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  • Form - Employee Application 2016

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    ahmad rifai
    10 views6 pages
    The document is an employee application form for Ahmad Rifai applying for positions at PT. Mitra Sinergi Internasional. It includes personal details, education history, work experience, computer skills, and a family background section. The form requests the applicant provide their name, contact details, preferred job positions and workplace, availability, salary expectations, academic and professional history, languages spoken, personal strengths and weaknesses, and references.

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    The document is an employee application form for Ahmad Rifai applying for positions at PT. Mitra Sinergi Internasional. It includes personal details, education history, work experience, computer skills, and a family background section. The form requests the applicant provide their name, contact details, preferred job positions and workplace, availability, salary expectations, academic and professional history, languages spoken, personal strengths and weaknesses, and references.

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    © All Rights Reserved
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    10 views6 pages

    Form - Employee Application 2016

    Uploaded by

    ahmad rifai
    The document is an employee application form for Ahmad Rifai applying for positions at PT. Mitra Sinergi Internasional. It includes personal details, education history, work experience, computer skills, and a family background section. The form requests the applicant provide their name, contact details, preferred job positions and workplace, availability, salary expectations, academic and professional history, languages spoken, personal strengths and weaknesses, and references.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 6

    Executive Search & Selection

    Your Partner in Organization and


    Human Resources Management System

    EMPLOYEE APPLICATION FORM


    PHOTO
    (Please fill in with Block Letter)
    Date: 8 - January - 2017

    For Position (State in order of preference): Work Place Preference:


    1. Leader Prodction Jakarta, Bogor, Cileungsi

    2. Bekasi, Cikarang, Karawang

    3. Others (please specify)


    Available to Work:
    Immediately Others ( Weeks notice)
    1 month notice

    PERSONAL INFORMATION

    Name : Ahmad rifai Present basic salary:


    Sex : Male IDR.5.000.000,00
    Place/Date of Birth : Jakarta/10-oktober 1991
    Nationality : Indonesia Type of Allowances:
    Religion : islam
    Marital Status : Single Meal : IDR. 500.000
    Blood Type : A / B / AB/ O Transportation : IDR.500.000
    Address : Jln.pegangsaan I Rt 03/003 No : 6 Medical : IDR.500.000
    Hobbies : Music Allowance : IDR.500.000
    Weight / height : 85 Kg /184 cm Working day : IDR.500.000
    Driving License : A / B1 / B2 / C Travels : IDR.200.000
    Own Vehicle : Yes / No, Car/Motorcycle Others : IDR.300.000

    Contact Number and Address


    Home : Expected Salary (Basic Salary)
    Office : IDR. 8.000.000
    HP : 08999205930
    E-mail : ahmadrivai1991@gmail.com
    PT. Mitra Sinergi Internasional
    Rukan Sentra Niaga Kalimalang, Blok B3 No. 14,
    Jl. Jenderal Ahmad Yani, Bekasi - INDONESIA
    [p] : +62-21 2925 7651, 2925 7652, 9126 5013
    www.qoneconsulting.co.id

    Page 1 of 6
    Kode Dokumen : FR-ADM-001.02 Revisi: 01
    Executive Search & Selection
    Your Partner in Organization and
    Human Resources Management System

    ACADEMIC EDUCATION (Please fill only with the last two)

    Period Name of Institution Subject Location


    (From - to)
    2009-2012 State Politekhnik of Jakarta T.Mesin Depok

    INFORMAL EDUCATION (Course / Training)

    Period Name of Institution Subject Location

    LANGUAGE SKILL

    Language Speaking Ability Writing Ability

    English Good Good

    WORKING EXPERIENCES (Start from the present / last company)

    Company PT.PECGI
    Place Cibitung
    Company Origin Local/ Japan/
    Number of Employee + 3000
    Line of Business Manufacture
    Period 2013-2016
    Position Leader Production

    PT. Mitra Sinergi Internasional


    Rukan Sentra Niaga Kalimalang, Blok B3 No. 14,
    Jl. Jenderal Ahmad Yani, Bekasi - INDONESIA
    [p] : +62-21 2925 7651, 2925 7652, 9126 5013
    www.qoneconsulting.co.id

    Page 2 of 6
    Kode Dokumen : FR-ADM-001.02 Revisi: 01
    Executive Search & Selection
    Your Partner in Organization and
    Human Resources Management System

    Report To Manager
    Job Description Reporting Production Results
    Reason of Leaving System Shift work

    Company
    Company origin
    Number of Employee +

    Place
    Line of Business
    Period
    Position
    Report To
    Job Description
    Reason of Leaving

    Company
    Place
    Company origin
    Number of Employee +
    Line of Business
    Period
    Position
    Report To
    Job Description

    PT. Mitra Sinergi Internasional


    Rukan Sentra Niaga Kalimalang, Blok B3 No. 14,
    Jl. Jenderal Ahmad Yani, Bekasi - INDONESIA
    [p] : +62-21 2925 7651, 2925 7652, 9126 5013
    www.qoneconsulting.co.id

    Page 3 of 6
    Kode Dokumen : FR-ADM-001.02 Revisi: 01
    Executive Search & Selection
    Your Partner in Organization and
    Human Resources Management System

    Reason of Leaving

    Company
    Place
    Company origin
    Number of Employee +
    Line of Business
    Period
    Position
    Report To
    Job Description

    Reason of Leaving

    PERSONALITY

    Strength : i am is a analisator in work

    Weakness : Lack of trust with other

    Achievement / things that you are proud of: Production exceeded the target

    PT. Mitra Sinergi Internasional


    Rukan Sentra Niaga Kalimalang, Blok B3 No. 14,
    Jl. Jenderal Ahmad Yani, Bekasi - INDONESIA
    [p] : +62-21 2925 7651, 2925 7652, 9126 5013
    www.qoneconsulting.co.id

    Page 4 of 6
    Kode Dokumen : FR-ADM-001.02 Revisi: 01
    Executive Search & Selection
    Your Partner in Organization and
    Human Resources Management System

    BASIC COMPUTER SKILLS (Please fill according to your computer ability)

    Daily use application : internet and ms word


    Programming Software : basic auto cad, catia and photoshop
    Others :

    FAMILY BACKGROUND (Please give brief information)

    My father is retired TNI and he work now is entrepreneurship, my mother is death.and then my brother
    is marketing manager is PT.agro boga

    REFERENCES

    Name Company Telp. No. Position Email Address

    Ahmad Rifai

    Signature of Applicant

    PT. Mitra Sinergi Internasional


    Rukan Sentra Niaga Kalimalang, Blok B3 No. 14,
    Jl. Jenderal Ahmad Yani, Bekasi - INDONESIA
    [p] : +62-21 2925 7651, 2925 7652, 9126 5013
    www.qoneconsulting.co.id

    Page 5 of 6
    Kode Dokumen : FR-ADM-001.02 Revisi: 01
    Executive Search & Selection
    Your Partner in Organization and
    Human Resources Management System

    INTERVIEW RESULT:

    INTERVIEWED BY: Date:

    Signature of Interviewer

    PT. Mitra Sinergi Internasional


    Rukan Sentra Niaga Kalimalang, Blok B3 No. 14,
    Jl. Jenderal Ahmad Yani, Bekasi - INDONESIA
    [p] : +62-21 2925 7651, 2925 7652, 9126 5013
    www.qoneconsulting.co.id

    Page 6 of 6
    Kode Dokumen : FR-ADM-001.02 Revisi: 01

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