Application Form

Personal
Identification
Name Savitri Ramadhani
Surabaya, 4 Januari 1999
Place & Date of Birth
Age: 23
Sex Male Female
Single Married
Marital Status
Other:……………
Address Jl. Gayung Kebonsari I No.12, Gayungan, Ketintang,
Surabaya, Jawa Timur
Phone (Home) 085227726760
Celullar Phone 085227726760
Identity Card No. 3515184401990004

Transportation
Car wMotorcycle Public Transportation Others:………………..

Education
Graduation Year Name & Location of School
Primary 2011 SDN Pepelegi 2
2014
Junior SMPN 2 Sidoarjo

Senior 2017 SMAN 2 Sidoarjo

University 2022 Universitas Negeri Semarang
Others

Personal Working/Experience
Year of Employment Name of Company
2019 CV Karya Usaha Simantama
-
-
-

Other Information
Personal Qualities Analytical thinking, time management, strategic planning
Language Skills English
Personal Interest/Hobby Photography, content creator

Do you know anybody in this company Yes, …………………………… No

If Yes please write the name

Date: 23 Februari
Interviewed by: Comment/Remark Approved by RD
2022

Signature of interviewer
Ref/BM Date Join Check List )Please Mark V)
Copy of ID Card Photo Diploma Other Document