You are on page 1of 8
No. F-PC-PMO-37-01032017-00 APPLICATION FORM FOR INTERNAL USE : job vacancy as Java Developer Title Of JobDenyutama25@gmail.com Phone 085216696070 Office Phone Number - Home (Fix Line Phone Number) - Emergency Number 085268488823 Mobile ( optional ) - ID Card 1771022509940011 NPWP 82.185.115.1-311.000 Indicate the URL / mailing list of the advertisement you are responding to.  Harian Kompas / www.kompas.com www.jobsdb.com www.iklanbaris.co.id www.binuscareer.com  Mailing list………………………………………………………………………… ..  Others (Jobsreet) Website URL or design sample http://ra-al-azhar-bengkulu.sch.id/ ( mandatory for those applying for Website Developers ) http://lazismubengkulu.org Page 1 of 8 " id="pdf-obj-0-2" src="pdf-obj-0-2.jpg">

No. F-PC-PMO-37-01032017-00

APPLICATION FORM

FOR INTERNAL USE :

job vacancy as Java Developer

Title Of Job : Java Developer

Please take a few minute to fill out this application form and skills checklist. Provide your answers based on your own working experience. This checklist is designed for a preliminary assessment to all proficiency levels, from entry-level to senior level.

 

Personal Information

 

Full Name

Deni Utama

Nationality

Indonesian

Sex

Male

Place and Date Of Birth

Bengkulu, 25-09-1994

(dd-mm-yyyy)

Address

Jl. Pemuda Asli IV No. 37 Rawamangun Jakarta Timur

Marital Status

Single

Religion

Moslem

Languages

indonesian language, English

 

Address

Jl. Pemuda Asli IV No. 37 Rawamangun Jakarta Timur

City

Jakarta Timur

Postal Code

13220

State / Povince

Jakarta

Country

Indonesia

Private Email

 

Phone

085216696070

Office Phone Number

-

Home (Fix Line Phone Number)

-

Emergency Number

085268488823

Mobile (optional)

-

ID Card

1771022509940011

 

NPWP

82.185.115.1-311.000

 

Indicate the URL / mailing list of the advertisement you are responding to.

Harian Kompas / www.kompas.com www.jobsdb.com www.iklanbaris.co.id www.binuscareer.com Mailing list………………………………………………………………………… ..

Others (Jobsreet)

Website URL or design sample

 

(mandatory for those applying for Website Developers)

No. F-PC-PMO-37-01032017-00 Family Information M/F Relationship Name Age Education Position Company Description PEMPROV Father Harudin M

No. F-PC-PMO-37-01032017-00

 

Family Information

 
   

M/F

   

The Last Job

 

Relationship

Name

Age

Education

Position

Company

Description

 

PEMPROV

Father

Harudin

M

42

S1

Staf

BENGKULU

PNS

 

Heni

       

Rosita

Mother

(almh)

F

-

S1

-

-

-

 

Deta

Brother/Sister 1*)

Malo

M

20

SMA

Mahasiswa

 

Della

Brother/Sister 2*)

Novita

F

16

SMP

Pelajar

 

Devy

Brother/Sister 3*)

Janisca

F

13

SD

Pelajar

 

Dhiya

Brother/Sister 4*)

Faizah

F

8

TK

Pelajar

Brother/Sister 5*)

……………

Wife/Husband

Child 1

Child 2

Child 3

…………..

*)Including yoursel

Formal & Informal Education

 

Education Description

Level of Education

Bachelor Degree

University’s Name

University of Bengkulu

Majority

Engineering

From (mmyy) to (mmyy)

0812 to 0516

City

Bengkulu

GPA

3.30

 

Education Description

Level of Education

University’s Name

Majority

No. F-PC-PMO-37-01032017-00 From (mmyy) to (mmyy) City GPA Course / Training Organizer Course / Training Place

No. F-PC-PMO-37-01032017-00

From (mmyy) to (mmyy) City GPA Course / Training Organizer Course / Training Place / City
From (mmyy) to (mmyy)
City
GPA
Course / Training
Organizer
Course / Training
Place / City
Year (mmyy)
Social Activities
Organization
Activity
Title
Year (mmyy)
Rohis Al Fattah
Himatif UNIB
Monstaneer
Chairman
Member
Member

Hobbies : Chess and football

 

Describe your hobbies :

 

Play Chess and football with my friend

 
 

You read :

The main when you read :

A few

at rest

What you read usually ?

 

News paper

: -

Magazine

: -

Blog

: Detik,kompas,ucer

SUMMARY OF EXPERIENCE

-

Working Experience

From mm/yy

Until mm/yy

Company

Title /

Salary

Reason To

 

Responsibility

Leave

 
 
No. F-PC-PMO-37-01032017-00 From mm/yy Until mm/yy Company Title / Salary Reason To Responsibility Leave IT Projects

No. F-PC-PMO-37-01032017-00

From mm/yy Until mm/yy Company Title / Salary Reason To Responsibility Leave IT Projects Project Name
From mm/yy
Until mm/yy
Company
Title /
Salary
Reason To
Responsibility
Leave
IT Projects
Project Name
From (mm-yyyy) to (mm-yyyy)
Project Description
Company Name
Client’s Name
Platform
Database
Development Tools
Role
Description of your job assignment
Number of Team Members

Project Name

From (mm-yyyy) to (mm-yyyy)

Project Description

Company Name

Client’s Name

Platform

Database

Development Tools

Role

Description of your job assignment

 

Number of Team Members

 

Project Name

From (mm-yyyy) to (mm-yyyy)

Project Description

Company Name

Client’s Name

Platform

Database

Development Tools

Role

Description of your job assignment

No. F-PC-PMO-37-01032017-00 Number of Team Members You may add the above list by copying the table.

