PT APEXINDO PRATA

Gedung Offi
Jl. Jend Sudir
HUMAN R

POSITION APPLIED : DRIVER DATE: 29 Agustus 2020

APPLICATION FOR EMPLOYEMENT FORM

- The Content of this Form have no obligation for both parties
- This form should be completed in English

THE SOURCE OF INFORMATION FOR POSITION APPLIED (please choose)

1. Apexindo Website 4. On my own

2. Newspaper adv. 5. Apexindo Empoyee (please mention)
3. Friend/Relatives 6. Other (please mention)

PERSONAL DETAIL
FULL NAME : HADI SOFYAN NICKNAME: HADI
DATE OF BIRTH : 24 JANUARI 1992 PLACE : DEPOK
ID/PASSPORT NUMBER : 3174062401920000
ADDRESS : JL.H.KAMIN NO.04 RT.001/007 KP.SASAK, LIMO, DEPOK
CITY : DEPOK COUNTRY: JAWA BARAT
CONTACT NUMBER : +6282199741044HOME : MOBILE :
EMAIL ADDRESS : hadisianturi9@gmail.com
NATIONALITY : INDONESIA ETHNIC: BATAK
MARITAL STATUS : MENIKAH RELIGION : ISLAM

FAMILY DETAILS
No. Family Relation M/F Name Place & DOB Education
1 Father M HADI SOFYAN LIMO, DEPOK SMK
2 Mother F SAANINGSIH LIMO, DEPOK SMK
3 Spouse
4 Child/Sibling/Self
5 Child/Sibling/Self
6 Child/Sibling/Self
7 Child/Sibling/Self
8 Child/Sibling/Self

You are child number from total children of

FORMAL EDUCATION
Formal Years Degree &
No. School/ University Name
Education From To Major
1 SMK AL-HIDAYAH, CINERE Sr. High School 2007 2010
 2 Academy
3 University
4 Post Graduate
5

INFORMAL EDUCATION, TRAINING, COURSE, SEMINAR

No. Institution Name Location Sucject/ Topic Month & Year Certified

1 Yes/ No
2 Yes/ No
3 Yes/ No
4 Yes/ No
5 Yes/ No

FOREIGN LANGUAGES
No. Language Speaking
1 English Fair Good Excellent Fair
2 Fair Good Excellent Fair
3 Fair Good Excellent Fair

No. Skill Name

1 Fair
2 Fair
3 Fair
4 Fair
5 Fair

GENERAL INFORMATION
No. Strenght(s) Weakness(es) Inte
1
2
3
4
5

WORKING EXPERIENCES (START WITH CURRENT JOB, INCLUDING TEMPORARY WORK & VOCATIONAL TRAINING)

Name & Type of Month & Years

Rig (Land Rig,
No. Company Name Position Rig Location Client W/O, Jack Up, Geothermal/
Oil Project
Semi, Tender) From

1 PIZZA HUT INDONESIA IVENTORY STAFF 2010

JAKARTA SELATAN

2 PREMIUM CONSULTANT DRIVER 2013

JAKARTA SELATAN
 3 MASPION GROUP DRIVER 2018

10

WORKING REFERENCES
No Name Company Name Location
1
2
3
4
5

GENERAL
Your expected salary on the position applied (Brutto / Nett)
Are you willing to relocate? Yes / No (if No please explain)
Are you willing to travel? Yes / No (if No please explain)
Have you been or are you suffering from any serious physical disability or disease? Yes/No (if Yes please

I declare that the above mentioned statements are true and ready for any retribution if company found impropriate data.

HADI SOFYAN )
(signature of applicant)
 PRATAMA DUTA TBK.
Gedung Office 8 lantai 20-21, SCBD Lot 28
Jl. Jend Sudirman Kav 52-53 Jakarta 12190
HUMAN RESOURCES DEPARTMENT

NAME: HADI
: DEPOK

ZIP CODE : 16515

C: BATAK
ION : ISLAM

Occupation

Graduate NEM / GPA

Yes/No
 Yes/No
Yes/No
Yes/No
Yes/No

Date Of
Certificate Certifacate Attached
Validity
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No

Written
Good Excellent
Good Excellent
Good Excellent

Level
Good Excellent
Good Excellent
Good Excellent
Good Excellent
Good Excellent

Interest/ Hobby

TRAINING)

onth & Years

Reason for Leaving

To

2012 HABIS KONTRAK

2016 HABIS KONTRAK

 2020 HABIS KONTRAK

Position Title

o (if Yes please explain below)

ta.