Jl.Letjen Suprapto No.1 Balikpapan
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JOB APPLICATION FORM
WRITE IN BLOCK LETTERS
FOR THE POSITION : IT Officer
PERSONAL DATA
DATA PRIBADI / PERSONAL DATA
Full Name
Place & date of birth
Gender
Male
Female
ID Number(KTP)
Blood Type
A
B
AB
O
Tax Number(NPWP)
Citizenship
Indonesia
Others
Religion
Islam
Katolik
Protestan
Budha
Hindu
Others
Home Address
Postal Code
Home Phone
Mobile Phone
Contact number on emergency situation
Email
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FAMILY DATA
DATA KELUARGA / FAMILY DATA
Marital status
Single
Divorced
Married, year
Family
Name
Gender (M/F)
D.O.B
Education
Occupation
Husband / Wife
1st child
2nd child
3rd child
Family Members
Father
Mother
1st child
2nd child
3rd child
4th child
5th child
6th child
7th child
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FORMAL EDUCATION & NON FORMAL EDUCATION
PENDIDIKAN FORMAL / FORMAL EDUCATION
Level
Name of Institution
Location
Major
Grade
Year
Entry
Graduate
High school
University/Academy
Postgraduate
PENDIDIKAN NON FORMAL / NON FORMAL EDUCATION
Course/Training
Year
Duration
Certificate
Sponsored By
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LANGUAGE PROFICIENCY & COMPUTER PROFICIENCY
KEMAMPUAN BAHASA ASING / LANGUAGE PROFICIENCY
Language
Written
Speaking
Reading
Good
Fair
Poor
Good
Fair
Poor
Good
Fair
Poor
PENGUASAAN KOMPUTER / COMPUTER PROFICIENCY
No.
Program / Application
Level of proficiency
Good
Fair
Poor
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SPECIAL SKILL
KEAHLIAN KHUSUS/ SPECIAL SKILL
No.
Type of Skill
Level of proficiency
Good
Fair
Poor
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WORK EXPERIENCE
PENGALAMAN PEKERJAAN / WORK EXPERIENCE
Work experience, starting from current job
Name of company
Line of Business
Address
Division
Position
Salary & benefit currently received
From year
to
Reason(s) for leaving
Name of company
Line of Business
Address
Division
Position
Salary & benefit currently received
From year
to
Reason(s) for leaving
Name of company
Line of Business
Address
Division
Position
Salary & benefit currently received
From year
to
Reason(s) for leaving
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OTHER ACTIVITIES
KEGIATAN LAINNYA / OTHER ACTIVITIES
Organization
Organization Name
Type of Organization
Year
Position
Other Assignment
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PERSONAL INTEREST AND CONCEPT
MINAT DAN KONSEP PRIBADI / PERSONAL INTEREST AND CONCEPT
How did you know about this vacancy?
Indicate your job interest in the rank order
Sales/Account Executive
Marketing
Programming
Technic
Public Relation
Legal
Journalism
IT
Production TV/Radio
Finance / Accounting / Tax
Human Resources
General Services
Design
Secretary / Administration
Others
Why did you choose the first two jobs?
When will you be able to start to work?
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OTHER INFORMATIONS & REFERENCE AND RECOMMENDATION
KETERANGAN LAINNYA / OTHER INFORMATIONS
Weight
Height
Have you been hospitalized and/or seriously ill?
Yes
No
If any, please mention your illness:
Have you ever taken a psychological test?
Yes
No
REFERENSI DAN REKOMENDASI / REFERENCE AND RECOMMENDATION
Further reference and recommendation about the candidate can be obtained from:
Name
Phone Number
Position
Relation
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QUESTION
QUESTION
1
Apakah Anda tertarik bepergian ke lokasi manapun?
2
Mohon kirimkan kepada kami salary slip Anda terakhir
3
Jika Anda bergabung sesuai dengan posisi yang Anda lamar, strategi apakah yang akan di lakukan untuk dapat mengambil pasar? (pertanyaan untuk melamar posisi manager)
4
Apa strategi anda (jika Anda melamar sebagai Operation Manager/General Manager/Posisi Profit Center) untuk dapat meningkatkan revenue di dalam bisnis (sales on-site)? (pertanyaan untuk melamar posisi manager)
5
Pilih 1 atau 2 kelemahan anda dari pilihan di bawah:
Finance
HRD
Sales
Marketing
FB Service
FB production
Housekeeping
Others
6
Apa yang akan anda lakukan untuk dapat memastikan hotel/Lounge/Café/Restaurant memiliki operational excellence?
7
Menurut anda apa yang lebih penting Revenue atau Cost? Mengapa? (pertanyaan untuk melamar posisi manager)
Salary dan Benefit Yang di dapat sekarang:
Salary dan Benefit yang diharapkan:
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STATEMENT
*
Your contact details will be saved on our database and will not be shared to outside party.
DHM respect visitor’s privacy by keeping their contact confidential.
I certify that all statements made on this application are true, false information given or implied on an application form is grounds for immediate employment dismissal without further notice.
I understand that misrepresentation or omission when discovered, will subject me to discharge and i hereby authorize any investigation relating to my work experience, education, or reputation for the purpose of my application for employment.