PT OS SELNAJAYA INDONESIA

MidPlaza I Building, 19th Floor

Jl. Jend. Sudirman Kav. 10 - 11 Jakarta 10220

E-mail: recruitment@os-selnajaya.com
Photo

PERSONAL DATA Url: www.os-selnajaya.com

I. PERSONALITY (please fill the form in English)

FULL NAME * (M/F)
PLACE / DATE OF BIRTH *
CONTACT ADDRESS *

(Current domicile and ID

Card)
E-MAIL *
TELEPHONE NUMBER * *(Mobile) *(Home)

*(Emergency)

ALTERNATIVE CONTACT

STATUS* □ Married □ Single □ Divorced / Widowed

OCCUPATION / (Present position)
JOB APPLICATION
IDENTITY NUMBER *
DRIVER LICENCE A / B1 / B2 / C OWN VEHICLE □ Yes □ No Car / Motorcycle
NATIONALITY ETHNICITY
BLOOD TYPE RELIGION*
CHARACTER HOBBIES
COMPUTER SKILLS * OTHER SKILLS

LANGUAGES ABILITY □ English □ Japanese □ Indonesian □ Mandarin □ Others (………..…)

EXPECTING SALARY (THP) Rp □ Negotiable
* (Gross/Net)
Allowances :

AVAILABILITY

EXPECTING LOCATION

PROFILE SUMMARY* (Experience)

(Experience: your previous 1.

jobs or positions 2.
Skills: name of software or 3.
abilities you have
(Skill)
Personality: example:
1.
hardworker, loyal, persistent,
2.
etc.)
3.

4.

(Personality)

1.

2.
* Required Fields (H: Home, M: Mobile, O: Office)

II. LIST OF REFERENCES

(Your professional contact references for recommendation)
 NAME RELATION OCCUPATION / LOCATION PHONE

III. EDUCATION, SEMINAR & LICENCES

FORMAL EDUCATION (Last Education & High School)

PERIOD *
GRADUATE
NAME of SCHOOL / PLACE* MAJOR* START - END DEGREE**
(Y/N)
(DD/MM/YY – DD/MM/YY)

** SMA/U, STM, SMEA, D1, D2, D3, D4, S1, S2, S3, etc.

INFORMAL EDUCATION

NAME of SCHOOL / PLACE MAJOR PERIOD * CERTIFICAT GRADUATE

(YEAR) E (Y/N)

ATTENDED SEMINAR

NAME of SEMINAR ORGANIZATION / PLACE PERIOD * CERTIFICATE

(YEAR) (Y/N)

CERTIFICATIONS

***NAME of CERTIFICATIONS ORGANIZATION / PLACE / YEAR LEVEL

*** Brevet A & B, CPA, CCNA, TOEFL, TOEIC, Japanese Proficiency Test, Etc

IV. WORKING EXPERIENCE

(Fill in the following form based on the number of job changes you’ve had, starting with your current or most recent job)

A. COMPANY NAME *
COMPANY ADDRESS *
INDUSTRY *
COMPANY CATEGORY □ LOCAL □ PMA □ Joint Venture (Company Origin) :
LAST POSITION * EMPLOYMENT STATUS : □ Contract □ Permanent
POSITION LEVEL * JOB FUNCTION * :
PERIOD *

(DD/MM/YY –
DD/MM/YY)
JOB DESCRIPTIONS *
(Please be detail, and by
points with minimum 10
point)
 NO. OF
SUBORDINATES
DIRECT REPORT TO POSITION :
SALARY * (NET) ALLOWANCE :

(Mention in detail) (Meals & Transportation)

□ Gross □ Net □ All In
OTHER BENEFITS
REASON FOR LEAVING
PREVIOUS POSITION

PERIOD

JOB DESCRIPTIONS

PREVIOUS POSITION

PERIOD

JOB DESCRIPTIONS

B. COMPANY NAME
COMPANY ADDRESS
INDUSTRY
COMPANY CATEGORY □ LOCAL □ PMA □ Joint Venture (Company Origin) :
LAST POSITION EMPLOYMENT STATUS : □ Contract □ Permanent
POSITION LEVEL JOB FUNCTION :
PERIOD

