APPLICATION FORM

Full name : Putra Rimba Pratama Ref Code

First name(s) : Sure name/ last name : Rimba Date : 13-04-2021

Putra Pratama
Permanent address : Desa Bulu-Bulu Phone (home) Position applied :
Kec. Tonra Kab. Bone MARKETING
EXECUTIVE
Current address : BTN Sao Sarana Phone (office)
Indah B3 no.10

Email : Putrarimba120@gmail.com Mobile Phone : Location : Makassar

081343902050

Place & Date of birth : Ujung Pandang, 26 Desember 1993 Age: 27

Religion : Islam Sex √ Male Female Marital status : Single

Blood type : A ID num. 7308052612930001

FAMILY MEMBER
Spouse name Occupancy
Place & Date of birth Phone
Name of kids Education level Age Sex

PARENTS
Name of parents Age Education level Occupancy Address
59 S1 private house Kabupaten Bone
Sapanuddin
55 S1 private house Kabupaten Bone
Ratna m

BROTHERS & SISTERS

Name Sex Age Education level Occupancy
Indah dwiyana Putri female 23 S1 Private house
BELONGINGS
Home ownership status Vehicle ownership status
√ Private Rent Boarding Brand/ type : √ Private Parent’s
house Matic Yamaha

Parent’s Other Production year : Office’s Other

2019

EDUCATIONAL BACKGROUND
Education Level Period Name of Institution Major Grade / IPK
From To
S1 2011 2017 UNIVERSITAS NEGERI MAKASSAR Pendidikan 3.19
Teknik
Informatika dan
komputer

Academic Achievement Record

OTHER COURSE/SEMINAR
Subject Period Promoter City Date of Certificate
From To
21 -09- 25-09- Sekolah pintar jakarta 29-09-2020
Negotiation 2020 2020
techniuqe

ORGANIZATIONAL MEMBERSHIP (SCHOOL/ SOCIAL/ PROFESSIONAL)

Name of organization Period City Position
From To

WORKING EXPERIENCE
Month Year Name of employer, address, contact number Position
From
To
Job description (please describe it clearly)

Reason of leaving Last salary & benefit (detail)

WORKING EXPERIENCE
Month Year Name of employer, address, contact number Position
From
To
Job description (please describe it clearly)

Reason of leaving Last salary & benefit(detail)

WORKING EXPERIENCE
Month Year Name of employer, address, contact number Position
From
To
Job description (please describe it clearly)

Reason of leaving Last salary & benefit (detail)

Please describe your latest position in organization chart scheme

GENERAL INFORMATION
 Questions Answers
Yes No Description
Have you ever applied to our company / group before? Yes if the company opens a job vacancy that
When? What kind of position do you apply for? is the same as the competency of the
department that I have
Are you also applying to other company at this moment? Yes MARKETING EXECUTIVE
What kind of position do you apply for?

Are you signing any contract with other No

company/organization?

Do you have any part time job? No

What kind of job ?

Do you have any friends / relatives working in our group / No

company?
Please mention if any.

Have you ever had chronically disease/accident/surgery? Yes I was in a car accident and had broken
Please mention if any. bones in the shoulder and ankle

Have you ever taken a psychological test before? Yes The psychological test that I took was
When ? What is the purpose of the test? aimed at selecting employee admissions

Do you have any criminal record? No

Are you willing to travel or to be placed out of town?
What is the most suitable job for you?
What kind of job is not suitable for you ?
Yes if I am accepted I am willing to go on a
business trip or be placed outside the city
I think a job in marketing suits me because I have good
negotiation skills and also always learn about new things
I haven't found a job that is not suitable for me

Please mention your salary and remuneration package
expectation
If you recruit, when you can start working?
Mention the names, addresses, contact numbers of your
references
I feel a salary of two million eight hundred thousand is
suitable for me, who is still a freshgraduate, including
bonus packages and other benefits
if accepted in the company I am willing to work as soon as
possible
Putra Rimba Pratama, Btn Sao sarana Indah B3 no.10,
081343902050

I understand that any omission or misrepresentation with respect to this information may be cause for denial or
immediate termination of employment.

Makassar, 19 Mei 2021

( Putra Rimba Pratama )