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PT. NISSAN MOTOR INDONESIA

PT. NISSAN MOTOR DISTRIBUTOR INDONESIA
Application for employment
( Lamaran Pekerjaan )

Name ( In full) Mochammad Taufik

Nama (Lengkap)
Address (In full) Jl. Depok Raya No.23 Antapani. Bandung
Alamat (Lengkap)

Phone Number 082218757061 Religion Moslem

Nomor Telepon Agama
Position Applied for ? Production Engineering Staff Citzenship Indonesian
Posisi yang Dilamar Kebangsaan

Sex Male
Jenis Kelamin
Birth of Date 22nd November 1991 E-mail Address moch.taufik22@gmail.com
Tanggal Lahir Alamat email
Marital Status Single
Status Perkawinan
ID Number 3273202211910001
Nomor KTP Vehicle (Kendaraan)
Driving Licence Number (If you have any) 881113055053 Type/Year (Tipe /Tahun) : ____ Suzuki Satria FU 2007
Nomor SIM (Jika memiliki)
Own Parents
Residential Status Own House Rent a House Parents
Status Tempat Tinggal Rent Office Others
Others

FAMILY COMPOSITION
Relationship Name Age Last Education Last Employer Last Position
Hubungan Nama Usia Pendidikan Terakhir Pekerjaan Posisi
Father /Ayah Asep Sulaiman 55 Bachelor Entrepreneur Entrepreneur
Mother/Ibu Lili Nalia 48 Diploma Housekeeping Mother Housekeeping Mother
Brother/Sister Rachma Apriliani 20 High School Student Student
Saudara

Spouse - - - - -
Suami/Istri
Son / Daughter - - - - -
Anak
 EDUCATION (PENDIDIKAN)
Please Record Your Education Below ( Lengkapi Riwayat Pendidikan Anda )
Name of School & Major Length of Time Attended Did You Graduated? Year GPA
Nama Sekolah & Jurusan Lama Pendidikan Apakah Anda Lulus? Tahun IPK
High School SMUN 14 Bandung 3 Years Yes 2009 -
SMA
Collage Politeknik Manufaktur Negeri Bandung(PMS-ITB) 3 Years Yes 2012 2.89
Akademi
University Politeknik Manufaktur Negeri Bandung ( D4 ) 2 Years Yes 2014 2.68
Uniersitas
Post Graduate
Paska Sarjana
Course/Training NDT traning LV 1 1 Month Yes 2016 -
Kursus/Training Mechanical Inspection LV 2 1 Month Yes 2016 -

FOREIGN LANGUAGE (BAHASA ASING)

What Foreign Language Do You Speak, Read, and/or Write Fluently
Bahasa Asing Yang Anda Gunakan dalam Berbicara, Membaca dan atau Menulis dengan Baik
FLUENT/FASIH GOOD/BAIK FAIR/SEDANG REMARK/PENJELASAN
Speak FAIR English
(Bicara) FAIR Germany
Read FAIR English
(Membaca) FAIR Germany
Write FAIR English
(Menulis) FAIR Germany

Achievement ( Prestasi )
Mentioned your past achivement in various field ( Sebutkan prestasi Anda di berbagai bidang)!
Kind of Achievement/Macam Prestasi Field ( Bidang ) Year (Tahun)
Overhaul Steam Turbine at PT.Pertamina Balikpapan Mechanical Inspection 2017
Perform Reverse engineering process at PT.GPE Taiwan Mechanical Inspection 2017
Overhaul Nanjing steam turbine 6 MW at PT Petrokimia Gresik Mechanical Inspection 2016
Assist on reblading process with PT Mitsubishi Heavy Industries Japan Assembling Process 2016

PREVIOUS EMPLOYMENT AND REFERENCES ( PEKERJAAN SEBELUMNYA & REFRENSI)

Give In Chronological Order Beginning With Most Recent Position (Tulislah Riwayat Pekerjaan Anda mulai dari Pekerjaan Sekarang)
Present/Last Employer Previously Employed By Previously Employed By Remark
Pekerjaan Terakhir Pekerjaan Sebelumnya Pekerjaan Sebelumnya Penjelasan
Name of Firm PT.SULZER TURBO PT.TAKA PT.MENARA TERUS
Nama Perusahaan SERVICES INDONESIA TURBOMACHINERY MAKMUR (Astra Otoparts)
Address Kota Industri Purwakarta Jl. Soekarno-Hatta No.797 Jl. Jababeka XI Blok H-3
Alamat Bukit Indah Blok A II Kav. 1C-1D Bandung 40294 No. 12, Cikarang
Name of Supervisor Mehdi Oktora Asep Nugraha Mahmudi
Nama Supervisor
Nature of Business Rotary Equipment Services Rotary Equipment Services Otomotive parts
Bidang Usaha manufacturer
Dates Of Employment 2016 - now 2015 - 2016 2011 - 2012
Waktu Bekerja
Positions Held Inspector Mechanical Inspector Technical Support Staff
Posisi terakhir
Salary Rp4,000,000 Rp3,500,000 Rp2,500,000
Gaji
Reasons for Leaving Currently working End of contract End of contract
Alasan keluar
 PLEASE DESCRIBE YOUR ASSIGMENT - RESPONSIBILITIES IN YOUR PRESENT JOB
AND PICTURE YOUR POSITION IN YOUR CURRENT ORGANIZATION STRUCTURE
( URAIKAN KEWAJIBAN DAN TANGGUNG JAWAB PADA JABATAN ANDA YANG TERAKHIR
DAN GAMBARKAN STRUKTUR ORGANISASI YANG MEMPERLIHATKAN POSISI ANDA DI TEMPAT
TERAKHIR ANDA BEKERJA)

