Contoh Isian Employment Application HMC [PDF]

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PT. Hyundai Motor Manufacturing Indonesia Menara Jamsostek Lt.5 South Tower, Jalan Gatot Subroto No. Kav.38 Kuningan Barat Mampang Prapatan , Jakarta Selatan, DKI Jakarta 12710 Indonesia Indonesia Telp. (+62) 021-3118 2400, Fax (+62) 021-2525 620



EMPLOYMENT APPLICATION FORM 1.POSITION APPLYING FOR



OPERATOR



2.EMPLOYEE INFORMATION Name ID Number (KTP)



FATAHILLAH NASRULLAH 3328156707510000



picture



Address



Telephone (1) Telephone (2) Place of birth



081329564872 Email 0813294456987 [email protected] TEGAL Date of birth (age)



Marital Status (single / Married / Widow)



6/19/2003



SINGLE



Religion



ISLAM



Gender



LAKI LAKI



3.Education Information Institution name



Bachelor or degree



Location



Years completed



Field of study



SD NEGERI KEBASAN 2 MTS NU 01 MAMBAUL HIKMAH



TEGAL TEGAL



6 YEARS 3 YEARS



SMK NU 01 PENAWAJA



TEGAL



3 YEARS TEKNIK KENDARAAN RINGAN



4.Family Information Single Name Age WASHADI UMI JAMILAH MUHAMMAD FIKRI HARDIANSYAH FATAHILLAH NASRULLAH



Father Mother Child 1 Child 2



51 48 21 17



Last Education SLTA SLTP SMK SMK



Occupation INDONESIA INDONESIA INDONESIA INDONESIA



Company name WIRASWASTA IBU RUMAH TANGGA WIRASWASTA PELAJAR



Child 3 Child 4



Married Name



Age



Last Education



Occupation



Company name



Address



Salary



Position title / duties



Reason for leaving



Work period



Spouse (Husband / wife) Child 1 Child 2 Child 3



5.Employment History Employer name



Start



End



DIISI JIKA ADA PENGALAMAN KERJA PT. TNA



KARAWANG



4,500,000 OPERATOR



HABIS KONTR



### 1/12/2021



Organization Chart Last Position Please describe your last organization Chart including superior, colleague, and subordinate (if any)



SERIKAT BURUH (CONTOH)



6. Last Compensation & Benefit Component



Amount



Monthly Basic Salary Income Tax



4,500,000 2,000,000



Transportation Scheme Other Allowances (please specify) …………………



500,000



………………… ……………….. Total



7,000,000



OT Entitlement Medical Scheme



7.Skills & Qualifications (Excellent, Good & Fair) Others qualification such as special skills, abilities JUARA PENCAK SILAT TINGKAT KABUPATEN Professionals licenses, certifications or registrations SERTIFIKAT FORKLIFT Additional skills, including supervision skills, other languages BAHASA INGGRIS Organizational experience OSIS, PRAMUKA, KARANG TARUNA Employee Organization / Union experience



Remarks



SERIKAT BURUH



8.References List two personal references who are not relatives or former supervisors Name SUBKHAN TARJO



Title / Occupation INDONESIA INDONESIA



Company WIRASWASTA PNS



Telephone no. 08132944682 08562586214



Years known 7 TAHUN KENAL 9 TAHUN KENAL



9.Others information 1. Have you had any serious illness, injury, or surgeon within last 2 years? 2. Willing to placed on all area in HMC work area throughout indonesia 3. Willing to travel for work



Yes No Yes No Yes



NO YES YES



No 4. Expected salary & benefit salary benefit



: Rp. 5.000.000 : Rp. 5.000.000



5. Have you ever been arrested, involvement in any dishonost or fraudulent, drugs and convicted of other crime acts? (YES / NO) please explain if YES TIDAK PERNAH MELAKUKAN TINDAK KRIMINAL APAPUN



6. Do you have any acquaintance or family who had worked or currently working for this company ? (YES / NO) please explain if YES - Name & Job position TIDAK PUNYA KENALAN DI PERUSAHAAN INI/ PUNYA KENALAN ATAS NAMA HUSNI MUBAROK POSISI OPERATOR ( CONTOH JIKA ADA KENALAN DI PERUSAHAAN) 7. Availability to join (Date / Immediate) IMMADIATE/ SEGERA 10. Information to the applicant 1. I certify that all answers given herein are true and complete to the best of my knowledge 2. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision



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3. In the even of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge



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FATAHILLAH NASRULLAH Name of applicant



_________TANDA TANGAN______________ Signature of Applicant



TEGAL, 6 MEI 2021 Date



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