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Application Form

This document is a job application form for Muhammad Diki Darwawan, containing personal information, family details, education history, employment history, skills, and references. It also includes sections for preferences in profession and industry, salary expectations, and additional information. The applicant confirms the accuracy of the information provided and authorizes an investigation into their background.

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diki46252
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24 views4 pages

Application Form

This document is a job application form for Muhammad Diki Darwawan, containing personal information, family details, education history, employment history, skills, and references. It also includes sections for preferences in profession and industry, salary expectations, and additional information. The applicant confirms the accuracy of the information provided and authorizes an investigation into their background.

Uploaded by

diki46252
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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JOB APPLICATION

FORM
PERSONAL INFORMATION
Name : MUHAMMAD DIKI DARWAWAN
Place / Date of Birth : / 0000-00-00

No Photo
ID Card Number :

Address on ID Card :

Current Address :

Mobile Phone Number : Home Phone Number :


Office Phone Number : Email Address : [email protected]
Gender : Blood Type :
Religion : NPWP Number :
BPJS Kesehatan : BPJS Number :
Number Ketenagakerjaan
Status : Nationality :
Height : cm Weight : Kg
Sport / Hobbies :

In case of : Phone Number


emergency who
should we :
contact?
Relationship :

FAMILY
Relationshi Name Ag Educati Occupation Company/
p e on Institution

FORMAL EDUCATION
Degree Name & Location of Institution Major GPA Period Graduated

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


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

ACADEMIC AND PROFESSIONAL ACTIVITIES AND ACHIEVEMENTS


Academic and professional activities, achievements, awards,
Date/Period
publications, or
technical-professional communities. Indicate type or name
Form No: F-HR2-002 Rev. 2
EMPLOYMENT HISTORY (Start with the most recent.)

Name &
Address of
Company/Institu
tion
Period Entry: Exit:
(Month/Year)
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)
Nam Addre Phone Number Relati
e ss on

SKILLS
Language (not your native language):
Reading Writing Speaking
Langua
ge Poor Fair Goo Poor Fair Goo Poor Fair Goo
d d d

Computer Skills

Other Skills

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 0
ADDITIONAL INFORMATION
Have you ever applied to PT Gajah Tunggal Tbk before?

If yes,
when?
Company: -
Do you have any special medical condition?

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 Positio Relationship
n

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. -
2. -
3. -
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 & Date
Signature

Thank you for taking time to complete this


application

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