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HUMAN RESOURCES SECTION FORMULIR PELAMAR PEKERJAAN HRP-R 002A CANDIDATE JOB APPLICATION FORM Please answer in your own handwriting (in block letters) Name (in full) : Address : Present Permanent Phone number: Home HP Sex Height Weight Religion Date of birth Place of birth Marital Status : Single Married Widowed Divorced Separated No. of children No. of brothers No. of sisters Do you have dependents (for those who already married)? ……………………………………………………………………………………………………………………………………… Give particulars about your dependents: Name Relationships Age Identification Card No. Driving license No. Citizenship : At birth Present Do you live in : Own house Rented house Boarding house Others Hobbies or interests : …………………………………………………………………………………………………………………………………………. Are you related to any partner or employer of this firm ? ……………………………………………………………………………….. If so, to whom ? ……………………………………………………………………………………………………………………………………………… Name acquaintances in our employ …………………………………………………………………………………………………………………. 1 of 5 mm dd yy Photograph M |

Form Pelamar Kerja (Inggris)_R002-A

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APPLICATION FORM

HUMAN RESOURCES SECTION

FORMULIR PELAMAR PEKERJAANHRP-R 002A

CANDIDATE JOB APPLICATION FORM

PhotographPlease answer in your own handwriting (in block letters)Name (in full):Address: Present

Permanent Phone number: Home HP

mm dd yyM | FSex Height Weight ReligionDate of birthPlace of birthMarital Status: Single Married Widowed Divorced SeparatedNo. of children No. of brothers No. of sistersDo you have dependents (for those who already married)? Give particulars about your dependents:NameRelationshipsAge

Identification Card No. Driving license No.Citizenship : At birth PresentDo you live in: Own house Rented house Boarding house OthersHobbies or interests: .Are you related to any partner or employer of this firm ? ..If so, to whom ? Name acquaintances in our employ .Are you in debt ? If so, to whom, and for what reason ? ...What is your current position?

Explain briefly about your job responsibility !

..............

Draw below your current organization chart !

FAMILY BACKGROUND NameRelationshipM / FAgeOccupation

SCHOOL RECORDEducationName of SchollInclusive DateDegree if AnyMajor Course / SubjectHonors / Rank in Class

FromTo

Elementary

Jr. High School

Sr. high School

Academy

University

Post Graduate /

Advance Study

EXTRA CURRICULAR ACTIVITIES & MEMBERSHIP IN SCHOOL ORGANIZATIONName of organization / ActivitiesInclusive DatePosition

KNOWLEDGE OF LANGUAGELanguageReadingWritingSpokenListening

RECORD OF EMPLOYMENTName of EmployerAddressNature of Employers BusinessSalary upon LeavingReason for Leaving

REFERENCESGive names of your previous superior, who have known you for at least three years.(Do not give names of former employer or relatives)NameCompanyPhone NumberOccupation Relationship

Have you ever involved in any administrative, civil, or criminal cases ? ..If so, please give the particulars of the case .Are you in good health? if not, why? Do you have any major illness in last three years? If yes, please give detail information about the illness ..Have you applied with this office before? Have you ever taken a psychological test before? if yes, when? where For what position are you applying? ..When can start? ..How much is your present salary? .............................How mush is your expecting salary? ..Explain briefly below your reason (s) for applying with our firm & state why you believe are qualified for the position you are applying? ..

I certify that statements made in this application form are true and complete. I understand that any misrepresentation or omission of information will be considered sufficient reason for withdrawal of an offer or subsequent dismissal if employed.

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_______________________Signature of Applicant

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