Professional Documents
Culture Documents
Applicant Personal Information: Birth Marital Status
Applicant Personal Information: Birth Marital Status
xlsx
Job applied : Please fill this form with complete and clear
Medical Doctor information .
Full name/ nickname : Gerry Juliansyah
Address within town (complete) : Jl. Kikim 1 Blok V No. 2 Rt. 25 Rw. 7 Palembang
HR FORM/553994896.xlsx
553994896.xlsx
Year
Level Name City/Palce Major Pass/ Not
From To
Secondaru School SD Kartika II-3 Palembang 1994 2000 Pass
Diploma
Course/ Training
Type Enforcement City/ Place Duration Year Financed by
Social activities :
Organization Types of activities Position Year
Sport
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HR FORM/553994896.xlsx
553994896.xlsx
HR FORM/553994896.xlsx
553994896.xlsx
Sebagai dokter verifikator BPJS yang bertanggung jawab untuk claim BPJS di Rumah Sakit.
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HR FORM/553994896.xlsx
553994896.xlsx
ANSWER
QUESTION
Yes No Description
Have you ever applied at this company group before?
If yes please specify the time and the position. No
Aside from this company, where else are you applying at?
And for what posItion? No
Are you still under contract with the company
you are working at? No
Do you have side job or part time job? Praktek Dokter Umum
If yes please specify the place and time period Yes
Do you mind if we ask reference from the company Amelia, as a PIC BPJS
you have worked before? Yes
Do you have relative or friend working in this company
or group companies? Please specify No
Have you suffered from chronic or terminal illness
or experienced severe accident and surgery?
If yes please specify the type of illness and the time No
Have you ever had pshycology examination Pada tes CPNS Polri
HR FORM/553994896.xlsx
553994896.xlsx
HR FORM/553994896.xlsx