FM-HRD-REC-04

ASEAN Secretariat
Jl. Sisingamangaraja 70A
Jakarta 12011

EMPLOYMENT APPLICATION FORM

Position applied : : Assistant Director/Head of Education, Youth & Sports Division Date: 16th September 2019

Application Source:

ASEAN website (www.asean.org/opportunities) 

Online advertisement (from other website)

Print advertisement

Others: FRIENDS

I.PERSONAL

Name : ____MUZAKKI______FADLAN____ email address : _FADLANMUZAKKI@GMAIL.COM / FADLANMUZAKKI@ZJU.EDU.CN

Last Name First Name

Present Address : JALAN KIRAI NO 07 RT 02 RW 01 KEURAHAN CIPETE UTARA KECAMATAN KEBAYORAN

BARU JAKARTA SELATAN, INDONESIA – 12150

Telephone (Handphone) : +6281380051990

Date/month/year of Birth : 04/12/1990 Place of Birth : JAKARTA

Gender : MALE

Marital Status : Citizenship : INDONESIAN

Single  Identification Card KTP/Passport ) Issued by : Indonesian Government

Married No.: KTP 3174070412900003 / Passport : B3986443 Issued date : KTP :

23/12/2013 / Passport: 27/04/2016

Widow(er) Place of issue : Jakarta Expiration date : Passport: 27/04/2021

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II. FAMILY BACKGROUND

a. Parents
Name Relationship Date Education Occupation
Of Birth
Father 03 NOV BACHELOR IN EDCUATION TEACHER AT
ABDUL AZIZ 1959 ELEMENTARY
SCHOOL
Mother 16 SEP DIPLOMA HOUSE WIFE
ROFIKOH 1966

b. Family / Dependent
Name Relationship Sex Date Education Occupation
of birth
RIFKI MUAFIQ BROTHER MALE 15 DEC SENIOR HIGH SCHOOL STUDENT
1994
FAUZAN BROTHER MALE 6 JUN 2000 JUNIOR HIGH SCHOOL STUDENT
FAKHIR

ZULFIKAR ALI BROTHER MALE 20 JUN ELEMENTARY SCHOOL STUDENT

RIZKY 2003

III. FORMAL EDUCATION

Years attended
Name of School Location Major Degree Main Subjects
Start Ending granted
2018 2019 RENMIN UNIVERSITY OF CHINA CHINA LL.M IN CHINA CONTEMPORARY
STUDIES CHINA STUDIES
2016 2018 ZHEJIANG UNIVERSITY CHINA M.PHIL IN INTERNATIONAL
INTERNATIONAL RELATIONS
RELATIONS
2015 2016 UNIVERSITAS NASIONAL INDONESIA - PUBLIC
ADMINISTRATION
2009 2013 UNIVERSITAS NASIONAL INDONESIA BA. IN INTERNATIONAL
POLITICAL RELATIONS
SCIENCE

IV. EMPLOYMENT RECORD (Start from the most recent)

1. Years employed/duration Name of Address/Phone Position Net Salary per annum

Organisation / (Excluding allowances)
Company
From To INDONESIAN DONG ZHI MEN WAI RESEARCH Starting 5000 RMB
MAY 2017 2019 EMBASSY IN DA JIE NO. 04 ANALIST AND Final 11.200 RMB
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BEIJING CHAOYANG ASSISTANT FOR
DISTRICT, BEIJING AMBASSADOR
100600, TIONGKOK IN THE FIELD OF
RESEARCH,
EDUCATION,
YOUTH, AND
STUDENT
Description of your work :
o Manage the Ambassador’s needs for research analysis especially in the
relations between Indonesia and China
o Manage documentation and inform the Ambassador of matters requiring
attention. Research and prepare correspondence in English, speech notes,
travel programs, quarterly and annual reports especially in the field of youth
and students
o Liaise on behalf of the Ambassador for contact/appointments which related to
youth and students
o Assist Ambassador’s Personal Assistant with maintenance of the
Ambassador’s diary and program of appointments, especially in the field of
students and youth matters
o Assist with arrangements for visiting official which related to youth and
students 
o Assist with ad hoc tasking/reporting requests
o Assist with coordination of public diplomacy events which related to youth
and students program.
o Assist with maintenance of classified registry including with operation of the
filing system and destruction of files as required. 
o Act as back-up Post System Administrator, including liaison fro the youth and
student program.
Reason for leaving: STAYING IN INDONESIA RIGHT Supervisor’s Name : DJAUHARI ORATMANGUN
NOW (AMBASSADOR)
Telephone : +6287877669888

2. Years employed/duration Name of Address/Phone Position Net Salary per annum

1.8 YEARS Organisation / (Excluding allowances)
Company
From To STUDI 866 YUNGHATANG FOUNDER Starting: 120.000 RMB
SEP 2016 MAY 2018 TIONGKOK ROAD, HANGZHOU Final: 200.000RMB
310058 – ZHEJIANG
PROVINCE - CHINA

Description of your work:

 Design a strategic campaign to be implemented and broaden networks to cooperate and collaborate
with Studi Tiongkok
 Facilitated resolution of manuscript queries related to style, content, and image requirements.
 Connceted with student to encourage them study abroad
 Schedule workload appropriately among team members
 Monitor the youth project to encourage young people reach their dream study abroad
 Planned editorial calendars and evaluated works and project plans

