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Job Application Form

The document is a job application form for PT Kokoh Inti Arebama. It requests personal details such as name, address, education history, work experience, languages spoken, family details, strengths and weaknesses. It notes that all information provided must be true and accurate, and any false information could result in the application being rejected or termination if hired. The applicant is asked to provide a recent photograph and sign the conclusion of the form.

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supri
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565 views3 pages

Job Application Form

The document is a job application form for PT Kokoh Inti Arebama. It requests personal details such as name, address, education history, work experience, languages spoken, family details, strengths and weaknesses. It notes that all information provided must be true and accurate, and any false information could result in the application being rejected or termination if hired. The applicant is asked to provide a recent photograph and sign the conclusion of the form.

Uploaded by

supri
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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PT KOKOH INTI AREBAMA

Gd. Cowell Tower / Graha Atrium Lt.2 JOB APPLICATION FORM


Jl. Senen Raya No.135 Jakarta 10410
Tlp. (021) 350 6227, Fax (021) 386 2374 HRD Department

 Fill this job application form clearly, complete and detail specified.
 All the questions must be filled correctly, if someday proven that the data is incorrect, then you
considered
giving fake information or information that has been forged and this process considered to be cancel.
 Fill by hand writing and using capital letters Pas Photo
 Enclosed one Pas Photo with size 3X4 3x4
 If you have questions in filling this form, asked the recruiter.

1. POSITION APPLIED

Position : _______________________________________________________________________

2. PERSONAL DATA

Full Name : _____________________________________________________________________________


Sex : Male / Female *) (striketrough the unnecessary)

Date of Birth : _____________________________________Place _____________________________________


Child : Only child / First / Second / Third / ______ *) (striketrough the unnecessary) from _____ siblings
Religion : _____________________________________Nation ____________________________________
Height : _________________________________Cm Weight: _________________________________Kg
Last Education : Senior High School / Academy / University / Post Graduate *) (striketrough the unnecessary)
Maritial Status : Single / Married / Widower / Widow *) (striketrough the unnecessary)

Child Dependent : ________________________________________________________________________ person


Blood Type : ______________________________________________________________________________

ID Card Number : ______________________________________________________________________________

NPWP Number : ______________________________________________________________________________

Driving Lisence : C / A / B I / B II (striketrough the unnecessary) Driving Lisence No. : _________________________

Current Address : ______________________________________________________________________________

______________________________________________________________________________

Telephone : Home _______________________________HP. ______________________________________


E-Mail Address :______________________________________________________________________________

In case of emergency, family, address, phone number that can be contacted:


Name : _____________________________ Family Relation: ____________________________________
Job : ______________________________________________________________________________
Current Address : ______________________________________________________________________________

______________________________________________________________________________

Telephone : Home________________________________HP. ______________________________________


3. LATEST EDUCATION
Year
Education Level Name and the place of the school Major
Start Graduate

4. WORKING EXPERIENCE

Time of work (year)


Name of the company Position Last Salary Review Reason for Leaving
from untill

5. LANGUAGE SKILL
Language Reading Writing Speaking
1. English
2.

6. PARENTS
NAME AGE EDUCATION JOB
1.
2.

7. SIBLING (Include You)


NAME AGE EDUCATION JOB
1.
2.
3.
4.
5.

8. FAMILY LIST (Please Fill In If You Are Married)


NAME AGE EDUCATION JOB
Husband/Wife
1st Child
2nd Child
3rd Child
4th Child

9. STRENGTH AND WEAKNESS (Personality)


STRENGTH WEAKNESS

1.
2.
3.

1. Are you at the moment still working : Yes / No *) (striketrough the unnecessary) Where: ____________________
2. Remuneration package expected : ________________________________________________________________
3. When you are available to work : ________________________________________________________________
4. Do you able to be placed in our plant : Yes / No *) (striketrough the unnecessary)
5. Do you have relatives who works here : Yes / No *) (striketrough the unnecessary) Name: ____________________

Here with I declare that all the data I have written above is true and accurate, if the data proved not true or fake, can cause my
application to be rejected or if I have worked can be terminated right away.
Conclusion:
Jakarta, ___________________________
1. Processed
2. Not Processed
Comments and reason:
_____________________________________________________
___________________________________________________
___________________________________________________
__________________________________
Applicant’s Signature
Date, _______________________________________________

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