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PT. Equine Global - PT. Niagaprima Paramitra - PT. Optima Data Internasional - PT. Xsis Mitra Utama Photograph
EMPLOYMENT APPLICATION
Please read carefully and complete all sections in this form. Completeness of your application form will be
taken into account in our decision. In case of difficulty, do not hesitate to contact us.
PERSONAL DATA
PRIVATE EMAIL
Kanter.bill@yahoo.co.id
ADDRESS
7102102012950002
ID NUMBER (No. KTP)
RELIGION Christian
SEX Male
Undergraduate (S1)
LATEST EDUCATION
MARITAL STATUS
FAMILY DATA
RELATION FULL NAME SEX PLACE/DATE OF BIRTH EDUCATION OCCUPATION
M PALEMBANG HIGH SCHOOL MECHANIC
Father BOB KANTER
F JAKARTA HIGH SCHOOL HAIR DRESSER
Mother
ASTRID MASSIE
Brother/Sister
Brother/Sister
Brother/Sister
(Filled if you are married/separated)
Husband/Wife
1st child
2nd child
3rd child
FORMAL EDUCATION
School Name
SMA LOKON TOMOHON SULUT Certification:
HIGHSCHOOL Major
NATURAL SCIENCES
□ Yes
Until □ No
Period (Year)
2010 2013
School Name
UNIVERSITAS KRISTEN INDONESIA JAKARTA
Major Certification:
FINANCIAL MANAGEMENT, GENERAL MANAGEMENT
UNIVERSITY/ACADEMY
GPA (IPK) 3.53
□ Yes
□ No
until
Period (Year)
2013 2017
UNIVERSITY/ACADEMY School Name Certification:
□ Yes
Major □ No
GPA (IPK)
Period (Year) until
1.
□ Yes
□ No
2.
□ Yes
□ No
3.
□ Yes
□ No
4.
□ Yes
□ No
5.
□ Yes
□ No
INTERNATIONAL CERTIFICATION
NO. CERTIFICATION NAME CERTIFICATION PROVIDER CERTIFICATION NOTES
YEAR
1.
2.
3.
4.
5.
SPECIAL SKILLS/ABILITIES
NO. DESCRIPTION CERTIFICATION
1.
□ Yes
□ No
2.
□ Yes
□ No
3.
□ Yes
□ No
Equine Technologies Group Member:
PT. Equine Global - PT. Niagaprima Paramitra - PT. Optima Data Internasional - PT. Xsis Mitra Utama
Head Office: The City Center (TCC) Batavia – Tower One 33 rd Floor, Jl. KH. Mas Mansyur Kav. 126 Jakarta Pusat 10220
Phone: +62 21 2967 8261, Email: hr@equine.co.id
4.
□ Yes
□ No
5.
□ Yes
□ No
WORKING EXPERIENCES
(Please start from your LATEST working experience)
PROJECTS HANDLED
COMPANY NAME
COMPANY INDUSTRY
SEGMENT
COMPANY ADDRESS
JOB POSITION
until
WORKING PERIOD
JOB DESCRIPTION
PROJECTS HANDLED
COMPANY NAME
COMPANY INDUSTRY
SEGMENT
COMPANY ADDRESS
JOB POSITION
until
WORKING PERIOD
JOB DESCRIPTION
PROJECTS HANDLED
LATEST SALARY
TERMINATION REASON
REFERENCES
(Please state 2 referrer’s name who have known you (professionally) for at least 1 year, along with their
contact details and occupation)
NAME
ADDRESS
1.
Phone :
OCCUPATION
RELATIONSHIP
(With You)
2.
NAME
ADDRESS
Phone :
OCCUPATION
2. Commission/Bonus Rp NO
3. Medical Rp NO □ Reimburse
4. Transportation Rp NO
5. Other benefits NO
If you are considered as a qualified candidate for Equine
Technologies Group employee : RIGHT NOW
1. When do you available to start to work? ………………………………………………..
2. How much is your expected monthly salary? Rp …5…………………………………………
3. Are you willing to work overtime? YES Yes
4. Are you willing to be placed to work out of city/country? Yes
YES
Hereby I stated all of the information above is true and I’m fully responsible for all of the consequences if any of the
statement above is not true.
Date:
Candidate’s signature,
(Name)