FORMULIR DATA PELAMAR

APPLICANT DATA FORM
Formulir lamaran kerja ini akan saya isi dengan sejujur-jujurnya sesuai dengan kenyataan yang sebenarnya. Apabila dikemudian hari terdapat keterangan yang tidak benar, saya bersedia ditindak sesuai dengan ketentuan perusahaan yang berlaku.

I hereby acknowledge that all information I will fill in this form are true and accurate to the best of my knowledge. Should there be any false information. I'm willing to receive any sanctions according to campany's regulation.
Jika pilihan isian tidak ada silahkan memilih pilihan Lain-lain / Others.
If there is no option value please choose Others.

Nick Name

Position Applied
Information Resources
DATA DIRI (PERSONAL DATA)

Place of Birth
Email Address

Date of Birth


Gender

Nationality
ID Card Number
KITAS ID

Driving License Type
Driving License Number

Handphone Number
Communication/Social Media

Jenis

Nama/PIN/No

Bank Name
BBM

Account Number
WA

Height
FB

Weight
TW

Religion
IG

Ethnic
Linkendin

Blood Type
Path

Marital Status
Path

Tax Status
Marital Date


Tax Number
Tax Address


ALAMAT (ADDRESS)
ALAMAT SESUAI DOMISILI (ADDRESS BY DOMICILE)
 ALAMAT SESUAI KTP (ADDRESS BY ID CARD)
 ALAMAT ORANGTUA (PARENT'S ADDRESS)

Current Address
KTP Address
Parent(s) Address

City
City
City

Post Code
Post Code
Post Code

Phone/Mobile Number
Phone/Mobile Number
Phone/Mobile Number

Residence Since
Residence Since
Residence Since

Residence Status
Residence Status
Residence Status


INFO KONTAK DARURAT (EMERGENCY CONTACT INFO)
Nama Lengkap *
Full Name 		Hubungan *
Relation 		No. Telephone
Telephone Number 		No. Handphone *
Handphone Number 		Status *
Status 		Alamat *
Address
Add More


DATA KELUARGA (FAMILY DATA)
Hubungan *
Relation 		Nama Lengkap *
Full Name 		Tanggal Lahir *
Date of Birth 		Pendidikan Terakhir *
Last Education 		Pekerjaan *
Occupation 		Status *
Status

Add More


PENDIDIKAN FORMAL (FORMAL EDUCATION)
Tingkat *
Level 		Nama Lembaga *
Name of Institution 		Jurusan *
Major 		Kota *
City 		Periode *
(dari-sampai) 		Nilai
Score
—
* Minimal dicantumkan pendidikan terakhir

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PENDIDIKAN NON FORMAL (NON FORMAL EDUCATION)
Jenis Kursus
Kind of Course 		Nama Lembaga
Name of Institution 		Kota
City 		Periode
(dari-sampai) 		Berijasah
Certified
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PENATARAN & LOKAKARYA (SEMINAR & WORKSHOP)
Judul
Title 		Nama Lembaga
Name of Institution 		Kota
City 		Periode
(dari-sampai) 		Berijasah
Certified
Add More


PENGALAMAN ORGANISASI (ORGANIZATIONAL EXPERIENCE)
Nama Organisasi
Organizational Name 		Posisi
Position 		Kota
City 		Periode
(dari-sampai)