION DIRECTOR 087785508333 9 YEARS

SPOKEN WRITTEN
FLUENT FINE FAIR POOR FLUENT FINE FAIR POOR

INDONESIA
V V
ENGLISH
V V

OTHERS V V
Please specify
FILIPINO TAGALOG

HEALTH
How is your health? I am on long-term medication / treatment for:
V GOOD FAIR
NO

Do you have any physical defects? Eg. Limbs, Sight, Hearing (If so, please explain)
NO

Have you ever had any operation or serious illness (If so, please explain)
NO

OTHER INFORMATION
YES NO IF SO, STATE NATURE

1. Have you ever been dismissed from any employment because of misconduct?
V
2. Have you ever been convicted in any court of law?
V
3. Have you contributed to the Pension Fund and Medical Insurance Fund in Indonesia?
V
4. Have you contributed to the Housing Fund in Indonesia?
V
5. May we contact your present employer regarding your qualifications and character?
V

DECLARATION

I hereby declare that the information given by me in this application for employment is true to the best of my knowledge, information and belief. I
further declare that I have disclosed all the information required to be given in this application and that I have not withheld any material fact or
information which may affect my application. This declaration shall, if I am employed, constitute an integral part of my contract of employment, I agree
and accept that if this declaration is in any part false or incorrect, the employer may terminate my employment without notice or payment in lieu of
notice and compensation.

Note: This application does not mean an offer as employment.

ECHI JULY, 12 2024

SIGNATURE DATE
 OBSERVATION COMMENTS

RATING 5. EXCELLENT 4. GOOD 3. ACCEPTABLE

2. BELOW AVERAGE 1. NEEDS DEVELOPMENT

1st INTERVIEW ON _______HRD _______ 2nd INTERVIEW ON ______________ 3rd INTERVIEW ON ______________
ITEMS
CODE REMARKS CODE REMARKS CODE REMARKS

APPEARANCE

PERSONALITY & ATTITUDE

COMMUNICATION

LAGUANGE SKILLS

JOB MOTIVATION

JOB STABILITY

RELEVANT EXPERIENCE

ADDITIONAL COMMENTS

RECOMMEND FOR : RECOMMEND FOR RECOMMEND FOR

OTHER COMMENTS
REJECT PENDING 2nd INTERVIEW REJECT PENDING 3rd INTERVIEW REJECT PENDING ACCEPT

BY : Ari DATE : April BY DATE BY

14th, 2024
OTHER COMMENTS

BY : Ari DATE : April BY DATE BY

14th, 2024
IEW ON ______________
REMARKS

PENDING ACCEPT

DATE
DATE