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United States Department of State

US Mission to Indonesia & US Mission to ASEAN

The Human Resource Recruitment Team at U.S. Bi-Mission Indonesia performs employment related
background checks including the verification of an individual’s employment history. Your information
was provided by a job candidate as a professional reference. Please help us to verify the employment
history.

PLEASE NOTE THAT THIS REQUEST IS TIME SENSITIVE. ANY EFFORTS TO EXPEDITE
THE TRANSMISSION OF THIS INFORMATION ARE GREATLY APPRECIATED.

Thank you for your time and attention to this matter.

SECTION 1 – JOB CANDIDATE DETAILS

Employee’s name: Mr. Tri Arianto

Position Title: Assistant Admin

SECTION 2 – VERIFIED CANDIDATE EMPLOYMENT DETAILS

1. Please verify the candidate’s employment dates. 10 Sept 2016 -

2. Please verify the candidate’s annual salary.

3. Please verify why the candidate left or is leaving your employment.

4. Did the candidate get along with co-workers and management?

5. Would you re-rehire the candidate?

6. Is there anything else regarding the candidate we should know?

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