JOB APPLICATION FORM
PERSONAL INFORMATION
Name : ZAINAL AFFANDI
Place / Date of Birth : / 0000-00-00
No Photo
ID Card Number :
Address on ID Card :
Current Address :
Mobile Phone Number : Home Phone Number :
Office Phone Number : Email Address : [email protected]
Gender : Blood Type :
Religion : NPWP Number :
BPJS Kesehatan Number : BPJS Ketenagakerjaan Number :
Status : Nationality :
Height : cm Weight : Kg
Sport / Hobbies :
In case of emergency : Phone Number :
who should we contact? Relationship :
FAMILY
Relationship Name Age Education Occupation Company/Institution
FORMAL EDUCATION
Degree Name & Location of Institution Major GPA Period Graduated
NON FORMAL EDUCATION/TRAINING/COURSE/SEMINAR (Start with the most recent.)
Type of
Date / Period Certified
education/training/course/seminar
ACADEMIC AND PROFESSIONAL ACTIVITIES AND ACHIEVEMENTS
Academic and professional activities, achievements, awards, publications, or technical-
Date/Period
professional communities. Indicate type or name
Form No: F-HR2-002 Rev. 2
EMPLOYMENT HISTORY (Start with the most recent.)
Name & Address of
Company/Institution
Period (Month/Year) Entry: Exit:
Entry Position:
Position
Last Position:
Major Roles & Duties
Salary (Net) Entry: Last:
Other Benefits
Reason of Leaving
REFERENCES(list of referees who know your academic or professional performance, not
family member)
Name Address Phone Number Relation
SKILLS
Language (not your native language):
Reading Writing Speaking
Language
Poor Fair Good Poor Fair Good Poor Fair Good
Computer Skills
Other Skills
PREFERENCE OF PROFESSION
Accounting Finance Marketing
Sales Supply Chain MIS
Human Resources Production Engineering
R&D/QA Other :
PREFERENCE OF INDUSTRY
Manufacturing Financials Property
Natural Resources Retail & Trading Other :
SALARY EXPECTATION
IDR 0
ADDITIONAL INFORMATION
Have you ever applied to PT Gajah Tunggal Tbk before?
If yes, when?
Company: -
Do you have any special medical condition?
If yes, please explain:
-
Other companies outside PT Gajah Tunggal Tbk you are applying to:
-
List of friends or relatives now employed by PT Gajah Tunggal Tbk:
Name Position Relationship
ESSAY
Please think about yourself and answer these questions:
1. What is your goals in life?
2. Please mention your strength and weaknesses!
3. What do people think or say about you?
4. Other information that you would like to share which may be helpful in considering your qualifications and interests.
1. -
2. -
3. -
4. -
PLEASE READ THIS STATEMENT CAREFULLY
I hereby confirm that the information given by me on this Job Application Form is accurate. I understand that any
falsification will be considered as a sufficient cause for dismissal. I authorize PT Gajah Tunggal Tbk to do a thorough
investigation in regards of this application concerning my personal information, education background, employment
history and any breach of rules.
________________________ _____/_____/________
Name & Signature Date
Thank you for taking time to complete this application
