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Application for Employment

Name Date of Birth

Home Phone Number

Home Address (Complete) Cellphone Number

ID card (KTP) Number

Local Address (Complete)


(Your address in Jakarta, if
your home address is out of
Jakarta)

Answer
Questions Explanation
Yes No
Have you ever applied here before? If yes, when? [ ] Yes [ ] No

Have you ever been employed here before? If yes, when? [ ] Yes [ ] No
Personal Information

Are there any relatives/friends currently employed here? If yes, give full
[ ] Yes [ ] No
name:

Are you bound by contract agreement with existing company at this present? [ ] Yes [ ] No

If yes, up to: Company:

We need at least 2 reference letters as per our procedure.

Do you have any objections for us contacting your present company and/or
[ ] Yes [ ] No
your previous employer for reference purposes?

Have you ever been through any psychological examination/psychotest? [ ] Yes [ ] No

If yes, when, where and what for?

Have you ever dealed with the Police due to breaking the law? [ ] Yes [ ] No

Are you willing to work on Saturdays, Sundays, Holidays and/or after office
[ ] Yes [ ] No
hour to complete your assignments?

How did you hear about the company?

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Family Tree (Including Yourself)
Last Last Employment
Family Relationship Name Female/Male Age
Education Position Company

Father

Mother

Brother/Sister 1

Brother/Sister 2

Brother/Sister 3

Brother/Sister 4

Brother/Sister 5

Brother/Sister 6
Family Tree

Brother/Sister 7

Brother/Sister 8

Brother/Sister 9

Brother/Sister 10

Husband/Wife

Child 1

Child 2

Child 3

Child 4

Child 5

Child 6

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Year Graduated/
Grade Name of School Place/City Major
From To Certificate
Senior High School

Diploma 1,2,3 / Academy

Bachelor

Post Graduate / Master

Ph.D
Education, Training and Special skills

Seminars and Classes

Professional License or
Certification

Software or Hardware

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below
to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying
for:

Languange Proficiency (Fill in with Good, Fair or Poor)


Languange Understanding Speaking Reading/Writing
English
Languange Proficiency, Hobby, Activity

Other ________________

Hobbies & Activities

Newspaper/magazine you always read

Physical disturbances you often have

Serious illness/injury you've ever had

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Objectives Employment Preference
Position Desired Earnings Desired
Are you available to travel? [ ] Yes [ ] No
Location Desired
Are you willing to relocate? [ ] Yes [ ] No
Career Objectives

List employment history for the last 10 years, starting with most recent employment.
Employer Phone Number
Start Date (month/year)
Address
End Date (month/year)

Supervisor Name and Phone Starting Salary


Number Ending Salary

May we contact this employer? [ ] Yes [ ] No Last Bonus or Incentive

Title or Position
Duties and Responsiblities

Reason for Leaving

Employer Phone Number


Start Date (month/year)
Address
End Date (month/year)
Employment History

Supervisor Name and Phone Starting Salary


Number Ending Salary

May we contact this employer? [ ] Yes [ ] No Last Bonus or Incentive

Title or Position
Duties and Responsiblities

Reason for Leaving

Employer Phone Number


Start Date (month/year)
Address
End Date (month/year)

Supervisor Name and Phone Starting Salary


Number Ending Salary
May we contact this employer? [ ] Yes [ ] No Last Bonus or Incentive
Title or Position
Duties and Responsiblities

Reason for Leaving

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Please list references, do not include family members or people who live with you

Years
Name Address Phone Number Occupation
Acquainted
References

Important, please read carefully and sign.


I certify the information contained in this application is true and complete to the best of my knowledge. False or withheld information can
be used to refuse this application or may lead to the termination of my employment with no indemnity or to sue me according to the
regulation/law.

I authorize the company to investigate all statements contained in this application and release all parties from any liability for any damage
that may result from furnishing same to you.
Certification

Jakarta, _______________

(_____________________)
Please fill in (in hand-writing) and sign the Application for Employment form and submit it during initial interview.
You will be requested to supply documentation evidence which supports the statements you have made above. Do not, however, send any documentary
evidence until you have been asked to do so by PT Aero Systems Indonesia.

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