KPJB APPLICATION FORM

Position
Fill down as your interest position (by Applicant)

Photo

1. PERSONAL PARTICULARS
Full Name ID Number (KTP) Date of birth E-mail Phone Numbers Sex Marital Status Religion

Current Address Zip code:

2. EDUCATION
Period (From/To) . ~ . ~ . ~ . ~ . . . . Name of School Subjects Studied and Degree

3. FOREIGN LANGUAGES & PC SKILL

* A : Excellent B : Good Foreign Language English

C : Poor

TOEFL (TOEIC) Score Program handling Skill MS Word MS Excel MS Powerpoint

Speaking ( ) / Writing ( )

TanjungJati B #3&4 Coal Fired Power Plant DesaTubanan, Kecamatan Kembang, KabupatenJepara Jawa Tengah, Indonesia Tel. 0291 4270492 Fax. 0291 4270601

4. CERTIFICATES AND QUALIFICATIONS

Name of Certificate and Qualification Date obtained Obtained from

5. FAMILY STATUS
Relation Name Age Occupation

6. RELATED WORKING CAREER

Company Duration(YY/MM) . . . ~ ~ ~ . . . Job Description

7. SELF INTRODUCTION

TanjungJati B #3&4 Coal Fired Power Plant DesaTubanan, Kecamatan Kembang, KabupatenJepara Jawa Tengah, Indonesia Tel. 0291 4270492 Fax. 0291 4270601