PT.

BIOTEK CIPTA KREASI

APPLICATION FOR EMPLOYMENT

POSITION APPLIED FOR:

PHOTO

4x6

DATE OF APPLICATION

PERSONAL

FIRST NAME MIDDLE NAME LAST NAME NICK NAME ID NUMBER

PRESENT ADDRESS SINCE (M/YY) TELP / HP

PREVIOUS RESIDENCE ADDRESS

CHECK ONE: ⃝ OWN HOME ⃝ RENT ⃝ LIVE WITH PARRENT ⃝ BOARD ⃝ ………..

DATE OF BIRTH AGE PLACE OF BIRTH SEX HEIGHT WEIGHT RELIGION

⃝M ⃝F

MARITAL STATUS: ⃝ SINGLE ⃝ MARRIED ⃝ WIDOWED ⃝ SEPARATED NATIONALITY:

IF MARRIED, GIVE NAME AND BIRTH DATE OF CHILDREN

LIST BELLOW NAMES, ADDRESS AND OCCUPATION OF MEMBER OF YOUR FAMILY INDICATE IF PARENTS ARE DESEACED

NAME RELATIONSHIP ADDRESS OCCUPATION WHERE EMPLOYED

WIFE / HUSBAND

FATHER

MOTHER

SISTER / BROTHER

SISTER / BROTHER

SISTER / BROTHER

SISTER / BROTHER

SISTER / BROTHER

ARE YOU RELATED TO ANYONE WHO WORKING FOR US? IF YES, PLEASE GIVE NAME(S) AND RELATIONSHIP(S)

⃝ YES ⃝ NO

WHO IS REFERRED YOU TO US?

⃝ BCK EMPLOYEE ⃝ PLACEMENT AGENCY ⃝ SCHOOL ⃝ OWN INITIATIVE ⃝ ……….

 EDUCATION
(from latest)

YEARS ATTENDED DEGREE GRANTED OR

TYPE OF SCHOOL NAME OF SCHOOL MAJOR SUBJECT
FROM TO HIGHEST ATTAINMENT

HONOR RECEIVED

DO YOU PLAN TO FURTHER YOUR EDUCATION? AVERAGE GRADE or LATEST GPA (COLLEGE / UNIVERSITY)

⃝ YES, WHEN: ⃝ NO

MEMBERSHIP (PROFESIONAL BUSINESS OR CIVIL ORGANIZATION)

NAME OF ORGANIZATION FROM TO POSITION

TRAINING

SEMINARS / WORKSHOP / SPECIAL COURSES DURATION FROM TO INSTITUTION

SKILL AND LICENSES

COMPUTER SKILL (Please state the computer applications and MACHINES OR EQUIPMENT YOU CAN OPERATE
programming languages you are proficient in.)

WHAT IS YOUR FOREIGN LANGUAGES DO YOU SPEAK, READ, AND WRITE? DIALECTS/SCORE

OTHER QUALIFICATION OR SPECIAL ABILITIES, LICENSES, AND AWARDS:

(Please state the complete names of the Licenses and Awards obtained.)
 WORK EXPERIENCE
(from latest)

EMPLOYER TYPE OF BUSINESS ADDRESS TELP

FROM (DD/MM/YY) TO (DD/MM/YY) STARTING SALARY LAST SALARY REASON FOR LEAVING

POSITION NAME OF YOUR SUPERIOR HIS/HER POSITION

BRIEF DISCRIPTION OF WORK

EMPLOYEMENT DATES SALARY OR REASON FOR

COMPANY AND ADDRESS POSITION
FROM TO WAGE LEAVING

MAY WE CONTACT YOUR PRESENT EMPLOYER WITHOUT JEOPARDIZING YOUR POSITION? ⃝ YES ⃝ NO

WORK INTEREST

KIND OF WORK MOST WANTED OTHER KIND OF WORK IN WHICH INTERESTED

WHAT YOUR REASONS FOR SELECTING TO THIS / THESE FIELD(S)?

