ACASAMIRAH GROUP
Jalan Sidomulyo No. 35, Bandung
Photo 3 x 4
JOB APPLICATION FORM
DETAILS OF POSTION
Title of position applied for
Source of info that this position is vacant
Ready To Be Placed in Bandung - When Yes/No
Expectation Salary
Date Available for Employment
APPLICANT DETAILS
Full Name Nick Name
Gender Male/Female Place, Date of Birth
Address (KTP)
Address
(Now/Domicile)
*Single/Married/Widow/Widower
Religion Status
with number of kid(s) :
Identity card (KTP) NPWP
[Link] E-mail Address
No. Handphone Urgent
*Coret yang tidak perlu (in English)
FAMILY
Last
Name Age Address [Link] Profession
Education
Father
Mother
Siblings
Wife/ Husband
Kids
EDUCATION
Formal
Name of Major Year Attended
Degree Degree
Institution Subject From To
Senior High School
University (1)
University (2)
Non-Formal
Course/Training Year Title Organized Place/City
WORKING EXPERIENCE
Name of Company / Reason for Dates Attended
Position Salary Per Month
Org / Employer Leaving Start - End
REFERENCES
Name Position Held Company No. Phone Relationship
OTHERS Yes (√) No (√)
Have you ever applied or worked for this company?
Do you have any relative or friend working in this company or its associates ?
If yes please state name and position : ________________________
Do you suffer or have suffered from any serious illness or disability?
If yes please give particulars : ___________________________
Have you ever been involved criminal offence up to deal with the police?
If yes please mention the case : ___________________
Have you ever been involved the use of narcotics and illegal drugs?
Please Answer the Following Questions
Instruction:
1. There are a total of 5 (five) questions, on the following page that form part of this application. You must answer each question.
2. Please provide no more than a total of two pages when addressing the questions of the selection criteria, but please keep in mind that it is often best to be more concise in your answers.
3. In preparing your answers please draw on real examples from your previous or current work experience, volunteer work and/or study
Question 1
Previous qualifications and experience related to the applied position.
Periode of Project
Name of Institution Project Name Responsibility
Start End
Question 2
Knowledge of the key technical skills of position applied, fill 4 or more about your technical skills.
Technical Skill Skill Point (1 – 10)
Question 3
Communication (including e.g. negotiation and liaison), interpersonal relations and representation skills level, in written and
spoken Bahasa Indonesia and English.
Bahasa Indonesia English
Key
(Skill Point 1 – 10) (Skill Point 1-10)
Negotiation
Liaison
Presentation
Spoken
Written
Question 4
Ability to work independently and in teams, as well as to manage time and resources effectively.
Ability Describe
Work Independently
Team Work
Manage Time
Manage Resource
Question 5
Write your personality, including the strength and weakness.
Strength Weakness
Bandung, 20
______________________
