Gen rma Didi 9 Fle, IL. HR Rasa Sai Bok X-1 Kav, -2 Ibert 12950 Phone S622. 527008 Fa 22757747 Web echpup cam APPLICATION FOR EMPLOYMENT [ite application should be completed in the applicant's own handwriting and in English (ite form should be signed and returned with | recent 3x4 em-size photograph H Position applied for: Mork “Tech. Luypperé Date; AMdovente 4, 20rd How were you reffered to us ? LiNewspaper Ad Clonmy own other: Wiliie Cfetrenndo..com) (ome hr rer) A. PERSONAL DETAILS FullName -\lei Dist PRAM AIR Place & date of Binh wane 04, 1482 ‘Home Address =| Nationaly & Religion ) Teas KTP Number : Etfew of Jes NPWP le 2 1s. Gn Post Code z T Cee Seo OR 3-1 fidowed ivorced sie CORSE ae Single Married Cw Doi B. FAMILY DETAILS: ‘Name Birth date/Age | Education’School | Occupation/Emplayer | Residence Father Poximians | Aq Ye, Wig Scheel oer oo Mother HARTA 4a® [Se High Schl | Howe wife [Rebun BrosherSister Vira Bana. | 22 * ner Segee | — Rabamalh BrotherSiser fal AepAN| Ib ® Nekinal Vi Sel] — Hfadounatth ‘Husband/Wife* ‘Son/Daughter ‘Son/Daughter [Son/Daughter "Tee a approprie C, EDUCATION & OTHER QUALIFICATIONS o Lermel Edecacion “Level ‘School Name & Location | Dearest Major ‘Period / Year | Graduated (Y/N) ‘Se. High School |SM™e_K 4 frakemstth - Poot - 2010 ¥ ‘Academy University [Nipon Pollan Gatmith [Awecies Dgre [Aota-zas | Post Graduate IExcel Power Point Project ~ Outlook a "F Place Wok mark] 0) nthe Provide cao & Leiuie Interest Sporvitob tics ase D. EMPLOYMENT HISTORY (sta wit coment jb, incuting temporary work mn vacations ining) Emy PT. Post Employement periode : From (MM. YY) Nature of Busines 2 ANG To (MM, ie ‘ddrosts Phone No pent so Product /Service Employment Status Describe briefly your job & any significant accomplishment =Employer pt Goisite she] Employment priate: Frm 04 YY) |. 200 (ae To (MM, YY) bau .208 ‘Address & Phone No 2A paged Sal Product / Service 20) Cy oa Employment Status = ce ee ates eit E. COMMENCEMENT & SALARY EXPECTATION pa fem Feta |. Ifyou are offered employment with us, when can you start working ? T%* md fe fe 2 Whats yom mlery expectition Hf you er ffred employee wisn? io a breed F. DECLARATION ne ish ‘tore the lavetigaion of liferation prowieby me inthe Apion fr Emploement fom exe thewe to my current employment, | undersiand that as part of recruitment process, PT. Isiech Resources Asia {aici wl ok ws to ast copa of rofrence later of ty caret vad previous eployers, copes of leven cccificnen, cops of eatery slip srl chede may voence 1 leo undeciand Gato isepesrition or osasion of facts called for herein will be sufficient cause for cancellation of consideration for employment or dismissal from the Istech’s service ifT have been employed. Date: Novrlor 1, R04