PERSONAL INFORMATION & SELF ASSESSMENT
PERSONAL DETAILS
Full Name : Email :
Gender : Current Salary* : Currency:
Place / Date of Birth : / Expected Salary : Currency:
Marital Status : Civil ID (KTP) Address :
Religion :
Civil ID No (No KTP) : valid until: Current Address :
Passport Number : valid until:
Phone No (Home) : Residence : "Select Option"
Mobile No : *Mandatory for experienced applicant.
Current salary information must be verifiable by the latest pay slip or proof of salary. You must b
willing to submit the original pay slip to Rajawali Putra Logistik
Have You Ever Been Interviewed by Rajawali Putra Logistik Before (Yes/No)? No Filled by Recruiter
Month / Year / Position : Recruiter :
If Yes
Interviewer Name Invitation date :
Source : "Select Option"
FAMILY DATA
Immediate Family
Name Date of Birth Education Gender Occupation / Job Addr
Member (1)
Father
Mother
Brothers / Sisters 1
2
3
4
5
Immediate Family
Name Date of Birth Education Gender Occupation / Job Addr
Member (2)
Spouse
Children 1
2
3
4
5
EDUCATION HISTORY
No. Level of Education School Name Faculty Major Location
1 Elementary
2 Junior High School
3 Senior High School
4 Diploma 1
5 Diploma 2
6 Diploma 3
7 Diploma 4
8 Bachelor Degree (S1)
9 Master Degree (S2)
10 Doctoral Degree (S3)
Thesis (Final Paper) Title Organization Experience while Studying e.g. Student Exchange P
1 1
2 2
3 3
WORKING EXPERIENCE (IN CHRONOLOGICAL ORDER)
No. Company Name Date of Hire Date Left Industry Latest Position Job Desc
1 "Select Option"
2 "Select Option"
3 "Select Option"
4 "Select Option"
5 "Select Option"
6 "Select Option"
7 "Select Option"
8 "Select Option"
9 "Select Option"
10 "Select Option"
Note: Please leave blank "Date Left" if you are still with the company.
PROFESSIONAL TRAINING ATTENDED (IN PREVIOUS AND CURRENT COMPANIES)
No. Training Description Institution Name Venue / Location Sta
1
2
3
4
5
REFERENCE DETAILS (Preferably ex superior, not family member / relatives / friends)
No. Name of Reference Relation Current Occupation (Job Title) Company
1
2
3
SPECIAL ACHIEVEMENTS (Mention Key Details for each)
SELF ASSESSMENT (Please answer all questions)
Question 1: According to you what are your Strengths?
Question 2: According to you what are your weakness / areas for improvement?
Question 3: What are the most important learnings in your life/career?
Question 4: Please share an experience where you were unsuccessfull
Question 5: What were the key learnings from your failure?
Question 6: What was your most important achievement?
Question 7: Which of your previous or existing companies you are most proud to be associated with & why?
Question 8: Who has influenced your life the most & how? Share an experience/ incident
Question 9: What features/ aspects of a job makes you accept an offer?
HR Form R01-R1
Currency: "Select Option"
Currency: "Select Option"
"Select Option"
for experienced applicant.
y information must be verifiable by the latest pay slip or proof of salary. You must be able and
mit the original pay slip to Rajawali Putra Logistik
Recruiter : "Select Option"
"Select Option"
Address Contact Number Status
"Select Option"
"Select Option"
Address Contact Number Status
Year of Year of
Location Attendance Graduation Grade / GPA Status
Other Particulars
e.g. Student Exchange Program, International/ National Competition
Job Desc Resignation Reason Last Salary(Net)
Start Finish Certification
"Select Option"
"Select Option"
Company Contact Number Email