Reason for leaving : ROTATION LEADERSHIP AND Supervisor’s Name : -

REGENERATION Telephone : -
FM-HRD-REC-04
3. Years employed/duration Name of Address/Phone Position Net Salary per annum
1.8 YEARS Organisation / (Excluding allowances)
Company
From To PRESIDENTIAL GEDUNG BINA JUNIOR Starting Rp.
JAN 2015 SEP 2016 STAFF OFFICE GRAHA JALAN CONSULTANT 130.000.000,-
VETERAN NO. 16 AND ASSISTANT Final Rp.180.000.000,-
JAKARTA PUSAT,
10110. TELP +62 21
2354 5001. FAX:
+62 21 345 0009

Description of your work :

 Conducting a survey on developing sectors in Indonesia in order to be published in the media

 Reviewing International Politics and economics Phenomenon which has strong relation with
Indonesia development, then make an infographic to be spread in social media
 Direct programs based on political and international relations issues
 Making a summary of news and analyzing the perspectives in development context
 Mapping a societal movement in some regions both direct and from media

Reason for leaving : STUDYING IN CHINA Supervisor’s Name : DIMAS OKY NUGROHO
Telephone : +621198939711

4. Years employed/duration Name of Address/Phone Position Net Salary per annum

1.8 YEARS Organisation / (Excluding allowances)
Company
From To THE HOUSE OF JALAN GATOT EXPERT STAFF Starting Rp.
APR 2013 OCT 2014 PEOPLE’S SUBROTO NO. 01 40.000.000,-
REPRESENTATI SENAYAN Final Rp.90.000.000,-
VE COUNCIL JAKARTA PUSAT
+6221 5715818

Description of your work :

▪ Make the formulation of the results of the trial deliberation.

▪ Making trial material recommendations in terms of International Relations issues
▪ Make the results of scientific work session for of senator members and published on the website of senator
members.
▪ Preparing equipment plenary session which focuses on bilateral agreement
Reason for leaving : CONTRACT FINISHED Supervisor’s Name : DANI ANWAR
Telephone : +628132421345
Total working experience : 7 years Salary expectation : USD 3000 - 4800
Please note that in evaluating your candidature ASEAN Secretariat reserved the right to approach your previous
employer(s) for references. It is not our policy to approach your present employer at the evaluation stage unless you
expressly authorize this.

Have you any objections to our making inquiries of your present employer?  Yes No

Please note, however, that before making an offer of employment ASEAN Secretariat is required to contact both your
present and previous employers.
_______________________________________________________________________________________________
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V. SKILLS Remarks
Computer MAINTENANCE PC LAN

(for computer related position)
Softwares :
MICROSOFT OFFICE
MICROSOFT EXCEL
MICROSOFT OUTLOOK
ADOBE PHOTOSHOP PRO CC 2019
ADOBE PRIEMERE PRO 2019
ADOBE AFTER EFFECT 2019
ADOBE ACROBAT READER
PREZI PRESENTATION
MICROSOFT POWER POINT
PREZI APPLICATION PRESENTATION
COREL DRAW
MANDELEY

Language Speak Read /Write

Fair Good Fluent Fair Good Fluent
ENGLISH  
CHINESE  

Other

VI. COURSE / TRAINING RECORD

Certification/Seminar/Course Description/Type Institution Place/Location Duration
On the Job Training/Training
ERITORIAL TRAINING FOR This training is The Ministry of Jakarta 2 Days
INTERNATIONAL JOURNAL organized by the Reearch,
Ministry of Reearch, Technology and
Technology and Higher Education
Higher Education to
improve the skill of
editorial board of
academic journal
SHORT COURSE: MEDIA This Training to National Suzhou - China 2 Weeks
AND EVENT DATA improve the skill of University of
research in Media Singapore and
and Even Data Renmin University
of China
YOUTH DIPLOMATIC This training is to Zhejiang Zhejiang 3 Days
TRAINING enhance the skill of Univeristy
diplomacy
LEADERSHIP TRAINING This training is to Kader Bangsa Jakarta 7 Days
FOR INDONESIAN LEADER improve the quality Fellowship
of leaders or Program
potential leaders to
be more inovative
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Have you been charged for committing to any crime? If yes, please explain.

NO

Are you a member of labour organization or political party? If yes, please state the name, address and your position in the
organization.
NO

Employment by the ASEAN Secretariat may require assignment and travel to any
area. Have you any disabilities or reservations that may restrict your activities in Yes  No
this respect?
If yes, please explain.

Are you under any obligation to return/stay in the service of your company in Yes No

recognition of sponsored training or education?
Please show your position at your current job in an organization chart.

AMBASADOR

RESEARCH ANALIS
& ASSISTANT
VICE AMBASADOR

ATTACHE ATTACHE ATTACHE

STAFF STAFF STAFF

If this space not enough, please use next page.

Please mention three (3) references

No. Name Occupation Address & Email Telephone

1. DJAUHARI INDONESIAN DONG ZHI MEN WAI DA +6287877669888
ORATMANGUN AMBASSADOR in JIE NO. 04 CHAOYANG
BEIJING CHINA DISTRICT, BEIJING
100600, TIONGKOK
Email:
d.oratmangun@yahoo.com
2. DIMAS OKY Political Expert and JALAN HALIMUN RAYA NO. +621198939711
NUGROHO Executive Director Akar 11 B, GUNTUR SETIA BUDI,
Rumput Strategic JAKARTA SELATAN
Consulting
Email:
FM-HRD-REC-04

buminyanugroho@gmail.c
om
3. DANI ANWAR FORMER danianwarhpk@gmail.com +628132421345
LEGISLATIVE AND
SENATOR MEMBER

I hereby certify that the above information is true and correct. I agree that any misinterpretation made in this application
for the purpose of securing employment shall be grounds for termination or denial of employment. Final appointment will
be subject to a physical examination.

Applicant’s Signature : ___________________________