‘3 Hex FORMULIR LAMARAN PEKERJAAN eae JOB APPLICATION FORM GROUP Tnstruksi Pengisian / Instructions to fill out Private and Confidential 1. Semua bagian formulir harus diisi dengan mengisi ruang kosong. Jika ada bagian yang tidak berlaku untuk Anda, ‘masukkan 'NIL' ATAU 'TIDAK BERLAKU’. All sections of the form must be completed by filling in the blank spaces. If any section does not apply to you, insert ‘NIL! OR ‘NA’. 2. Formulir ini telah dirancang untuk memberikan informasi dasar untuk memudahkan pemrosesan aplikasi Anda, This form has been designed to provide basic information for easy processing of your application. Data Pribadi / Personal Data Posisi yang dilamar Position Applied for WARKETING MANAGER Nama Lengkap (Nama Panggilan) Full Nome (Nickname) Je ‘Alamat KTP No, Telp Rumah ID Address SSD Tn melingoly Sector l- 6 Blok es7 Home Telp. Ol - 8379327, No. Handphone Mobile Contact Number OB8U18S2901S IDNumber 38F401 S04 3400 ( ‘Alamat Saat Ini ( Jika berbeda dengan KTP) | Status Perkawinan [&JBelum Kawin / Single Corresponding Address (if different from ID address) | Marital Status Dkawin / Married | Lianda/duda / Widow /Widower DAcerai/ divorced JenisKelamin —_-BRJLaki- aki / Male | Gender LPerempuan / Female Peofsire [omteopainn 28 Tune / NM | Reon Kristen a Ferree la pay formsbon Nama | Hubungon KeWargs | JenieKelamin | Usia | Pekeraan/ Tempat Kerja Name Family Relationship Gender | Age | — Occupation / Place of Work Sulaiman BAPAK/Ah | OL Sales manager * Thu rumah tangy q oe Hadrank beak eis Agthn | ASSinront monager lai man |Referensi/ Reference Mohon tuliskan nama dan alamat 3 referensi yang tidak saling berhubungan Please give names and addresses of 3 non related references Nama Hubungan Relation Posiss | Perusahaan Position Company g BE a = < | Cokosina Gita | Coworker | CusterHead | CoHlive | 081g iui B84 Erich Hirawan | Sutertoe Coo Cotive | oBIF 74709 Ruxin dov | Co worker CTR | Semmaceton | VY Riwayat Pekerjaan di 3 Tempat Terakhir (Dimulai dengan pekerjaan yang sekarang) Last 3 Places of Employment (Start with your most recent employment) 1. Dari -Sampai | Nama Perusahaan | Posisi | Company Name PT Produk \sewanypadigital | Position OPRartemal manager Gali Pokok & Fasilitas : Basic Salary & Other benefits RP 'S-000. 000 /tAsurance Alasan Keluar q eee Reason For Leaving \ leet For an offer *mnity eo Advance my Corey Path /Develorment. 2. Dari -Sampai Nama Perusahaan o@ Posisi : Sta Tenggara, From - Until lBoeesye rower Company Name “eNLASO Position FACt\ety manage Gali Pokok & Fasiitas Basic Salary & Other benefits RY. 970°. Coo Alasan Keluar Reason For Leaving lard OFF Pandemic coved LY 3. Dari- Sampai Nama Perusahaan | Posisi From Until 1247 Yunero\DorcmigeCOmpany Name Pullman Jakarkaindonsia | Position Exeoudive large agent Gaji Pokok & Fasilitas Basic Solary& Other benefits RP Boe 00 Alasan Keluar Reason For leaving | LEFL For an oPPortuntty te Advance my Career Ruth Develo? men, ‘Gambarkan Struktur Organisasi Yang Memperlihatkan Posisi Anda di Tempat Terakhir Anda Describe The Organizational Structure That Shows Your Position in Most Recent Employment CHIEF oferoting oFFiCer OPerattonal moneger L Sakk§ momay er + Telemraretting monger + Debt corjecttonPendidikan / Education Nama Sekolah / Lembaga/ Negara. | Jurusan Dari | Sampai Sertifikat Name of Schoo! Institution / Country | Major From | Until Certification TriSak ti Institute of tourion HosPitality jro | 2012 Lulus. 5. ] ‘Kursus Pelatihan Lainnya / Other Training Course Lembaga Nama Pelatihan | Dari | Sampai | Sertifikat Institution Course Nome | From | Until | Certification 1 | | | ELokuensi English course had elo | Lulus 3. a oe | 1 1 | | | Kemampuan Bahasa / Language Skills Bahasa | Berbicara / Spoken | Menulis/ Written Language (5 nilaltertinggi /5= top score) | (S=nilaltertinggi/ 5 = top score) 1 Indonesia O: D2 O3 Of Bs 2. See | | aeasies aT =e English | | O1 D2 O3 Os Bs at uieh po ain a Whom digeta [mmo o os | wo oO Oo os 4 é ae : | O: O2 O83 Os Os O:1 O2 oO: Oe Os‘Sumber Informasi Tentang Lowongan Kerja / Source of Information About Job Vacancies g Portal Pekerjaan (Jobstreet / Jobsdb) | f Website Karir Perusahaan Job Portal (Jobstreet / Jobsdb) | “company Career Website [a®eferensi Agen Perekruten (Sebutkan Nama Agen) | plains tain: Referral via recruitment agency (Name of Agency} | Mothers [Paeferens! Karyawan (Sebutkan Nama Karyawan} ‘Company Career Website Pertanyaan Umum / General Questions 1. Apakah anda pernah melakukan wawancara di perusahaan kami dalam 12 bulan terakhir?, oe gk Have you been interviewed by our company in the last 12 months? No 2. Pernahkah Anda terlibat tindakan kriminal? wu Have you ever been involved in a crime? No 3. Apakah anda pernah atau sedang menderita penyakit / kondisi perawatan medis / penyakit ‘mental atau gangguan fisik ? Have you been or are suffering from any disease / major medical conditions / mental illness or physical impairment ? 4. Apakah anda memiliki kerabat/teman yang pemnah atau bekerja di perusahaan kami o® Have you relatves/ friends who have worked or are working in our company? Yes Kapan anda dapat mulai bekerja? | Gaji & Fasilitas yang di harapkan? When you can start working? 26 oCtolee 202 ( Salary & Facilities Expectation RR. \ 4+ 00. 000 Mohon untuk dapat menjelaskan secara detail jika terdapat jawaban diatas "Ya’ Please provide further details if any of the answers above said is "Yes" Pemyataan] Decoration ‘Saya menyatakan bahwa semua informasi yang saya berikan diatas adalah benar dan apa adanya. Saya sadar bahwa apabila informasidiatas secara faktual terbukti salah, maka aplikasi saya akan ditolak, dan apabila terbukti salah ketika saya sudah diterima bekerja, maka saya secara otomatis akan dikeluarkan, I declare that the information given is true and correct to the best of my knowledge. | am aware that in the event this information is found factually incorrect, prior to employment, my application is liable to be rejected and if discovered while under employment, | am liable to be summarily dismissed. dideklarasikan Oleh, Declared by, Vonetion Sulaiman Date: 18/10/7202 (