Job Description ( Deskripsi Jabatan ) : As Inspector Doing such as,

1. Doing incoming inspection procedures such as visual inspection, dimensional inspection,etc.
2. Making summary inspection report for repairing process.
3. Make sure repairing process is suitable according to company summary inspection report.
4. Make sure to check whether finished good is mentioned correcty according to company standard.

Hobby & Leisure Time Activity / Hobi kegiatan

Your Reading ( Bacaan yg Biasa Anda Baca ) waktu luang
Novel Swimming
Newspaper Hiking

Social Activity (Kegiatan Sosial)

Organization(Organisasi) Activities(Aktivitas) Position (Jabatan) Year(Tahun)
Member of HIMA Planning Event Active Member 2009-2012
(Himpunan Mahasiswa POLMAN) Schedule

Personal References (Refrensi Pribadi)

Please give the names and addresses of two persons to whom you are not related and
by whom you have not been employed?
( Sebutkan nama dan alamat dua pihak yang bukan keluarga dan bukan pihak yang berhubungan
tempat anda bekerja sebelumnya)
Name Address / Phone Occupation Relationship
Nama Alamat/ Telepon Pekerjaan Hubungan
- - - -

Who recommend you to us ? -

(Person or Agency)
Siapa yang merekomendasikan -
Anda kepada kami
(Pribadi atau agen)
 Yes/Ya No/Tidak Remark/Keterangan
Have you applied to this company before ? No
Pernakah anda melamar ke persusahaan ini sebelumnya?
If yes, when and as what ? -
Jika pernah, kapan dan sebagai apa?
Could we ask for a refference to your present employer ? Yes
Dapatkah kami meminta refrensi
Dou you have a friend / family whom work in this company ? Yes
Apakah anda mampunyai teman/saudara di perusahaan ini.
Have you get serious illness or accident ? When ? No
Apakah anda pernah sakit serius atau kecelakaan ? Kapan?
Are you able to be posted on another city outside Jakarta ? Yes
Apakah anda bersedia ditempatkan di kota lain selain Jakarta?

What Kind of Job do you like / don't like ?

Pekerjaan apa yang anda sukai / tidak anda sukai?
I like doing outdoor activity such as field job. Any kind of job will be accepted with pleasure.

Summerized special skills and qualification acquired from employment or other experience
Ringkasan ketrampilan khusus , kualifikasi atau pengalaman yang didapatv dari pekerjaan sebelumnya?
AutoCAD 2D , Cimatron, Solid Work, Corel Draw,Deform Simulation.
Familiar in CAD, CAM, and CNC programmer
Mechanincal inspection process on rotating equipment

If you accepted, how much salary & facilities do you want?

(Bila diterima, berapa gaji dan fasilitas yang Anda harapkan?)
Rp. 5.000.000 - Rp. 6.000.000

I certify that aswers given herein are true and complete to the best of my knowledge
Saya menjamin bahwa jawaban yang saya berikan benar dan lengkap sejauh penegetahuan saya
I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and
other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools
or persons from all liability in responding to inquiries in connection with my application.
Saya memberi kuasa kepada anda untuk melakukan investigasi atau pemeriksaan terhadap data pribadi, riwayat medis,
pekerjaan, dan hal-hal lain yang berhubungan hal-hal yang diperlukan dalam pengambilan keputusan. Dengan ini saya
memberikan kesempatan penyelidikan ke perusahaan, sekolah atau person sehubungan dengan surat lamaran saya.
In the event of employment , I understand that false or misleading information given in my application or interview(s)
may result in discharge. I understand , also, that I am required to abide by all rules and regulations of the company.
Dalam masalah kepegawaian, saya mengerti bahwa informasi yang salah atau menyesatkan yang saya berikan dalam
surat lamaran atau wawancara bisa berakibat pemberhentian kerja. Saya mengerti juga, bahwa saya harus mematuhi
semua peraturan perusahaan.

Signature of applicant Date

Tanda tangan pelamar Tanggal 4th July 2017