PT OS SELNAJAYA INDONESIA

MidPlaza I Building, 19th Floor

PERSONAL DATA Jl. Jend. Sudirman Kav. 10 - 11 Jakarta 10220

Photo
E-mail: recruitment@os-selnajaya.com

Url: www.os-selnajaya.com

I. PERSONALITY
FULL NAME * (M/F)
PLACE / DATE OF BIRTH *
CONTACT ADDRESS

E-MAIL *
TELEPHONE NUMBER * *(Mobile) *(Home)

*(Emergency)

ALTERNATIVE CONTACT

STATUS* □ Married □ Single □ Divorced / Widowed

OCCUPATION / (Present position)
JOB APPLICATION
IDENTITY NUMBER
DRIVER LICENCE A / B1 / B2 / C OWN VEHICLE □ Yes □ No Car / Motorcycle
NATIONALITY ETHNICITY
BLOOD TYPE RELIGION
CHARACTER HOBBIES
COMPUTER SKILLS OTHER SKILLS

LANGUAGES ABILITY □ English □ Japanese □ Indonesian □ Mandarin □ Others (………..…)

EXPECTING SALARY (THP) Rp (Gross/Net) □ Negotiable

Allowances :

AVAILABILITY

EXPECTING LOCATION

PROFILE SUMMARY* (Experience)

(Detail) 1.

2.

3.

(Skill)

1.

2.

3.

4.

(Personality)

1.

2.
* Required Fields (H: Home, M: Mobile, O: Office)

II. LIST OF REFERENCES

(Your professional contact references for recommendation)

NAME RELATION OCCUPATION / LOCATION PHONE

 III. EDUCATION, SEMINAR & LICENCES
FORMAL EDUCATION (Last Education & High School)

PERIOD *
GRADUATE
NAME of SCHOOL / PLACE* MAJOR* START - END DEGREE**
(Y/N)
(DD/MM/YY – DD/MM/YY)

** SMA/U, STM, SMEA, D1, D2, D3, D4, S1, S2, S3, etc.

INFORMAL EDUCATION

NAME of SCHOOL / PLACE MAJOR PERIOD * CERTIFICATE GRADUATE

(YEAR) (Y/N)

ATTENDED SEMINAR

NAME of SEMINAR ORGANIZATION / PLACE PERIOD * CERTIFICATE

(YEAR) (Y/N)

CERTIFICATIONS

***NAME of CERTIFICATIONS ORGANIZATION / PLACE / YEAR LEVEL

*** Brevet A & B, CPA, CCNA, TOEFL, TOEIC, Japanese Proficiency Test, Etc

IV. WORKING EXPERIENCE

(Fill in the following form based on the number of job changes you’ve had, starting with your current or most recent job)
A. COMPANY NAME *
COMPANY ADDRESS *
INDUSTRY *
COMPANY CATEGORY □ LOCAL □ PMA □ Joint Venture (Company Origin) :
LAST POSITION * EMPLOYMENT STATUS : □ Contract □ Permanent
POSITION LEVEL * JOB FUNCTION * :
PERIOD *

(DD/MM/YY –DD/MM/YY)
JOB DESCRIPTIONS *

(Detail)

NO. OF SUBORDINATES
 DIRECT REPORT TO POSITION :
SALARY * ALLOWANCE :

□ Gross □ Net □ All In (Meals & Transportation)

OTHER BENEFITS
REASON FOR LEAVING
PREVIOUS POSITION
PERIOD
JOB DESCRIPTIONS

PREVIOUS POSITION
PERIOD
JOB DESCRIPTIONS

B. COMPANY NAME
COMPANY ADDRESS
INDUSTRY
COMPANY CATEGORY □ LOCAL □ PMA □ Joint Venture (Company Origin) :
LAST POSITION EMPLOYMENT STATUS : □ Contract □ Permanent
POSITION LEVEL JOB FUNCTION :
PERIOD

