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PT NTX SOLUSI TEKNOLOGI
APPLICATION FORM
No. FR/HR/02 Commencing Date : Revision : 00 Page : 1 of 8
Sept 15st, 2021

CONFIDENTIAL

I. DATA PRIBADI/PERSONAL DATA

Nama Lengkap Cody Herry
:
Full Name
Nama Panggilan Cody
: Photo
Nick Name
Alamat Rumah Jl Palmerah Bar IX No 8 Jakarta Barat
:
Home Address
Nomor Telepon 082352878116
:
Phone Number
Tempat & Tanggal Lahir Pontianak, 5 Oktober 1997 Agama Buddha
: :
Place & Date of Birth Religion
Status Perkawinan Lajang Kesehatan Sehat
: :
Marital Status Health Condition
Minat/Hobi Sports, Gaming, Social Gathering, Learning
:
Interest/Hobbies
Bahasa Asing yang Dikuasai : Inggris
Foreign Languages
E-mail : codyherry.chch@gmail.com
Account Social Media
Facebook : https://www.facebook.com/cody.herry/
Instagram : https://www.instagram.com/cody.herry/
Twitter
:
Others
:

II. RIWAYAT PENDIDIKAN/EDUCATION

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 PT IFS SOLUSI INTEGRASI
PT HALUAN REKADAYA KONSULTINDO
PT NTX SOLUSI TEKNOLOGI
APPLICATION FORM
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Sept 15st, 2021

CONFIDENTIAL

Nama Sekolah Jurusan Periode

School Name Major Period
SD SD Santa Maria Pontianak 2003 – 2009
Elementary
SLTP SMP Bruder Pontianak 2009 – 2012
Junior High School
SLTA SMK Immanuel Pontianak Computer and 2012 – 2015
Senior High School Network Engineering
D1/D2/D3
Diploma
S1 STMIK Pontianak Informatics 2015 – 2019
Bachelor Engineering
S2/S3….
Master

III. RIWAYAT PEKERJAAN/EMPLOYMENT HISTORY (dari pengalaman kerja terakhir/from the last
working experience)

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PT HALUAN REKADAYA KONSULTINDO
PT NTX SOLUSI TEKNOLOGI
APPLICATION FORM
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Sept 15st, 2021

CONFIDENTIAL
Nama Perusahaan PT. Bank Digital BCA
:
Company Name
Alamat Perusahaan The City Tower Lantai 11 Jl. M.H. Thamrin No.81 Menteng
Company Address : RT.1/RW.6, RT.1/RW.6, Dukuh Atas, Menteng, Kec. Menteng, Kota
Jakarta Pusat, Daerah Khusus Ibukota Jakarta 10310
Bidang Usaha
Line of Business
:
Digital Banking
Posisi Terakhir
Last Position
:
IT Development (Software Engineer)
Masa Kerja Dari Sampai
Length of Employment
:
1 Tahun 7 Bulan From 21 Oktober 2020 To Sekarang

Uraian Tugas :
Job Description
1. Implement aplikasi dari vendor ke Internal
2. Develop backend apps (Java) untuk job automation terkait Lending system
3. Analisa kebutuhan system lending
4. Support System problem dan Apps problem

Gaji saat ini : 7.672.000

Current salary
Alasan Keluar
:
Reason for Leaving

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PT HALUAN REKADAYA KONSULTINDO
PT NTX SOLUSI TEKNOLOGI
APPLICATION FORM
No. FR/HR/02 Commencing Date : Revision : 00 Page : 4 of 8
Sept 15st, 2021

CONFIDENTIAL
Nama Perusahaan
:
Company Name
Alamat Perusahaan
:
Company Address
Bidang Usaha
:
Line of Business
Posisi Terakhir
:
Last Position
Masa Kerja Dari Sampai
:
Length of Employment From To

Uraian Tugas : :
Job Description
1.
2.
3.
4.

Gaji saat ini :

Current salary
Alasan Keluar
:
Reason for Leaving

IV SKILL

Kemampuan :
SKILL

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PT HALUAN REKADAYA KONSULTINDO
PT NTX SOLUSI TEKNOLOGI
APPLICATION FORM
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Sept 15st, 2021

CONFIDENTIAL
1.Java, Linux, ELK for monitoring Apps, Windows settings
2.Documentation of implementation procedural step, Analyze requirement, Fixing, Leading implementation
3.Ms Office, Video Editting (Premiere), Graphic Editing (Corel Draw, Photoshop)
4.Self Discovery (Problem Solving, Critical Thinking And Analysis,Creativity, Leadership, Emotional Intelligence )
Gallup Test (Strategic, Consistency, Relator, Restorative, Communication)

V. INFORMASI KELUARGA/FAMILY INFORMATION

1. Status tempat tinggal :/ Ownership of your residence :

a. Sendiri b. Orang Tua c. Kontrak d. Kost

Your own Your parent’s Leased Lodging

2. Susunan keluarga :/ Family Members :

(Istri – suami – Anak – Orang Tua – Mertua – Saudara Sekandung)
(Spouse – Children – Parents – In-Laws – Siblings)

Nama Hubungan Keluarga Tmp & Tgl Lahir Pendidikan Pekerjaan

Name Family Relationship Place & DOB Education Job
Pontianak, 3 Mei
Herry Ayah SLTA/Sederajat Swasta
1968
Hiu Tjhui Ha Ibu Perapakan Besar, 9 SLTP/Sederajat Pemilik Salon

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 PT IFS SOLUSI INTEGRASI
PT HALUAN REKADAYA KONSULTINDO
PT NTX SOLUSI TEKNOLOGI
APPLICATION FORM
No. FR/HR/02 Commencing Date : Revision : 00 Page : 6 of 8
Sept 15st, 2021

CONFIDENTIAL
Maret 1974
Pontianak, 3
Fannita Adik Perempuan Sedang S1 Swasta
November 2000

VI. INFORMASI MENGENAI LAMARAN/INFORMATION RELATED WITH YOUR APPLICATION

1. Tujuan melamar di Perusahaan kami : Mendapatkan experience baru untuk sisi teknikal IT
Purpose of applying

2. Jabatan/posisi yang dilamar : Application Engineer

Position applied

3. Gaji bulanan yang diharapkan : 11.000.000 Required:

Expected salary

4. Dapat mulai bekerja : 2 Month Notice

Available date to commence

5. Posisi lain yang diminati selain posisi yang dilamar : Business Analyst
Other positions

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 PT IFS SOLUSI INTEGRASI
PT HALUAN REKADAYA KONSULTINDO
PT NTX SOLUSI TEKNOLOGI
APPLICATION FORM
No. FR/HR/02 Commencing Date : Revision : 00 Page : 7 of 8
Sept 15st, 2021

CONFIDENTIAL
VII. INFORMASI LAINNYA/MISCELANEOUS INFORMATION

1. Orang/keluarga yang dapat dihubungi dalam keperluan mendadak :

Next of kind/relative (s)/ person (s) to contact in the situation of emergency
a. Nama/ name : Hiu Tjhui Ha
b. Alamat/address : Jl WR Supratman Gg Waru 2 No 10B Pontianak
c. No. telp/phone no. : 085245025564
d. Pekerjaan/ occupation : Pemilik Salon

2. Karyawan yang Anda kenal di Perusahaan kami :

Employee (s) you know (if any)
a. Nama/name :
b. Divisi/division :
c. Jabatan/postion :

3. SIM (Surat Ijin Mengemudi) yang dimiliki : Sim C

Class of driver’s license you are currently holding
No : 1014-9710-001239
Issued by :

4. Golongan darah : A – B – AB – O
Blood type

Saya menyatakan semua data dan informasi di atas adalah benar.

I hereby declare that all the above information are true.

Jakarta, 25 - Oktober - 2022

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 PT IFS SOLUSI INTEGRASI
PT HALUAN REKADAYA KONSULTINDO
PT NTX SOLUSI TEKNOLOGI
APPLICATION FORM
No. FR/HR/02 Commencing Date : Revision : 00 Page : 8 of 8
Sept 15st, 2021

CONFIDENTIAL

Tanda tangan pelamar

Applicant’s signature

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