Recruitment Form
Recruitment Form
A. PERSONAL DAT
FULL NAME : SEX : Male / Female
PLACE / DATE OF BIRTH : ID CARD NUMBER :
RELIGION : CITIZENSHIP :
EMAIL : PHONE NUMBER :
HEIGHT : WEIGHT :
ADDRESS :
B. FAMILY MEMBER
1. MARITAL STATUS SINGLE / FIANCE, Since :
MARRIED Since :
DIVORCE Since :
2. FAMILY MEMBERS
RELATION NAME M/F PLACE/DATE OF BIRTH EDUCATION JOB PHONE
HUSBAND / WIFE
CHILDREN 1
CHILDREN 2
CHILDREN 3
CHILDREN 4
CHILDREN 5
C. EDUCATIONAL BACKGROUND
1. FORMAL EDUCATION
DEGREE COLLEGE NAME MAJOR DATE ENTRY DATE OF GRADUATION GPA
2. INFORMAL EDUCATION
NO COURSE / TRAINING INSTITUTION PERIOD SERTIFICATE
1
2
3
4
5
3. LANGUAGES
ORAL WRITEN
NO LANGUAGE
EXCELLENT GOOD FAIR EXCELLENT GOOD FAIR
1
2
3
D. WORKING EXPERIENCE
WORKING EXPERIENCE
1 Company Name :
Period :
Company Address :
Latest Position :
Latest Salary :
Benefit :
Reason to leave :
Scope of responsibility :
WORKING EXPERIENCE
2 Company Name :
Period :
Company Address :
Latest Position :
Latest Salary :
Benefit :
Reason to leave :
Scope of responsibility :
WORKING EXPERIENCE
3 Company Name :
Period :
Company Address :
Latest Position :
Latest Salary :
Benefit :
Reason to leave :
Scope of responsibility :
E. JOB INTEREST
JOB INTEREST
F. OTHER
1 YOUR STRENGTHS AND WEAKNESSES
STRENGTHS WEAKNESS
I hereby certify that the facts in the above employment application are true and complete to the best of my knowledge and authorize.
I understand that if employed, falsified statements of any kind or mission of facts called for on this
application shall be considered sufficient bassis for dismissal.
Jakarta,……………………….20….
(………………………………………..)