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Application Form (Eng) - Plaza Kuningan

This document is an employment application form for PT. AEON CREDIT SERVICE INDONESIA. It requests personal details from the applicant such as name, address, contact information, education history, employment history, languages spoken, and references. It also requires the applicant to declare that they have not been convicted of any crimes, do not have any diseases or disabilities, and consent to a background check if selected for employment. The purpose of the form is to collect all necessary information from potential job candidates for evaluation and hiring purposes.

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Babas Kun
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57 views

Application Form (Eng) - Plaza Kuningan

This document is an employment application form for PT. AEON CREDIT SERVICE INDONESIA. It requests personal details from the applicant such as name, address, contact information, education history, employment history, languages spoken, and references. It also requires the applicant to declare that they have not been convicted of any crimes, do not have any diseases or disabilities, and consent to a background check if selected for employment. The purpose of the form is to collect all necessary information from potential job candidates for evaluation and hiring purposes.

Uploaded by

Babas Kun
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 3

Please

PT. AEON CREDIT SERVICE INDONESIA F- HRGA-002-00 attach a


recent
South Tower, Plaza Kuningan, 3A Floor Checklist: passport
Jl. HR. Rasuna Said Kav. C11-14, Setiabudi  Copy of certificate photograp
Jakarta, 12940  Copy of application letter
Tel: +62 (021) 252 3331 Fax: +62 (021) 528 80231  1 pcs passport

EMPLOYMENT APPLICATION FORM


(Please complete in BLOCK LETTERS) SOURCE VACANCIES
INFORMATION
A. PERSONAL PARTICULARS 1. Internet 3. Friend
NAME
POSITION APPLIED FOR

HOME ADDRESS RELIGION


TEL. NUMBER(S) (HOME) (HANDPHONE) NATIONALITY
EMAIL ADDRESS SEX
ID NO. DATE OF BIRTH
DRIVING LICENCE CLASS EXPIRY DATE PLACE OF BIRTH
DO YOU OWN A VEHICLE? YES ( ) NO ( ) TYPE: MARITAL STATUS
SOCSO NO. INCOME TAX NO.

B. FAMILY INFORMATION

RELATIONSHIP NAME AGE OCCUPATION COMPANY / SCHOOL


FATHER
MOTHER
SPOUSE
SPOUSE INCOME TAX NO. TEL NO. (OFFICE / HANDPHONE)
SIBLINGS

M-Male;

F-Female
CHILDREN

C. LANGUAGES AND DIALECTS WRITTEN SPOKEN


GOOD FAIR POOR GOOD FAIR POOR

D. MEMBERSHIP OF TRADE, ASSOCIATION OR PROFESSIONAL BODIES

NAME OF BODY GRADE / TYPE OF MEMBERSHIP DATE

E. QUALIFICATION & EDUCATION BACKGROUND

LEVEL SCHOOL / INSTITUTION / COLLEGE PERIOD QUALIFICATION GRADE /


FROM TO
/ UNIVERSITY RESULTS
PRIMARY
SECONDARY

TERTIARY

1/3
DETAILS OF SCHOLARSHIP

OR HONOURS

F. COURSES ATTENDED

NAME OF COURSE COURSE PROVIDER TYPE OF CERTIFICATE DATE

G. SKILLS

RELEVANT SKILLS TYPE OF SKILL (S) LEVEL YEARS OF EXPERIENCE

TO THE JOB
COMPUTER

SKILL(S)
OTHERS

H. EMPLOYMENT HISTORY (Start with your present / latest Employer)

COMPANY NAME TEL NO.


COMPANY ADDRESS
POSITION HELD REPORTING TO
TYPE OF BUSINESS EMPLOYMENT PERIOD FROM TO
OTHER BENEFITS
BRIEF JOB DESCRIPTION
REASON(S) FOR LEAVING

COMPANY NAME TEL NO.


COMPANY ADDRESS
POSITION HELD REPORTING TO
TYPE OF BUSINESS EMPLOYMENT PERIOD FROM TO
BRIEF JOB DESCRIPTION
REASON(S) FOR LEAVING

COMPANY NAME TEL NO.


COMPANY ADDRESS
POSITION HELD REPORTING TO
TYPE OF BUSINESS EMPLOYMENT PERIOD FROM TO
BRIEF JOB DESCRIPTION
REASON(S) FOR LEAVING

COMPANY NAME TEL NO.


COMPANY ADDRESS
POSITION HELD REPORTING TO
TYPE OF BUSINESS EMPLOYMENT PERIOD FROM TO
BRIEF JOB DESCRIPTION
REASON(S) FOR LEAVING

I. PUBLIC SERVICES / RECREATIONAL ACTIVITIES

HOBBIES / LEISURE ACTIVITIES / INTERESTS


PUBLIC / CHARITY DATE ACTIVITIES YOUR ROLE

SERVICES

2/3
J. PERSONAL ACHIEVEMENTS

K. REFERENCES (Please name 2 referees. Relatives are not included)

NAME TELEPHONE NUMBER RELATIONSHIP YEARS KNOWN OCCUPATION

L. ADDITIONAL COMMENTS

(In support of your application)

PERSON TO NOTIFY IN-CASE OF EMERGENCY RELATIONSHIP:


TEL. NO. ADDRESS

M. DECLARATION

1. Have you ever been convicted of a criminal offence? NO ( ) YES ( ) If yes, please state

2. Are you suffering from diseases or disability NO ( ) YES ( ) If yes, please state
that may require periodical treatment?

3. Have you applied for a job in this Company before? NO ( ) YES ( ) If yes, please state

4. Do you have any relative working in this Company? NO ( ) YES ( ) If yes, please state

5. Do you have any objection if we conduct a background NO ( ) YES ( ) If yes, please state
check interview with your references?

6. Do you have any objection if we conduct a background NO ( ) YES ( ) If yes, please state
check for your personal credit history (SLIK)?

I, hereby declare that all the information provided above is true and complete in all aspects. I understand that any
misrepresentation or omission of information may be considered sufficient for withdrawal of an offer or subsequent dismissal from
employment.

Date of Application Signature of Applicant

(ID No: )

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