*Application source

- PricewaterhouseCoopers career website - Job Ad (e.g. Newspaper, Jobsite, Mailing List) - PricewaterhouseCoopers staff (Name & Relation, e.g. Family, Friend)

- General Application Position applied: PERSONAL DATA Full Name Address Phone (Office/Home) Mobile Phone Email Address KTP No. Gender Legal rights to work in Indonesia Willing to travel Education University *University *High School Other courses completed or currently studying

Male Yes Yes University Name GPA EDUCATION Entry Year

Female No No Graduation Year Degree Major

CURRENT OCCUPATION Name of Employer Nature of Business Staff Supervised

Responsibilities

Starting Title Salary Title Allowance Reported to (Position Title) Expected Salary Reporting to (Position Title) Notice Period PREVIOUS EMPLOYER Nature of Business

Current Salary Benefit

Name of Employer

Date of Hire

Date of Resign

Last Title

Name

REFERENCES Institution /Company

Contact No.

Position

Relationship

Language Ability *Indonesia *English Others

Reading

Speaking

Writing

Rating Excellent 1 Good 2 Average 3 Poor 4

PRACTICAL EXPERIENCES IN THE LAST TWELVE MONTHS (Senior Position Only) Descriptions/Name of Client Nature of Business Nature of Work Level of (e.g. Audit, Responsibility accountancy) (Staff, Supervisory,

Staff Supervised (Nos.)

Date of exam in which you were successful

EXAMINATION RECORD Number of attempts at each exam including the successful one

Prizes, Distinctions, etc.

PROFESSIONAL QUALIFICATIONS Accountant No.: Please list any professional bodies of which you are a member: On completion of your degree, will you be eligible for membership of Ikatan Akuntan Indonesia (Indonesian Accountant Association) Yes ADDITIONAL INFORMATION

No

Write here any other information which you think is important for your application. Please include any organization membership, leadership or social activities at school or at your local community.

DECLARATION PwC Indonesia will allow you to access, correct, amend, or delete your personal data during period of 6 (six) months since the date of selection result notification letter. Any request for such action should be in written and sent to: kap.recruitment@id.pwc.com. Attention: Human Capital I confirm that the information contained in this application and my resume, and any other document that I provide to PwC in connection with my Agree Disagree Submission date