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PERSONAL DETAIL
VACANCY APPLIED FOR : PRODUCTION Please write in capital letter
1 RIRI ELVIA NORA F PILADANG, 18 JULY 1987 S1 SWASTA EMPLOYEE PT. AGRO MUKO POM
2 MUHAMMAD DODI FITRA M PILADANG, 20 APRIL 1990 S1 SWASTA EMPLOYEE PT. KOMATSU INDONESIA
4 VIVI KUMALA SARI F PILADANG, 23 JUNE 1995 DIII SWASTA EMPLOYEE HONDA GAJAH MOTOR
5
6
7
8
9
Spouse
1
2
Children
3
4
5
(If he/she has been passed away, please mention the last job & education in his/her life)
Hal : 2
COURSE/TRAINING
SKILL COMPANY LOCATION/CITY DURATION YEAR PAID BY
MATERIAL PT. AGRO MUKO POM BENGKULU 2 MONTH 2016 PRIVACY
BASIC SKILL PT. OTSUKATEC INTI PRIMA JAKARTA 3 MONTH 2017 COMPANY
SOCIAL ACTIVITY
ORGANIZATION TYPE OF ACTIVITY POSITION YEAR
Document
Document
Document
REFERENCE (to whom we could ask for your details, preferably from previous employer)
Name Address/Phone Title Relationship
Hal : 4
What kind of job preferences or titles are you not interested in?
Do you have any preference or specific time to be ready and start join with us ?
Please mention the date.
In case you are accepted to work in this company, how much salary and
facilities you would expect ?
Hereby, I state that all written above are true and accurate. I accept that should
any statement made by me in connection with this application be found to be
false, the application shall be void, and as a result any contract arising may be
terminated by the PT. SIM/SIS at any time.
APPLICANT