(DD/MM/YY –
DD/MM/YY)
JOB DESCRIPTIONS

(Please be detail, and by

points with minimum 10
point)

NO. OF
SUBORDINATES
DIRECT REPORT TO POSITION :
SALARY ALLOWANCE :

(Meals & Transportation)

□ Gross □ Net □ All In
OTHER BENEFITS
REASON FOR LEAVING
PREVIOUS POSITION

PERIOD

JOB DESCRIPTIONS

C. COMPANY NAME
 COMPANY ADDRESS
INDUSTRY
COMPANY CATEGORY □ LOCAL □ PMA □ Joint Venture (Company Origin) :
LAST POSITION EMPLOYMENT STATUS : □ Contract □ Permanent
POSITION LEVEL JOB FUNCTION :
PERIOD

(DD/MM/YY –
DD/MM/YY)
JOB DESCRIPTIONS

(Please be detail, and by

points with minimum 10
point)

NO. OF
SUBORDINATES
DIRECT REPORT TO POSITION :
SALARY ALLOWANCE :

(Meals & Transportation)

□ Gross □ Net □ All In
OTHER BENEFITS
REASON FOR LEAVING
PREVIOUS POSITION

PERIOD

JOB DESCRIPTIONS

D. COMPANY NAME
COMPANY ADDRESS
INDUSTRY
COMPANY CATEGORY □ LOCAL □ PMA □ Joint Venture (Company Origin) :
LAST POSITION EMPLOYMENT STATUS : □ Contract □ Permanent
POSITION LEVEL JOB FUNCTION :
PERIOD

(DD/MM/YY –
DD/MM/YY)
JOB DESCRIPTIONS

(Please be detail, and by

points with minimum 10
point)

NO. OF
SUBORDINATES
DIRECT REPORT TO POSITION :
SALARY ALLOWANCE :

(Meals & Transportation)

□ Gross □ Net □ All In
OTHER BENEFITS
REASON FOR LEAVING
PREVIOUS POSITION

PERIOD
JOB DESCRIPTIONS
Declaration:
Herewith I certify that the information given above is true to the
best of my knowledge. I undertake to furnish any further
information and/or documents required by the company in the
processing of the application. Moreover, I do agree to follow all
the conditions below:
a) I have never been convicted of any criminal charge.
b) I have never been taken and am presently not taking
drugs.
c) I shall not conduct any direct transaction with the client
introduced by PT. OS Selnajaya Indonesia unless
instructed to do so.
d) I shall not provide any personal contact number to the
client.
e) I shall be punctual and not be late or absent for the entire
interview/test appointments. (Except with prior notice with
acceptable reason).
f) I shall be neat and wear formal dress during the interview
and working days.
g) I shall not forget to contact PT. OS Selnajaya Indonesia
after I have been interviewed.
h) I agree to work for at least 6 months
Pernyataan:
Dengan ini saya menyatakan bahwa informasi yang saya
berikan di atas adalah benar menurut sepengetahuan saya.
Saya berjanji akan memberikan informasi lebih lanjut dan/atau
dokumen-dokumen yang dibutuhkan oleh perusahaan untuk
memproses aplikasi saya. Selain itu, saya bersedia untuk
mengikuti semua kondisi di bawah:
a) Saya tidak pernah terlibat dalam tindak pidana
apapun.
b) Saya tidak pernah menggunakan dan sekarang
sedang tidak menggunakan obat-obatan terlarang.
c) Saya tidak akan melakukan transaksi langsung
dengan klien yang diperkenalkan oleh PT. OS
Selnajaya Indonesia kecuali diinstruksikan untuk
melakukannya.
d) Saya tidak akan memberikan nomor kontak personal
apapun kepada klien.
e) Saya akan tepat waktu dan tidak terlambat atau tidak
hadir dalam semua perjanjian wawancara/tes.
(Kecuali dengan pemberitahuan sebelumnya dengan
alasan yang dapat diterima).
f) Saya akan berpakaian rapi dan formal selama
wawancara dan hari kerja.
g) Saya tidak akan lupa untuk mengontak PT. OS
Selnajaya Indonesia setelah saya selesai diinterview.
h) Saya setuju untuk bekerja setidak-tidaknya selama 6
bulan
Date: __________________
____________________
Signature of applicant