PT PASONA HR INDONESIA

Application Form

Applicant Information

Position Applied for
Full Name / Place & Date of Birth
Present Address
Permanent Address
Phone (office) / E-mail Address
Phone (home) / Mobile phone
Religion / Gender
ID Number (Passport/ KTP/ Driver’s license) / Nationality
Marital Status / Available date
Desired Salary / Desired Allowance (please describe it)
FAMILY INFORMATION
NO / RELATION / NAME / AGE / GENDER / EDUCATION / OCCUPATION
1. / Father
2. / Mother
3. / Sibling (Including you)
If you are married, please fill in the following data
NO / RELATION / NAME / AGE / GENDER / EDUCATION / OCCUPATION
1. / Husband / Wife
2. / Children

Education

High School / Major
From / To / Graduated / On-Going / Unfinished
College / Major
From / To / Graduated / On-Going / Unfinished
Other / Major
From / To / Graduated / On-Going / Unfinished
SKILL
  1. LANGUAGE PROFICENCY

NO / LANGUAGE / VERBAL / WRITTEN
Poor / Fair / Satisfactory / Good / Excellent / Poor / Fair / Satisfactory / Good / Excellent
Poor / Fair / Satisfactory / Good / Excellent / Poor / Fair / Satisfactory / Good / Excellent
Poor / Fair / Satisfactory / Good / Excellent / Poor / Fair / Satisfactory / Good / Excellent
  1. COMPUTER SKILL

  1. OTHERS

PROFESSIONAL TRAINING
No. / From / To / Institution/ Agency / Training Program/ Course
DESCRIBE YOUR HEALTH CONDITION
EMPLOYMENT HISTORY
(Start with your present employment)
Company / Phone / ( )
Business Line
From / To / Reason Leaving
Job Title / Department
Job Description
Latest Salary
Compensation Package
May we contact your previous Company for a reference? / YES / NO
Company / Phone / ( )
Business Line
From / To / Reason Leaving
Job Title / Department
Job Description
Latest Salary
Compensation Package
May we contact your previous Company for a reference? / YES / NO
Company / Phone / ( )
Business Line
From / To / Reason Leaving
Job Title / Department
Job Description
Latest Salary
Compensation Package
May we contact your previous company for a reference? / YES / NO
Desired Position
Desired Location
PERSONALITY
STRENGTH / AREAS FOR IMPROVEMENT

References

Please list three professional references.
Full Name / Relationship
Company / Phone / ( )
Full Name / Relationship
Company / Phone / ( )

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.
Signature & Name / Place & Date