APPLICATION FORM
Position as :
Note :
a. This form must be handwritten
b. If the information given is incorrect, the company has the right to cancel the
application/terminate the employment ship or to sue the applicant in
accordance to the law.
A. IDENTITY
Full Name
Place of Birth Date of Birth
Address in Jakarta
Phone No:
Religion Nationality
KTP No.(ID Card) Expiry Date
Issued in
Driving License No. Date of Issue
B. FAMILY
1. Martial Status : Single/Married
Place/Date Education
Name M/F Job
of Birth (Final Level)
Wife/
Husband
2. No. of Children (if any): ___________
1
3. Family Details
Place/Date Education
Name M/F Job
of Birth (Final Level)
Father
Mother
1st Child
2nd Child
3rd Child
4. Emergency Contact
Name Relation Phone No.
C. EDUCATION
1. Formal Education ( From High School / SLTA Level )
Name of
School/University Subject Place From - To
2. Training / Course
Name of Training Subject Place From - To
Body
3. Knowledge of Foreign Languages.
Language Written (F/G/E) Oral (F/G/E)
Note : F=Fair / G=Good / E=Excellent
2
D. WORKING EXPERIENCE
Name of Reason For
Company From - To Position Salary Moving
1. Please give details of the position that you have held.
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2. Please give names or your current of former superior.
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3. How many people worked under your responsibility?
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E. MOTIVATION
1. What do you particularly enjoy about working?
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2. Why do you want to work for our company?
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3. What do you know about our company?
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4. What salary do you expect? Rp. ----------------------- per month.
5. What other Benefits do you expect besides salary?
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6. When can you start working?
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F. OTHER ACTIVITIES
1. How do you get to know that we have vacancy?
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2. Do you know any body in our office? Please mention name(s)
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3. Please give names, telephone numbers and addresses of at least two persons
that are willing to provide references.
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4. What are your hobbies?
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5. How do you spend your spare time?
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6. What kind of newspapers, book & magazines do you read?
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7. Have you been abroad? If so, when and for what purpose?
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8. Do you have your own car / motorcycle? Yes / No
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9. Give details of membership of association (club or professional
organizations), including any official positions held.
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10. What do you consider to be your mental psychological strengths and
weaknesses?
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Date---------------------- Signature-----------------------------
