FM-HRD-001.

PERSONAL DATA
NAME (FULL NAME) :
:
PERMANENT ADDRESS (COMPLETE)
City : Province : Country:

PHONE NUMBER :

PERSONAL EMAIL ADDRESS :

IDENTITY NUMBER :

NPWP NUMBER :

ACCOUNT BANK : NAME OF BANK :

ID ACCOUNT OF BANK :
GENDER RELIGION NATIONALITY
[ ] MALE [ ] FEMALE

BORN MARITAL STATUS

PLACE DATE MONTH YEAR [ ] SINGLE [ ] WIDOWED
[ ] MARRIED [ ] DIVORCED
FAMILY STRUCTURE (INCLUDING YOURSELF)
FAMILY LAST LAST WORKING EXPERIENCE
RELATION NAME M/F AGE EDUCATION REMARKS
COMPANY POSITION
FATHER

MOTHER

BROTHER /
SISTER / ME

HUSBAND

WIFE

CHILDREN