Application Form
Position Applied
*
:
Submitted Date
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Personal Information (Foto Max Size 100 Kb)
Full Name
*
Date of Birth
*
December 2024
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Place of Birth
Sex
*
Male
Female
Marital Status
*
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BELUM NIKAH
DUDA
JANDA
NIKAH
Religion
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(NONE)
BUDHA
HINDU
ISLAM
KATHOLIK
KRISTEN
Email
*
Nationality
*
Types : .jpg, .jpeg, .jpe, .gif, .bmp, .png
Contact Address
*
Permanent Address
*
Province
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AMERIKA
AUSTRALIA
BALI
BANTEN
BENGKULU
CEBU
DAERAH ISTIMEWA YOGYAKARTA
DKI JAKARTA
FINLAND
GORONTALO
INDIA
JAMBI
JAWA BARAT
JAWA TENGAH
JAWA TIMUR
KALIMANTAN BARAT
KALIMANTAN SELATAN
KALIMANTAN TENGAH
KALIMANTAN TIMUR
KEPULAUAN BANGKA BELITUNG
KEPULAUAN RIAU
LAMPUNG
LAMPUNG SELATAN
MALAYSIA
MALUKU
MALUKU UTARA
NANGROE ACEH DARUSSALAM
NETHERLAND
NONE
NUSA TENGGARA BARAT
NUSA TENGGARA TIMUR
PAPUA
PAPUA BARAT
RIAU
SINGAPORE
SULAWESI BARAT
SULAWESI SELATAN
SULAWESI TENGAH
SULAWESI TENGGARA
SULAWESI UTARA
SUMATERA BARAT
SUMATERA SELATAN
SUMATERA UTARA
TAIWAN
City
zip Code
Property Of
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KONTRAK
KOST
RUMAH KELUARGA
RUMAH ORANG TUA
RUMAH PRIBADI
Original Home Since
December 2024
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Telephone
Original Phone Area
Same As Permanent Address
Current Address
*
Province
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AMERIKA
AUSTRALIA
BALI
BANTEN
BENGKULU
CEBU
DAERAH ISTIMEWA YOGYAKARTA
DKI JAKARTA
FINLAND
GORONTALO
INDIA
JAMBI
JAWA BARAT
JAWA TENGAH
JAWA TIMUR
KALIMANTAN BARAT
KALIMANTAN SELATAN
KALIMANTAN TENGAH
KALIMANTAN TIMUR
KEPULAUAN BANGKA BELITUNG
KEPULAUAN RIAU
LAMPUNG
LAMPUNG SELATAN
MALAYSIA
MALUKU
MALUKU UTARA
NANGROE ACEH DARUSSALAM
NETHERLAND
NONE
NUSA TENGGARA BARAT
NUSA TENGGARA TIMUR
PAPUA
PAPUA BARAT
RIAU
SINGAPORE
SULAWESI BARAT
SULAWESI SELATAN
SULAWESI TENGAH
SULAWESI TENGGARA
SULAWESI UTARA
SUMATERA BARAT
SUMATERA SELATAN
SUMATERA UTARA
TAIWAN
City
Zip Code
Property Of
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KONTRAK
KOST
RUMAH KELUARGA
RUMAH ORANG TUA
RUMAH PRIBADI
Residential Home Since
December 2024
Sun
Mon
Tue
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Sat
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Dec
OK
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Work Reference
*
Name
*
Relation
Contact Number
*
Position
*
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Family Structure (Please fullfill your family structure, example : Father, Mother, Wife / Husaband, etc.)
*
Relation
*
Name
*
Sex
*
Last Education
Occupation
Male
Female
Birth Date
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Formal Education
*
Degree
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Major
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Institution
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City
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GPA / IPK
Certificate
Start Year
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End Year
*
Yes
No
Last Education
Education Result
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Working Experience (Click Add More, if you have Work Experience)
Company
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Position (click "other" if the position name does not exist)
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Type Of Business
Join Date
Resign Date
Job Period Year
Job Period Month
Report To
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Number of Employees
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Place
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Company Phone
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Tes123
Tes123
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No
Tes123
Yes
No
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Questions
No.
Question
Answer
*
Remark
Yes
No
Other Attribute
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Declaration
I declare that all information given herein is true and correct. I understand that any misrepresentation or omission of facts will be sufficient cause for cancellation of consideration for employment or dismissal from the Company's service if I have been employed.
Reference
Reference
Institution
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