PRIVATE AND CONFIDENTIAL

APPLICATION FORM

Please complete this form and return it to: jessy.kairupan@pinnacle.co.id

1Position
. P Eapplied
R S Ofor:
N Bussines
A L DSupport
E T AOfficer
ILS
Name in full: I Made Manu Parisuda

Home Address: Jl Akasia XVI, Gang Jeruk, Kesiman, Denpasat Timur

Home telephone number: - Mobile HP Number: 085739393514

Email Address: manuparisuda@gmail.com

Place of Birth: Keramas

Nationality: Indonesia

Religion: Hindu

Marital status: Single

Date of Birth: November, 14th 1996

Name and address of next of kin: I Wayan Nengah

Address: Br. Gelgel, Keramas, Blahbatuh, Gianyar, Bali
Telephone number: 081337080391
Relationship: Father
2. AVAILABILITY
If selected for this post, when would you be available to start?
Answer: Soon as possible

Do you willing to relocate to another place?

Answer: No, I want to work at Denpasar, the reason is near from my family.

How long are you available to work?

Answer: Monday-Friday (9am-5pm). If Saturday still working, I hope only until mid day.

3. EDUCATION AND TRAINING

Please give details of Educational and Professional Qualifications obtained:

Dates University/School Qualification and Grades Achieved

(From – To)
2001-2003 Santa Maria Raturosari Kinderkarten

2003-2009 SDN 1 Keramas Elementary School

2009-2012 SMPN 1 Gianyar Junior High School

2012-2015 SMAN 1 Gianyar Senior High School

2015-2019 Udayana University Bachelor of Human Resource Management

4. EMPLOYMENT HISTORY
Please give details of previous employment (continue on a separate sheet if necessary)

Dates Job Title Employer Details of job content and Reason for leaving
(From – To) responsibilities

8-9 September Daily Worker Soundrenaline Booth Keeper Contract

2018 2018

23 September- Daily Worker Angkasa Pura Runner Contract

5 Oktober Inflight
2018 Catering for
IMF 2018

January-April Admin & Stock Goldmine Input stock-in and stock- Contract
2018 Staff Supply Co. out, make a sales report,
discount report, sales
analys.
Last salary earned: Rp. 1.800.000

Please list any other relevant skills that you have including Computer skills and languages.
1. Ms Office (Word, Excel, PowerPoint)
2. Photoshop
3. Typing skill
4. Languages skill: Balinese, Indonesia, English

Describe your level of written and spoken English.

Answer: English pasif speaker, and good enough for writing.

Do you hold a valid driving license?

Answer: Yes, I do. I Have SIM A and SIM C.

Please list your interests, activities, hobbies, membership of organisations etc. including any positions of
responsibility outside of work:

1. .Music
2. Content design
3. Photography
4. Videography

5. REFERENCES
We would like to take up two references if you are successful at the interview stage.

1. Professional reference: Give the name and address of your current or most recent employer.

May we approach this referee without further reference to your self?

Name: Adi Darma (Goldmine Supply Co.’s Owner)
Address: Perum Taman Nangka Indah, No. AAA3, Denpasar

Telephone Number: 082119434500

Please note that both referees are NOT permitted to be family members
6. HEALTH
Please note that before final acceptance you may be required to have a medical with a qualified World
Relief approved practitioner.

Are you in generally good health?

Comments: Yes, I’am.

How many days sickness have you had in the past year?
Answer: At least 5 days, and not consecutive.

7. A P P L I C A T I O N T O P I N N A C L E A L F A
Why do you wish to join with us?
Answer: I want to make a good relation with another person, give me more experience, give me new skills,
and I can help corporate to the goals.

Why do you think your background, training and experience equip you for this post?
Answer: Because I especially graduated from Economic & Bussines major, I learn more about bussines
strategy, opportunities/threat of bussines, and I think it is linear with the position you needed.

What do you think are your strengths and weaknesses in applying for this particular post?

My strenght : a. Hardworker
b. Good time keeping
c. Doing work far away from dateline
d. Discipline
e. Good teamwork
f. Keeping good relationship with work partners

My weaknesses :
a. A little bit not patience
b. More enthusiasm

Signed: Date: July, 13th 2019

I Made Manu Parisuda