DAEWOONG PHARMACEUTICAL COMPANY

APPLICATION FORM
CONFIDENTIAL

Recent
 Please complete the forms with correct
photograph
statements
(3x4)
 Fill it using CAPITAL letters.

A. PERSONAL DATA

MUHAMAD EGA NUGRAHA EGA

CIAWI STREET, KABUPATEN BOGOR PANDANSARI 16720 BOGOR, 11 APRIL 2000

M MOSLEM

CIAWI STREET, KABUPATEN BOGOR PANDANSARI 16720 (+62)812-9314-8932

EGANEUE@GMAIL.COM

ID Card Type (KTP) 3201241104000003 LIFETIME

Marital Status : ☑ Single  Married  Divorced  Widow

JUNIOR JAVA DEVELOPER

B. FAMILY (father, mother, father & mother in law, brother & sisters)

Name Relationship M/F Age Education Occupation

WAWAN KARYAWAN S,PD. FATHER M 64 BACHELOR PASSED AWAY
SITI HODIJAH S,PD MOTHER F 64 BACHERLOR TEACHER
SITI ATIA DESTRI SISTER F 33 BACHELOR TEACHER
FAUZIAH DWI HAYATI SISTER F 31 BACHELOR TEACHER

Do you have obligation to finance your family member?

☑ Yes, 1 person  No
 C. EDUCATION AND QUALIFICATIONS

1. List of schools, colleges and universities you have attended in chronological order.
Enrolled Graduation GPA / IPK
Type/Level School / University Name Major
Years Years
SMA SENIOR HIGH SCHOOL 3 SCIENCE 3 2018 8.7
BOGOR
D3 VOCATIONAL SCHOOL OF IPB COMPUTER ENGINEERING 3 2022 3.02
S1
S2
S3

2. List of any additional courses, seminars or workshops you have attended

Type Organizer/Institution Year Duration Level attained

3. List of any foreign languages do you speak, read or write and certification score (if any)
Languages Level / Score Issuing Institution Issue Date
a. ENGLISH 550 TOEFL 2019
b.
c.
d.

4. List of membership in professional societies and activities in civil or public affairs

Name of Organization Field of Service Position Year
MICRO IT IT CONSULTANT COORDINATOR 2020
D. ESSAY (Do not exceed 300 words for every question; font size 10)

Tell us about your background, field of interest and other things you wish us to know about you!

What are your personal strengths? What are the things you wish to improve from yourself?
 What specific steps will you take/are you taking to achieve your vision of yourself in the next 5 years

If you have any specific experience with analysis, tests, or experiments (i.e. instrumental analysis, assays, etc.),
please describe: 1) the scope, frequency, and skill level (basic-intermediate-advanced), and/or 2) if you were able
to utilize these skills to improve or advance some aspect of work in your academic/professional career.