REYNOLDS PARTNERSHIP PT.

APPLICATION FORM Current

Photograph
IMPORTANT NOTES :
(1) Applicants are required to complete all sections of this Application Form.
(2) Applicants shall provide a current Passport size photograph

Name of Applicant : _______________________________________________

Vacancy applied for (Position) : _______________________________________________

A. PERSONAL DETAILS
Address : _______________________________________________
_______________________________________________
_______________________________________________
Email Address : _______________________________________________
Contact No. (Home Tel./HP) : _______________________________________________
Place/Date of Birth (Age) : _______________________________________________
Married/Single _______________________________________________
If married
Year of Marriage : _______________________________________________
Name of Wife/Husband : _______________________________________________
Number and age of Children : _______________________________________________
Occupation of Wife/Husband : _______________________________________________
KTP No. : _______________________________________________
NPWP No. : _______________________________________________

Languages Spoken : _______________________________________________

Religion : _______________________________________________

B. FAMILY DETAILS
Father : Name : ______________ Age : __ Occupation : ____________
Mother : Name : ______________ Age : __ Occupation : ____________
Brothers
Elder : Education : _____________ Age : __ Occupation : ____________
Education : _____________ Age : __ Occupation : ____________

Younger : Education : _____________ Age : __ Occupation : ____________

Education : _____________ Age : __ Occupation : ____________
Sisters
Elder : Education : _____________ Age : __ Occupation : ____________
Education : _____________ Age : __ Occupation : ____________
Younger : Education : _____________ Age : __ Occupation : ____________
Education : _____________ Age : __ Occupation : ____________
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REYNOLDS PARTNERSHIP PT.

C. EDUCATIONAL DETAILS

IMPORTANT NOTE : Copies of Surat Tanda Tamat Belajar and Ijazah and Transkrip Polytechnic/
University shall be provided.

Name/Location Period Standard Passed

SD :

SLTP :

SLTA :

Polytechnic :

University :

D. WORK EXPERIENCE

IMPORTANT NOTE : Copies of Certificates of Employment shall be provided

Name of Employer Period Position Held Duties/Responsibilities

a).

b).

c).

d).

e).

If unemployed, what was your last job and your reason for leaving?

E. REFERENCES

IMPORTANT NOTE : Applicants are required to submit copies of Reference Letters from
previous Employers.

1.

2.

3.

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 REYNOLDS PARTNERSHIP PT.

F. REFEREES

: Applicants shall provide the name and contact particulars (current HP

number or email address) of persons such as a previous Employer or a
Polytechnic/University Lecturer who would be able to provide a personal
reference.

1.

2.

3.

G. HEALTH

Are you in good health : ______________________________

Have you suffered any major illnesses? : ______________________________

If so – give details ______________________________

Are you prepared to undergo a medical examination,

As part of the Selection process : ______________________________

H. GENERAL

If currently employed why are you prepared to consider

changing your job at this time. : ______________________________

Are you willing to work outside Jakarta ? : ______________________________

Are you willing to work outside Java ? : ______________________________

Are you willing to study for professional examinations ? : ______________________________

I. SALARY

What is your current salary/employment package : ______________________________

Besides your salary what benefits are you entitled to? : ______________________________

APRIL 2017
REYNOLDS PARTNERSHIP PT.

J. COMMENCEMENT

What is the period of notice you are obliged to provide if

you wish to resign your current employment? ______________________________

If offered a position, when would you be able to :

commence your new duties? ______________________________

FOR USE OF INTERVIEWER

Date of Interview :

Documents provided

APRIL 2017