Professional Documents
Culture Documents
photo
Position Applied For :
Date of Application :
PERSONAL INFORMATION
Full Name
Home Address
Telephone
Religion
Sex
Date/Place Of Birth
Marital Status
Nationality
Have you ever been employed by Bumi Raya or any of the subsidiaries? Y N
If "Yes" Please indicate the period, position and company
Have you previously applied for employment with Bumi Raya or any of the subsidiaries?
Y N
If "Yes" when and for what position?
Name: Relationship:
Do you have any special skills or aptitudes e.g. Language, manual skills, public speaking etc?
Are you currently studying? If yes, please state the type of course, name of course, name of institution and when you
will be completing:
WORK HISTORY
Year Position Company Reason for leaving Renumeration Package
How much is your current salary? And what are the allowances and benefits that you receive?
MEDICAL HISTORY
Do you suffer from any illnesses whose effect impair your ability to handle the job you are applying for?
Y N
REFERENCES
Baramutiara Prima may inquire at will To check with applicant before enquiring
CERTIFICATION
I cerify that I understand the questions and the answer and information given herein are true and complete to the best
of my knowledge. In the event of employment, I understand that false or misleading information given in my applicati
or interview(s) may result in discharge. I understand, also, that I am required to abide by rules and regulations
of the company.
Date: Signature: