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APPLICATION FOR EMPLOYMENT

POST APPLIED FOR : ASSISTANT ENGINEER

PERSONAL DATA * Delete where appropriate

Sex: * M / F : M
Full Name : Gabriel Mahligai Pampang

Address : Jl. Sahabat III, Tamalanrea, Makassar Office Tel : -

Home Tel : -

IC No. : Race : Toraja Religion : Catholic Hand Phone : +6282298733002

Marital Status : No of Children : - BPJS Kesehatan No. : 0001862064371

Single Email : gabrielmahligai@gmail.com
Place of Birth : Pemanikan Birth Date : 27 February 1996 Jamsostek Ketenagakerjaan No : -
Nationality : Indonesia NPWP No. : -

FAMILY PARTICULARS
Name Relationship Age Occupation Name of Company
Education, Youth, and Sport
Piether Pampang Father Goverment Employees office
Education, Youth, and Sport
Yuli Rante Rapa’ Mother Goverment Employees office
Abraham Santos Pampang Brother Student Hasanuddin University

In case of emergency, please notify Piether Pampang Tel:+6285256809269

EDUCATIONAL QUALIFICATIONS
School / Tertiary / Technical / Institution / Colleges / Year Certificates / Diplomas / Degrees Obtained
Universities Attended From To ( Highest Standard Passed )
Naval Architecture Engineering at Engineering
2014 2018 Bachelor Degree
Faculty of Hasanuddin University

Extra Curriculum Activities :

Member of OKFT-UH (Organisasi Kemahasiswaan Fakultas Teknik Universitas Hasanuddin) in 2014 till 2018
Member of HMDP (Himpunan Mahasiswa Departemen Perkapalan) Engineering Faculty of Hasanuddin University in
2016 till 2018
Please attach supporting educational documents. 1 of
EMPLOYMENT HISTORY (In Chronological Order-starting with current employment)
Period Basic

S/N Name of Company Position From To Brief Duties and Responsibilities Salary/ Reason For Leaving
Others
Mth Yr Mth Yr

1. PT. Industri Kapal Indonesia (Persero) QA/QC April 2018 May 2018 Internship
PT. Biro Klasifikasi Indonesia (Persero)
2 Cabang Utama Klas Surabaya May 2018 June 2018 Internship

REFEREES :
S/N Name Address Tel No. Occupations Company

(Character referees should preferably be present/ past employers or superiors.)

At present, my short-term goal is to develop and use my skills as a new graduate in the position where I am placed. However, I finally want to develop into a
position that allowe me to continue to use these skills, I would prepare myself for this purpose by taking a leadership position by developing my skills to become
1 Briefly state your career goals a professional.

I want to join this company because as a new graduate I need new experiences that can help me become a competent person. I am sure that joining this
2 Why do you wish to join us? company will enable me to pursue a good career in the world of shipping and make a good contribution to Indonesian maritime affairs.

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Do you have any friends / relatives working in PaxOcean Group of Companies?
Name Designations Tel No. Company Remarks

MEMBERSHIP OF PROFESSIONAL & OTHER SOCIETIES/ EXTRA MURAL ACTIVITIES

Name of Professional Body/ Society Position Remarks

LANGUAGES/ DIALECTS
Spoken and Written Spoken Only

English

OTHER INFORMATION
1. What is your present state of health? * Good
2. Have you ever had any serious illness, accident, physical handicap? If yes, please give details:

3. Are you presently suffering from any disease/ illness and/ or undergoing treatment for such disease/ illness? If

yes, please elaborate.

4. Have you ever been dismissed from any previous jobs? Never yet

5. Have you ever been charged and charged in court? Never yet

6. Have you been declared a bankrupt? Never yet

7. If offered a post, ever can you join our Company? Yes, of course

8. Minimum basic salary expected? Rp4.500.000

DECLARATION
I DECLARE THAT ALL INFORMATION GIVEN IN THIS APPLICATION FOR EMPLOYMENT IS TO THE BEST OF MY KNOWLEDGE
AND BELIEF, TRUE AND CORRECT. THIS DECLARATION SHALL, IF I AM EMPLOYED, CONSTITUE AN INTERGRAL PART OF
ANY CONTRACT OF SERVICE BETWEEN THE COMPANY AND MYSELF. I AGREE AND ACCEPT THAT I WILL BE LIABLE FOR
IMMEDIATE DISMISSAL IF I AM FOUND TO HAVE GIVEN FALSE INFORMATION.

DATE : 16 November 2018 SIGNATURE : Gabriel Mahligai Pampang

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 FOR INTERVIEWER USE

Interview Assessment Form

1st Interview by: 2nd Interview by:

Please circle one number for each criterion.

High Low High Low

Education and job knowledge (relating to requirements of position applied for)
1 25 20 15 10 5 25 20 15 10 5

Comments:

Experience (in particular relevant work experience)

2 25 20 15 10 5 25 20 15 10 5

Comments:

Attitude and aptitude (eagerness, trainable quality, perceptiveness)

3 20 16 12 8 4 20 16 12 8 4

Comments:

Communicative ability (use of language, expression, comprehension)

4 15 12 9 6 3 15 12 9 6 3

Comments:

Personality (mannerisms, organisation fit, confidence, ability to interact,

5 appearance) 15 12 9 6 3 15 12 9 6 3

Comments:

Total Scores: 1st / 100 2nd / 100

Signature/ Date:

Additional remarks:

Recommendation: Hire KIV Reject

FOR HR DEPT USE

Position : Grade :

Applicant Date of Commencement : Company/ Dept. :

Salary : Other Allowances :

Name : Approved By :

Date

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