No. F-PC-PMO-37-01032017-00

 

Number of Team Members

You may add the above list by copying the table.

Skill Inventory

Please fill in the skill table below as our skill inventory information, you are not expected to have all the skills listed here. Indicate the skill proficiency using the following level :

0 = None 1=Beginner 2=Basic 3=Intermediate 4=Advance 5=Expert Language Skill : You can add qualification rows
0 = None
1=Beginner
2=Basic
3=Intermediate
4=Advance
5=Expert
Language Skill :
You can add qualification rows to indicates your specific experience.
Spoken Level
Written Level
Languange
1
2
3
4
5
1
2
3
4
5
English
Mandarin
Indonesia
Technical Skills:
You can add qualification rows to indicates your specific experience.
#
Skills
Proficiency Level
Remark
A
Operating System
1
2
3
4
5
Years of Experience
(in years)
1
Windows 95
2
Windows NT
3
Windows 2000
4
Windows XP
5
Novell Netware
6
Sun Solaris
7
Linux
B
Application Programming
1
2
3
4
5
1
Visual Basic
2
Visual Basic .NET
3
Visual C++
4
Visual C++ .NET
5
COM/DCOM
6
Active Server Page (ASP)
7
ASP .NET
8
C / C++
9
Java
10
Servlet
11
EJB
No. F-PC-PMO-37-01032017-00 12 Java Server Pages (JSP) 13 IBM WSAD 14 IBM Visual Age 15 JBuilder

No. F-PC-PMO-37-01032017-00

  • 12 Java Server Pages (JSP)

 
  • 13 IBM WSAD

  • 14 IBM Visual Age

  • 15 JBuilder

 
  • 16 PHP

  • 17 Crystal Report

 
  • 18 Actuate

 

C

Database

1

2

3

4

5

  • 1 Microsoft Access

 
  • 2 SQL Server

 
  • 3 Oracle

  • 4 DB2

  • 5 MySQL

 
 

D

Application Server

1

2

3

4

5

1

Exchange Server

2

Proxy Server

3

Site Server

4

Site Server Commerce Edition

5

SNA Server

6

System Management Server (SMS)

7

Microsoft Transaction Server (MTS)

 

E

Scripting Languange

1

2

3

4

5

1

HTML / DHTML

2

XML / WML

3

Perl Script

4

Java Script

5

VB Script

6

Cascading Style Sheet (CSS)

 

F

Lotus Notes

1

2

3

4

5

1

Lotus Notes

2

Lotus Script

3

Domino Application

4

CLP (Y/N)

 

G

Application Package

1

2

3

4

5

1

Microsoft Word

2

Microsoft Excel

3

Microsoft Power Point

4

Microsoft Front Page

5

Microsoft Access

No. F-PC-PMO-37-01032017-00 6 Microsoft Outlook 7 Microsoft Project 8 Erwin 9 Rational Rose H Web Server

No. F-PC-PMO-37-01032017-00

6

Microsoft Outlook

7

Microsoft Project

8

Erwin

9

Rational Rose

 

H

Web Server

1

2

3

4

5

1

Internet Information Server (IIS)

Websphere Application Server

2

(WAS)

3

Java Web Server

4

Apache Tomcat

5

Netscape Enterprise Server

6

JRUN

 

I

Design Tools

1

2

3

4

5

1

Macromedia Flash

2

Macromedia Director

3

Macromedia Dreamweaver

4

Adobe Photoshop

5

Adobe Image Ready

6

Photo Vista

7

GIF Animator

8

Corel Draw

9

Asymetric 3DFX

 

J

Network

1

2

3

4

5

1

Network Protocol (TCP/IP, IPX/SPX,

NetBEUI)

2

Network Design

 

K

Methodologies

1

2

3

4

5

Object Oriented Programming

1

(OOP)

2

Object Oriented Analysis and

Design (OOAD)

3

UML

 

L

Oracle-Siebel

1

2

3

4

5

  • 1 Configuration

 
  • 2 CRM Business Analys

  • 3 Integration - EAI

  • 4 Data Migration - EIM

  • 5 Technical Architec

 
No. F-PC-PMO-37-01032017-00 M Others 1 2 3 4 5 1 2 FOR HR PURPOSES Question The

No. F-PC-PMO-37-01032017-00

M

Others

1

2

3

4

5

1

2

FOR HR PURPOSES

Question
Question
 

The Question

The Answer

Do you bind a contract with the company where you work in this time?

 

Do you mind if we ask a reference to your company where you have worked?

 

Do you have a part time job? Where and what is your position?

 

Have you ever have a cronic disease, accident, operation? When and what kind?

 

Are you willing to travel to other city?

 

What are you previous monthly salary and any facilities that you get at present?

 

How much salary and other facilities do you expect?

 

When you can start to work?

 

Any additional notes / description :

 

I herewith confirm that all my above statements are true and fully responsible for all the consequences.

     

………………………………………,……………………………20…… ..

Color Photo

(………………………………………………………………… ) ..