Application for

Employment

Applicant’s Name MUHAMMAD JULIANSYAH

Desired Position
COOK / FOOD PRODUCTS
Salary Expectation
Rp. 1.800.000
Date of Application
 Personal Details
Full Name (Firstname, Fullname): Muhammad Juliansyah

For Married women (State maiden name): -

Sex: ☐Male ☐Female Nationality: Female

Date of Birth: 06 July 2001 Place of Birth: Tanjungpinang

Height: 175 Cm Weight: 62 Kg

Marital status: Single Number of children: -

Passport Number: - I.D Number: -

Telp no in Case Emergency: 0831-8311-4566 Contact Name: Efrilla Taurusia

Religion: Islam Permament Address: Berakit Village, Teluk Sebong

district,Bintan Regency

Telp No: 0831-8404-7057

Mobile no: -

Particular about immediate family (Wife, Husband, Parents, siblings, etc)

Name Relationship/Age Occupation Place of Occupation
Jumiati Mother/45 Th Teacher Berakit Village

Mutriadi Father /45 Th Fisherman Berakit Village

Efrilla Taurusia Sister/ 25 Th Bintan District Helath Bandar Seri Bentan

Office Staff

Spoken Written
Language
Excellent Well Fair Excellent Well Fair

INDONESIA √ √

INGGRIS √ √
 Work Experiences (Starting from most recent)
Peride of
Name & Address Reason to
Employment Position Salary
of Employer leave
From To
Harris Hotel Resort Apprenticeship/ Finished the
2021 2021 Rp. 400.000
Waterfront Chef intership
Harris Hotel Resort Finished the
2021 2021 Part Time/ Chef Rp. 500.000
Waterfront intership

References (Relative do not counts as references)

Name Address Phone No. Occupation
- - - -

Questions Answer

Have you ever had any serious illness

NEVER
or any physical disability?

Have you ever been convicted in NEVER

court of law in any country?

Have you ever been dismissed or NEVER

suspended by any employer?

Do you have friends/relatives working in this NO

Hotel? Please provide name(s)

What do you do in you free time? Fishing, Playing Volly and Playing Games
Sports activities? Hobbies?

What does genuine hospitality m0ean
to you? Please describe or define
Friendly and sincere is an attitude that must be
applied as one of good ethics. Friendly and sincere
nature can be shown by speaking politely, always
smiling and respecting others regardless of the social
status of the person.

Why are you the right person to work at because I have a high work spirit, loyalty, honesty and
MaxOneHotels.com? have a high curiosity

I hereby declare that every statement given by me in this form is true, correct and given voluntarily. I have
not willfully withheld any information relevant to this application. I authorize the Management to submit the said
information to any person or organization for the purpose of any investigation which the Management may desire to
make. I agree to indemnify the Management from all liabilities, demands, claims, suits, proceeding, cost and expenses
of any nature in connection with the foregoing. I also agree that if any false declaration is made by me, my contract
may be terminated without notice.

Signature of Applicant: Date: 26 October 2021

For Official Use Only
Remarks by Administration & General Departments

Signature: Date:

Remarks by Department user

Signature: Date:

Remarks by COO

Signature: Date:

Selected Candidate (For A&G Department)

Name: Department:

Position: Section:

Start Date: Salary:

Other remarks: