PT.

JAVA Seafood
Application Form DCC/FRM/HRD/026

Personal Details
Marital
Name
Status

Place & Date

Age NIK
Of Birth

Phone E-
Number mail Photo

Address

Position
Applied

Expected
Salary

Education
School Name
Level Year Major Score
Name Address

SMK/SMA

Diploma

Strata 1

Strata 2

Family
Live
Relationship Name Age Occupation Address together
/ No

Father

Mother

Sibling 1

Sibling 2

Husband/
Wife

Child 1

Child 2

Emergency Number
No Name Relationship Phone Number
 Comptence

Computer Skill Foreign Language

Category
Microsoft Microsoft Microsoft
English Korean
Word Excel Powerpoint

GOOD

ENOUGH

BAD

NONE

* Ceklis ( √ ) sesuai dengan kemampuan yang dimiliki

RELATED SKILL (Keahlian yang sesuai dengan posisi yang dilamar)

1.

2.

3.

CERTIFICATE

1.

2.

3,

Organization
Name Position Organization Field Period

Social Media Hobby

Linkedin 1

Instagram 2

Twitter 3

Facebook 4

Medical History
Have you ever been hospitalized? If Yes, explain
when and why (Apakah anda pernah dirawat di
Rumah Sakit ? Bila Ya, jelaskan kapan dan
penyebabnya)
Ever had a serious illness (Penyakit berat yang
pernah diderita)
Do you have a physical disability? If Yes, explain
(Apakah anda mempunyai cacat tubuh ? Bila Ya,
jelaskan)
Experience / Internship
Company Name Location

Position Period

Job Descriptions

Basic Salary Allowance

Reason for Leaving

Name Your work Phone

Position
reference Number

Company Name Location

Position Period

Job Descriptions

Basic Salary Allowance

Reason for Leaving

Name Your work Phone

Position
reference Number

Company Name Location

Position Period

Job Descriptions

Basic Salary Allowance

Reason for Leaving

Name Your work Phone

Position
reference Number

Company Name Location

Position Period

Job Descriptions

Basic Salary Allowance

Reason for Leaving

Name Your work Phone

Position
reference Number

Company Name Location

Position Period

Job Descriptions

Basic Salary Allowance

Reason for Leaving

Name Your work Phone

Position
reference Number

* Isi pengalaman kerja dari terakhir kerja atau pekerjaan sekarang

Self-Introduction

1. What are your activity and dream? Please freely describe your growth process! (Tolong jelaskan
aktivitas anda saat ini dan apa mimpi anda?

2. What are your reasons apply to our company? And What your motivation to join our company?
(Apa alasan dan motivasi anda untuk melamar di Perusahaan kami?

3. After joining our company, what you want to become and how to achieve it? (Apabila anda
diterima di Perusahaan kami, apa target yang anda ingin capai dan bagaimana cara mencapai target
tersebut?
 4. What could convince us to choose you? (Apa yang bisa meyakinkan kami untuk memilih kamu?)

5. What are the differences between you and the other applicant? Please mention your strength and
weakness! (Apa yang membedakan anda dengan pelamar lainnya? Sebutkan kekuatan dan kelemahan
anda!)

*All things mentioned in the Application Form are true and there are no discrepancies or false
statements.
*Semua hal yang disebutkan dalam Formulir Aplikasi adalah benar dan dipastikan tidak ada
perbedaan, dan Pernyataan palsu.

………………… , ………………..…..
Hormat saya,