APPLICATION FORM
Position Applied: Programmer
Full Name :Putri Wahyu Ningsih
Gender : Male / Female *
Marital Status : Single / Married / Widow/er * Number of Children : -
Place/ Date of Birth : Tulungagung, 19 Mei 1996
Religion : Islam
Address : Dsn. Ngadirejo RT.40 RW.12 Desa Pojok Kec. Ngantru Kab. Tulungagung
Telephone : Mobile : 082230833966 Home : _____________________
E-mail :
[email protected]*) Strike out whichever option does not necessary
Formal Education
Level School Name Duration (.... to ....) Location Major GPA
D 4 / S t a t e P o l y t e c h n i c o f 2016 to 2020 Malang E l e c t r i c a l 3.50
S1 Malang Engineering
Course/Training/Workshop/Seminar (Related to Job)
No. C/T/W/S Subject Organizer Duration Year
1 U j i • Ms. Word Participant 1 week 2017
Kompete • Ms. Excel
nsi Ms. • Ms. Powerpoint
Office
2 I o T IoT Seminar Participant 9 - 10 October 2018
National
Seminar
Worksho
p Electro
Fair
3 SNAP Aviation Business Trends, Participant 1 day 2019
S h a r i n g Technology and Professional
& Career in Milenials Era
Expressi
ng with
C E O
Lion Air
Group
Organization Experience
No. Organization Duration (.... to ....) Position Place
1 Ceret vol.5 Oct - Nov 2016 Event Coordinator S t a t e
Polytechnic of
Malang
2 Seni Theatrisic 2016 to 2017 Member S t a t e
Polytechnic of
Malang
Work Experience (*begin with last work / present)
Month Year Company’s name, address, phone number Position / Role
From October 2015 PT. Infomedia Solusi Humanika IT Helpdesk
Gedung Mandiri, Jl. RS. Fatmawati Raya No.75,
RT.6/RW.5, Cipete Utara, Kec. Kby. Baru, Kota
To May 2016 Jakarta Selatan, Daerah Khusus Ibukota Jakarta
12150
Telp. (021) 80670900
B u s i n e s s F i e l d / Human Capital Service
Project Name
Job Description • Handling Tickets
• Blacklist Spam
Tools, technology, Linux
database, and/or
middleware used
Reason for Leaving Continue my education at State Polytechnic of Malang
Current Salary and 3.500.000
Benefit Benefit : BPJS, bonus in every 3 month
Certification held
(if available)
*Any additional columns can be added
Skill Computer Project List
• Ms. Word
• PHP, HTML
• ANDROID STUDIO
• PHOTOSHOP, CANVA
Emergency Contact (Parents/ Family)
Name : Yuni Prihati
Relationship : Aunt
Mobile : 081335293937
Address : Dsn. Ngadirejo RT.40 RW.12 Desa Pojok Kec. Ngantru Kab. Tulungagung
Expected Salary and Benefits? 4.500.000
Benefit : Health, THR, Transport
** we can discuss about it
When your start working? As Soon As Possible (March 2022)
*PS : Please attach your Identity Card (KTP)*
Jakarta, 11 February 2022
( Putri Wahyu Ningsih )