Preferable Department :

Please attach a
(i) KITCHEN recent passport
size photograph

(ii)

(iii)

PERSONAL PARTICULARS

Name : M.HAMDANI Sex : Male

Email Address : [email protected] HP No : 087866749847

Address :gerantung,kel geantung,kec praya tengah lombok tengah NTB

Date of Birth :21 Februari 1997 Age :21 Place of Birth : Gerantung

Religion :islam Height :167 Weight :59

PARTICULARS OF IMMEDIATE FAMILY (PARENTS & SIBLINGS)

Name Age Occupation Place of Occupation

Father :H.KHOLIDI 44 Farmer GERANTUNG,LOMBOK

Mother :KASMIATI 46 Farmer PERESAK,LOMBOK

Siblings :

i) M.HAMDANI 21 Student LOMBOK TOURISM POLITEKNIK

ii) DIKA MULYANA 15 Student MTS NURUL YAQIN PRAYA

iii)

iv)

EDUCATIONAL DETAILS

School/University/ From To
Highest Standard Passed
Professional Institute (Year) (Year)

LOMBOK TOURISM POLYTECHNIC 2017 2020 D1

Hobbies : Other abilities :

(i) Trevling (i)

(ii) Playing Futsal (ii)

(iii) coking (iii)

HAVE YOU BEEN FOR INDUSTRIAL TRAINING BEFORE ? If yes, please state

Name of Hotel From (Mth/Yr) To (Mth/Yr) Position Held

HOTEL SANTIKA MATARAM JULI 10 ,2014 November 10,014 Housekeeping

ICA CAFÉ GILI JUNI 9,2016 JULI 30,2016 WAITER

NOVEMBER
PIPE DREAM VILAS KUTA LOMBOK AGUSTUS 1,2016 WAITER
30,2016

LANGUAGE PROFICIENCY

Spoken Written
Language/Dialects
Good Average Poor Good Average Poor

Inggris √ √

Jepang √ √

1 Are you agree if we place you in other department other than your choice ? No

2 Have you ever suffered from any mental or physical illness which you No

have received treatment ? If so, please give details.

……………………………………………………………………………………………………………….

DECLARATION

I hereby declare that the information given above is true to the best of my knowledge, information and belief. I fully

understand that if any of the information given by me in this application is in any way false or incorrect, the Hotel

reserves the right to deem this application as null and void, and terminate my services without prior notice.

Date : 15/1/2019 Signature of Applicant : DANI

 NOTES
Please attach a
Application willl be kept strictly confidential. recent passport
size photograph
The filling of this form does not guarantee employment.
Insert `D.N.A' if question does not apply.

POSITION APPLIED : EXPECTED SALARY :

Name (underline surname) :

CURRENT / LAST DRAWN SALARY :
'*Mr/Mrs/Madam/Miss

Email Address : Sex :

Address : Telephone No : (Home)

Telephone No : (Office)
Permanent Address : Telephone No : (H/P)

Date of Birth : Age : Place of Birth :

Race : Religion : Nationality :

IC No & Colour : EPF No : Height :

Income Tax File No : Socso No : Weight :

Marital Status : Single Married Widowed Seperated Divorced

*Delete as necessary

PARTICULARS OF IMMEDIATE FAMILY (SPOUSE, CHILDREN AND PARENTS)

Name Age Occupation Place of Occupation

Father :

Mother :

Spouse :

Children :
i)

ii)

iii)

iv)
EDUCATIONAL DETAILS
School/University From To Highest Standars Passed/Certificates
Professional Institute (Year) (Year) Degree/Professional Qualification

Indicate whether bonded to serve the Public Sector, Statutory Bodies or any other Government Agencies Yes / No

If yes, state the organisation ______________________________________________________

Indicate external activities involved in School, College, University and Others

____________________________________________________________________________

Other abilities (State whether - Excellent (E), Average (A), Poor (P), None (N)

Computer Knowledge : ____________________________ Cash Register : _________________________________

Word Processor : ________________________________ Shorthand Speed : _______________________________

Typing Speed : __________________________________

Other skills : __________________________________________________________________________________

PREVIOUS EMPLOYMENT (Stating recent employment first)

Last
From To
Name of Employer Position Held Drawn Reason For Leaving
(Mth/Yr) (Mth/Yr)
Salary

State your current / last core duties / responsibilities :

1) _______________________________________________________________________________

2) _______________________________________________________________________________

3) _______________________________________________________________________________

4) _______________________________________________________________________________

5) _______________________________________________________________________________

6) _______________________________________________________________________________
LANGUAGE PROFICIENCY

Spoken Written
Language/Dialects
Good Average Poor Good Average Poor

CHARACTER REFERENCE (Name of relatives should not be given)

Name Company Position Telephone No

1 Have you ever applied for a position at this hotel before ? Yes/No
If so, when and which position ?
……………………………………………………………………………………………………………….

2 Have you ever been discharged from employment because your work Yes/No
or conduct was not satisfactory ?.........................................................................................................

3 Have you ever been charged and/or convicted in any Court of Law ? Yes/No
If so, please give details.
……………………………………………………………………………………………………………….

4 Have you ever suffered from any mental or physical illness which you Yes/No
have received treatment ? If so, please give details.
……………………………………………………………………………………………………………….

5 May enquires be made regarding your previous employment, qualifications and character ? Yes/No
……………………………………………………………………………………………………………….

6 Termination notice for present job. Yes/No

……………………………………………………………………………………………………………….

7 Have you got any relatives working in this hotel ? Yes/No

……………………………………………………………………………………………………………….

8 If the answer is yes to No 7, please provide name of relative and Department he/she is Yes/No
working in. Name : ………………………………….. Department : ……………………………………

DECLARATION
I hereby declare that the information given above is true to the best of my knowledge, information and belief. I fully
understand that if any of the information given by me in this application is in any way false or incorrect, the Hotel
reserves the right to deem this application as null and void, and terminate my services without prior notice.

Date : …………………………………… Signature of Applicant : …………………………

FOR OFFICIAL USE ONLY

Job Title : Department :

Interviewer's Comments : ……………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………

Accepted Not Accepted KIV

…………………………
Head of Department

Reviewed and Approved : ………………………………. ………………………………. ……………………………….

Human Resources Manager General Manager Executive Director

For Human Resources Department's Use Only

Salary on Probation : No of Service Points : Date of Commencement :

Instruction to Human Resources Department Staff :

Approved. Please process for employment.

Approval pending Governmental Clearance for employment.

Not approved. Please inform Head of Department concerned.

………………………………. ……………………………….

Human Resources Manager Date