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EMPLOYMENT APPLICATION
Position Applied for
Name
Last Name First Name Middle Name
Permanent Address
Ph# Cellular Ph#
E-mail
Postal Address
Ph#
Office Ph#
Place, date of birth
Religion Indonesian ID#
Marital Status Single/Married/Divorced/Widowed*
Language Speak* E / F / Fa Write* E / F / Fa
Speak* E / F / Fa Write* E / F / Fa
(E) Excellent / (F) Fluent / (Fa) Fair
Driving License # SIM : A/B/C Blood Type
A/B/C Jamsostek
EDUCATION AND TRAINING
Type of Education Name of Institution From M/Yr To M/Yr Major/GPA
Senior High Shcool
Diploma Degree
Bachelor Degree
Master Degree
Vocatinal/
Professional/Training
EMPLOYMENT HISTORY (Start with your present employer and wok back)
From Position
Name of Company To M/Yr Last Salary Reason for Leaving
M/Yr Start Ending
*Please delete as appropriate
FAMILY STRUCTURE (parent, Brother / Sister, Including You)
Name M/F Date of Birth Education Occupation
Father
Mother
Child 1
Child 2
Child 3
Child 4
Child 5
FAMILY STATUS (Spouse, Children)
Name M/F Date of Birth Education Occupation
Spouse
Child 1
Child 2
Child 3
Child 4
REFERENCE (One who could be checked about you with your prior knowledge
Name Relation Occupation Name of Company Phone
Hobbies, Interest etc.
Have you applied for employment at Astra Group before? Yes / No (delete as appropriate)
If Yes, state the position Date Applied
Salary Expected Date Available