WHAT YOUR FUTURE PLAN

DO YOU HAVE ANY OUTSIDE BUSINESS INTEREST? PLEASE EXPLAIN

WILL YOU ACCEPT OUTSIDE ASSIGNMENT? DATE AVAILABLE FOR EMPLOYMENT STARTING SALARY DESIRED

RP.

REFERENCES

NAME POSITION / OCCUPATION ADDRESS TELP

 NATURE OF COMPLAINDATECOURTDISPOSITION OF CASE

⃝ YES (PLEASE COMPLETE THE FOLLOWING) ⃝ NO

HAVE YOU EVER BEEN ARRESTED / INVOLVED IN A CIVIL, CRIMINAL OR MILITARY COURT ACTION?
LIST COUNTRIES YOU HAVE VISITED AND DURATION OF STAY
IN YOUR OWN WORD, PLEASE EXPLAIN BRIEFLY WHY YOU ARE CONSIDERED EMPLOYMENT WITH OUR COMPANY

DATE OF LAST PHYSICAL EXAMINATION

DO YOU HAVE ANY PHYSICAL / CHRONIC AILMENT?

HAVE YOU EVER HOSPITALIZED OR HAD ANY SURGERY?

⃝ YES

⃝ YES
⃝ NO

⃝ NO
BY WHOM

INDICATE

EXPLAIN

GENERAL INFORMATION
I CERTIFY THAT THE STATEMENTS I HAVE MADE IN THIS APPLICATION ARE TRUE AND CORRECT AND ANY MISREPRESENTATION, FALSIFICATION OR
WILLFULL OMISSION HEREIN SHALL BE SUFFICIENT REASON FOR DIMISSAL FROM OR REFUSAL OR EMPLOYMENT BY THIS COMPANY. I AUTHORIZE
THIS COMPANY TO INVESTIGATE THE ACCURAY AND COMPLETENESS OF THE INFORMATION CONTAINED HERE IN. I AGREE TO SUBMIT MY SELF TO
PHYSICAL EXAMINATION AND SUCH OTHERS FUTURE EXAMINATION WHICH MAY BE REQUIRED OF ME. I FUTHER STATE THAT I AM NOT AND NEVER
HAVE BEEN A MEMBER ORGANIZATION WHICH ADVOCATES TO OVERTHROW THE GOVERMENT OF THE REPULBIC OF THE INDONESIA.

YOGYAKARTA, IN CASE OF EMERGENCY, NOTIFY

NAME

ADDRESS

TELP ‘
Personal Qualities
Please state the answer in English and limit the answers within 250 words or less for each question.
1. At PT Biotek Cipta Kreasi we are looking for talents who are passionate about working with us and
have a genuine interest in our industry. Please address the following question in your response:
- What do you know about PT Biotek Cipta Kreasi?
- Do you know any history of this company?
- Why do you want to work at PT Biotek Cipta Kreasi? – Why PT Biotek Cipta Kreasi?
(max 250 words)
2. We want our talents to have successful careers at PT Biotek Cipta Kreasi, so we are interested to
get more information about you. Please consider the following questions in your response:
- Tell us about yourself and what qualities represent you best
- How do you see yourself in 5 (five) years?
- Tell us about a time you went above and beyond
- Do you regret anything in your life? If yes, what would you change?
(max 250 words)
3. At PT Biotek Cipta Kreasi our objective is to be the leading national Biotechnology Company. In
everything we do, we must also consider the potential risks. In your opinion, what do you think the
top three difficult parts of the role that you are applying for?
(max 250 words)
4. Please describe a situation when you have done something that makes you proud and you would
bring it to PT BIotek Cipta Kreasi. Please consider the following questions in your response:
- What was the situation?
- What challenges did you face in doing this?
- What approach did you take and why did you choose this approach?
- What was the direct result of your involvement?
- What did you learn from this experience?
(max 250 words)
5. At PT Biotek Cipta Kreasi you would have the opportunity to work individually and in a team
environment. We want to know how you work as a team and please set an example. Do not forget
to describe a time when you needed act quickly and how this supported your team.