(DD/MM/YY –DD/MM/YY)
JOB DESCRIPTIONS

NO. OF SUBORDINATES
DIRECT REPORT TO POSITION :
SALARY ALLOWANCE :

(Meals & Transportation)

□ Gross □ Net □ All In
OTHER BENEFITS
REASON FOR LEAVING
PREVIOUS POSITION
PERIOD
JOB DESCRIPTIONS

C. COMPANY NAME
COMPANY ADDRESS
INDUSTRY
COMPANY CATEGORY □ LOCAL □ PMA □ Joint Venture (Company Origin) :
LAST POSITION EMPLOYMENT STATUS : □ Contract □ Permanent
POSITION LEVEL JOB FUNCTION :
PERIOD

(DD/MM/YY –DD/MM/YY)
JOB DESCRIPTIONS
 NO. OF SUBORDINATES
DIRECT REPORT TO POSITION :
SALARY ALLOWANCE :

□ Gross □ Net □ All In (Meals & Transportation)

OTHER BENEFITS
REASON FOR LEAVING
PREVIOUS POSITION
PERIOD
JOB DESCRIPTIONS

D. COMPANY NAME
COMPANY ADDRESS
INDUSTRY
COMPANY CATEGORY □ LOCAL □ PMA □ Joint Venture (Company Origin) :
LAST POSITION EMPLOYMENT STATUS : □ Contract □ Permanent
POSITION LEVEL JOB FUNCTION :
PERIOD

(DD/MM/YY –DD/MM/YY)
JOB DESCRIPTIONS

NO. OF SUBORDINATES
DIRECT REPORT TO POSITION :
SALARY ALLOWANCE :

□ Gross □ Net □ All In (Meals & Transportation)

OTHER BENEFITS
REASON FOR LEAVING
PREVIOUS POSITION
PERIOD
JOB DESCRIPTIONS

Declaration: Pernyataan:

Herewith I certify that the information given above is true to the
best of my knowledge. I undertake to furnish any further
information and/or documents required by the company in the
processing of the application. Moreover, I do agree to follow all
the conditions below:
a) I have never been convicted of any criminal charge.
Dengan ini saya menyatakan bahwa informasi yang saya
berikan di atas adalah benar menurut sepengetahuan saya.
Saya berjanji akan memberikan informasi lebih lanjut dan/atau
dokumen-dokumen yang dibutuhkan oleh perusahaan untuk
memproses aplikasi saya. Selain itu, saya bersedia untuk
mengikuti semua kondisi di bawah:
a) Saya tidak pernah terlibat dalam tindak pidana
b) I have never been taken and am presently not taking apapun.
drugs. b) Saya tidak pernah menggunakan dan sekarang
sedang menggunakan obat-obatan terlarang.
c) I shall not conduct any direct transaction with the client
c) Saya tidak akan melakukan transaksi langsung
introduced by PT. OS Selnajaya Indonesia unless
dengan klien yang diperkenalkan oleh PT. OS
instructed to do so.
Selnajaya Indonesia kecuali diinstruksikan untuk
d) I shall not provide any personal contact number to the melakukannya.
client. d) Saya tidak akan memberikan nomor kontak personal
e) I shall be punctual and not be late or absent for the entire apapun kepada klien.
interview/test appointments. (Except with prior notice with e) Saya akan tepat waktu dan tidak terlambat atau tidak
acceptable reason). hadir dalam semua perjanjian wawancara/tes.
f) I shall be neat and wear formal dress during the interview (Kecuali dengan pemberitahuan sebelumnya dengan
and working days. alasan yang dapat diterima).
f) Saya akan berpakaian rapi dan formal selama
g) I shall not forget to contact PT. OS Selnajaya Indonesia wawancara dan hari kerja.
after I have been interviewed. g) Saya tidak akan lupa untuk mengontak PT. OS
h) I agree to work for at least 6 months Selnajaya Indonesia setelah saya selesai diinterview.
h) Saya setuju untuk bekerja setidak-tidaknya selama 6
bulan

Date: __________________

____________________
Signature of applicant