APPLICATION FOR EMPLOYMENT

DATA PRIBADI
Full Name
ID Address
Present Address
Phone Number
Mobile Number
Place/Birth Date
Job Application for
Expected Salary
Nationality

________________________________ __________(Sex): _________

_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
________________________________ Weight _________________
________________________________ Height __________________
________________________________ Religion_________________
________________________________ Joining date ____________
_________________________________________________________
________________________________ ID Card _________________

FAMILY BACKGROUND
Parent
Name
Age
Education
Profession
Father
Mother
Brothers/ Sisters include yourself
Name
Sex
Age
Education
Profession
1
2
3
4
5
6
7
If the one has passed away, just mention the educational background & the job when
the one still alive
MARITAL STATUS
(Name)

(Non Married/ Married/ Divorce)

(Sex)

(Birth date)

Spouse
First Child
Second
Child
Third Child

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(Education)

(Profession)

EDUCATION & SKILL

1. FORMAL
(Type of School)

(Name/ Address of School)

(Year)
(From
(To)
)

(GPA)

1. Junior High
School
2. Senior High
School
3. Academy
4. University
5. Post Graduate
Do you expect to continue your study ?
If YES, when ? ________________________________________________________________________
If NO, why ? __________________________________________________________________________
2. COURSES
Courses

Year
From

Diplomas/
Remarks

Paid By

To

1.
2.
3.
4.
3. LANGUAGE PROFICIENCY
Language
Active
1. English

4. DIALECT PROFICIENCY
Language
Active

Passive

Language

Active

Passive

Passive

Language

Active

Passive

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5. SKILL (based on certificate)

A. Ability of using computer

: Good/ Fair/ Poor

Ability of computer program

B. Driving Ability

(Not Able)

(Able)

(Driver Lisence)

1. Motor Cycle
2. Car
3. Others
6. Mention other educational activities or general activities which tend to increase
your value and have not been mentioned before
_____________________________________________________________________________________
_____________________________________________________________________________________
7. PERSONAL CHARACTERISTIC
Describe about your personality can be through an interesting case or project or family
background
______________________________________________________________________________________
________________________________________________________________________________________
____________________________________________________________________________________
Working to be an architect means (please select one from below)
Challenging
I love the job, as it is my education background
I need to work
Make Money
Others : _______________________________________________________________________
WORK EXPERIENCE
Starting from the most recent
Month&Year
Name & Address of Company
From
Until

Position

Name of your Supervisor

Description of your duties
Salary & Allowance received
Reason of Leaving
Month&Year
From
Until

Name & Address of Company

Position

Name of your Supervisor

Description of your duties
Salary & Allowance received
Reason of Leaving
Month&Year
From
Until

Name & Address of Company

-3-

Position

Name of your Supervisor

Description of your duties
Salary & Allowance received
Reason of Leaving
YOUR REFERENCE AND RECOMMENDATION CAN BE GOTTEN FROM
Name

Address & Phone

number

Position

Relation

OTHERS ACTIVITIES
1. HOBBY

: ______________________________________________________________

2. Membership of Professional Organizational

Name of
Type of Organization
organization

Year

Position

OTHERS INFORMATION :

I certify that my replies above are true, complete and correct to the best of my
knowledge and belief. I understand that any false statement or with holding of any
relevant information may ground for withdrawal of any job offer

Date

________________________

Signature _______________________

Space for Fill by Company

Interview I / date
(Result)

Interview II / date
(Result)

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