FM-HRD-REC-04

ASEAN Secretariat Affix

Jl. Sisingamangaraja 70A Photograph
Jakarta 12011 Here
(copy and paste)

EMPLOYMENT APPLICATION FORM

Position applied : Information Technology Assistant Date: 20 December 2019

Application Source:

ASEAN website (www.asean.org/opportunities)

Online advertisement (from other website)

Print advertisement

Others: ____________________________________

I.PERSONAL

Name : Susanto Herry______________________ email address : herisusanto89@gmail.com

Last Name First Name Middle Name

Present Address : Tanah Abang Timur Dalam No.3 RT 02 RW 04 Central Jakarta Indonesia 10110
Street City Country Zip Code
Telephone : _______________ (office) Gambir (residence) 081317416854 (hand phone)

Date/month/year of Birth : 01/09/1989 Place of Birth : Jakarta

Gender : Male

Marital Status : Citizenship : Indonesia

Single Identification Card (KTP/Passport) Issued by : Department of Population and

Civil Registration of DKI Jakarta

Married No : 3171010109890002 Issued date : 16/03/2018

Widow(er) Place of issue : Central Jakarta Expiration date : Lifetime

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II. FAMILY BACKGROUND

a. Parents
Name Relationship Date Education Occupation
Of Birth
Sugianto Father 23/05/1962 Junior High School Retired

Witati Mother 10/09/1969 Primary High School Housewife

b. Family / Dependent
Name Relationship Sex Date Education Occupation
of birth
Rahma Sari Wife Female 01/02/1991 Bachelor’s Degree General Affair

III. FORMAL EDUCATION

Years attended
Name of School Location Major Degree Main Subjects
Start Ending granted
1995 2001 Elementary School of Petojo Selatan Jakarta -

2001 2004 Junior High School 94 Jakarta Jakarta -

2004 2007 Senior High School 4 Jakarta Jakarta - Science

South
2008 2014 UIN Syarif Hidayatullah Jakarta S.SI Information System
Tangerang
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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 HR. Rasuna Said Kav. ICT Staff / IDR 48,600,000.00
2015 2019 PT. Jasa Raharja C-2 Kuningan, South Administrative IDR 82,620,000.00
(Persero) Jakarta 12920 / (021) Officer
5203454
Description of your work:
1. Implementing Enterprise Resources Planning (ERP) modules using MS Dynamic AX
2. Responsible for maintain an issues of Software & Hardware collaborate with Service Desk team
3. Review the problem or incident about ERP system and HRIS (Human Resources Information System)
4. Prepare, maintain and update employee data for HRIS (Human Resources Information System)
5. Process and maintain periodic reports of employee record data and develop report from HRIS (Human
Resources Information System)
6. Designing and maintaining database of system using SQL Server
7. Manage IT procurement process, define the Term of Reference (TOR), Owner Estimate Cost, project duration,
Scope of Work (SOW), request for quotation proposal, negotiations and evaluation of service level
8. Planning, designing live projects/application, perform User Acceptance Test (UAT) and also create User Manual
for implementation
Reason for leaving : Supervisor’s Name : Mr. Saldhy Putranto
1. I am looking for a new challenge at work and also Telephone : +6285379969798
ready to explore my skills on my career path
2. Corporate work culture wasn’t comfortable to follow

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

Organisation / (Excluding allowances)
Company
From To PT. Lotte Data Prof. DR. Satrio Kav. IT Support Staff IDR 30,576,000.00
2014 2015 Communication 3-5 Karet Kuningan, IDR 30,576,000.00
Indonesia Setiabudi, South
(LOTTE DUTY Jakarta 12940 / (021)
FREE) 82430746
Description of your work :
1. Installing and configuring computer hardware, software, networks and printers
2. Troubleshoot system and network problems, diagnosing and solving software or hardware faults
3. Monitoring and maintaining Point of Sales (POS) system and database using SQL Server
4. Responding in a timely manner to service issues and requests
Reason for leaving : Supervisor’s Name : Mr. Choi
Looking for a better career and also improve my skills Telephone : +6287785066533

Total working experience : +4 years Salary expectation : IDR 8.500.000

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
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Please note, however, that before making an offer of employment ASEAN Secretariat is required to contact both your
present and previous employers.
_______________________________________________________________________________________________

V. SKILLS
Remarks
Computer MAINTENANCE PC LAN

(for computer related position)

Softwares : MS Office Package, Adobe Photoshop, MS SQL Server,
Symantec Antivirus
Speak Read /Write
Language
Fair Good Fluent Fair Good Fluent
Indonesia
Conversation
English
Practice
Other

VI. COURSE / TRAINING RECORD

Certification/Seminar/Course Description/Type Institution Place/Location Duration
On the Job Training/Training
ITIL Foundation AXA Tower / Prof.  4 Days training (18 –
Certificate in IT DR. Satrio Kav.18 21 April 2016)
AXELOS &
ITIL Foundation Service RT 02 RW 04  1 Day exam (22 April
Multimatics
Management Kuningan, South 2016)
Jakarta 12940
 5 Days training,
provided by PT. ATD
AXA Tower / Prof. Solution Indonesia
The Open Group,
DR. Satrio Kav.18 (16 – 20 Oct 2017)
PT. ATD Solution
TOGAF 9 TOGAF 9 Certified RT 02 RW 04  1 Day exam, provided
Indonesia &
Kuningan, South by Multimatics (30
Multimatics
Jakarta 12940 Nov 2018)
 Date certified on 3
Dec 2018

Have you been charged for committing to any crime? If yes, please explain.

No, I haven’t
Are you a member of labour organization or political party? If yes, please state the name, address and your position in the
organization.

No, I am not
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.
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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.

If this space not enough, please use next page.

Please mention three (3) references

No. Name Occupation Address & Email Telephone

1. Mr. Ariawan ICT Staff - +628118855223
2. Mr. Dody Agung ICT Staff - +6281312503050
3. Mr. Hari Murti Wirawan Sr IT Auditor - +6287882327105
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 : ___________________________