PT BASF Indonesia AH/F/AH0021-1.

Cantumkan I.DATA PRIBADI/PERSONAL DATA

Nama Lengkap/Full Name

Foto

Gilang Prasetiya X

Jenis Kelamin/Sex Laki-laki/Male Perempuan/Female

Tempat/Tanggal Lahir Place/Date of Birth

Bogor, 25 Juli 1991

Telep"n/Telephone 08569 7 5955 ("l"ngan arah Blood !roup A / ' / A' / ) *h.+ / ikeluarkan &i/,ssued at

Alamat Yang apat

ihu!ungi/Contact Address

Kp Bedahan Rt 07 Rw 01 Pabuaran Cibinong Bogor #tatus Perka$inan/%arital #tatus Tinggi/'erat Height/ eight Ti&ak Ka$in/Single Ka$in/Married Kartu ,&entitas /identit" Card KTP/Passport N". #,%/Dri#er$s %ic. A/'/-/ N". 16 !" # 51 Kg 'erlaku s.&/&xpire Date

II. KELUARGA / $%&'()

1. Isteri, Sua i, Ana!/ *i+e, -usband, Children Hu!ungan 'elationship
Sua i,Istri/ *i+e -usband Ana!/Child

Nama Name -

Jenis Kelamin Sex -

.mur/Tgl.Lahir Age/ ate "/ !irth -

Peker0aan (ccupation -

Pen&i&ikan &ducation -

Keterangan 'emar)s -

". A#a$, I%u, Ka!a!, Adi!/$ather, &other, Brother, .ister Hu!ungan 'elationship
A#a$/$ather I%u/&other Ka/a/

Nama Name
.etiarno .u/arti Ba!htyar . P

Jenis Kelamin Sex

(a/i0la/i *anita (a/i0la/i

.mur/Tgl.Lahir Age/Date of *irth

5 50 0

Peker0aan (ccupation
*iraswasta *iraswasta Karyawan

Pen&i&ikan &ducation
.1& .&P .1&

Keterangan 'emar)s

III. PENDIDIKAN & KE'A(IRAN / 234C%1'56 7 PR5$'C'26C) Pendidi!an For a)/$or"al 2du!ation Tingkat/%e#el # /&lementar" School #%)/,r-High School #%TA/Sr-High School ,1,,1,,, . Academ" #trata 1/ Bachelor #trata 2/ Master #trata 2/ Doctor Kursus, Pe)ati$an, Lo!a!ar#a, d))./ Course, 1raining, .e"inar,et! N". T"pik/Su*+ect Pen3elenggara (rgani/er Tempat/Place Lama Duration Tahun 0ear 801 801 -ukup Fair 'aik !ood Nama #ek"lah Name of School Bedahan 8 PGR' 1 Cibinong %nalis Ki"ia )KP' K"ta Cit" Jurusan Su*+ect Ta)en ari From #ampai To Keterangan 'emar)s

Cibinong Cibinong
Bogor

%nalis

1997 2003 2006 2011

2003 2006 2010 -

Institut Teknologi Indonesia

Tangeran g

Teknik Ki ia

5! 'CC
'uruk Poor
Lisan #p"ken Tulisan 4ritten Lisan #p"ken Tulisan 4ritten Lisan #p"ken Tulisan 4ritten

"T #rg$a Kar%a "T #rg$a Kar%a

-ukup Fair 'aik !oo

"T #rg$a Kar%a "T #rg$a Kar%a

K"mputer Computer

& Ja & Ja
'uruk Poor

Ke a$iran/Pro+i!ien!y 'ahas %anguage 1. B9inggris 2.

1. &i!roso+t 5++i!e 2. 2. 5. 6. 7.

2.

Ke*e aran/-obbies : $utsal, Berenang, 1ra;eling Or*anisasi Pro+esi, Sosia) & O)a$ra*a ,an* Di asu!ai/ Pro+essional, .o!ial 7 .port 5rgani<ation %ttended ari/From #ampai/To )rganisasi/(rgani/ation Ja!atan/Position

2008 2012 2013

*umah/*esi&en8e

2010 2014 2014

Karang Taruna Remaja Rt 07 Karang Taruna Remaja Rw 01 Karang Taruna Remaja 76

Ketua Bendahara Bendahara

%ilik Keluarga/ Famil" Lain-lain/ (thers 1 222222222

I-. KEUANGAN/ $'6%6C'%( %ilik #en&iri/ Pri#ate #e$a/'ented *p.9999999999999Per !ulan/m"nth %"!il: %erek1Jenis1Tahun/ Car1 Brand3 T"pe3 0ears ............................ %ilik #en&iri/Pri#ate (4ned %ilik Perusahaan/Compan" (4ned Lain-lain/(ther 999999999999999999999999999

#epe&a %"t"r: %erek1 Jenis1 Tahun / Motor C"cle1 Brand3 T"pe3 0ear ...,a a$a, /u0iter 1, "223..................... %ilik #en&iri/Pri#ate (4ned %ilik Perusahaan/Compan" (4ned Lain-lain/(ther 999999999999999999999999999

(a0i #ekarang Present Salar"

*p 2.;00.000

K"t"r/'ersih !ross/Net

(a0i Yang iharapkan &xpected salar"

*p 5.<00.000

K"t"r/'ersih !ross/Net

-. RI4A,AT PEKER/AAN/ 2&P(5&261 -'.15R)

u)ai dari 0e!er5aan se!aran*/starting +ro" present =ob

ari From 8010 Ja!atan Position

#ampai To 8011

Nama = Alamat Perusahaan Jenis .saha Compan" Name 5 Address %ine (f Business P1 ."art 1b/, >l Rung/ut industry no 10 surabaya9 Pabri/ "inya/ goreng .raian Tugas/,o* Description ?uality Control .uper;isor Rp 890009000 Nama = Alamat Perusahaan Compan" Name 5 Address Jenis .saha %ine (f Business &enganalisa =alan produ/si "inya/ goreng dan "argarine9

Ja!atan Atasan Superior$s Position (a0i Salar" ari #ampai From To 8011 Ja!atan Position Ja!atan Atasan Superior$s Position (a0i Salar" ari #ampai From To se/aran g

P19 %rgha Karya Pri"a 'ndustry 1b/, Pabri/ poli"er >l Pahlawan Karang %se" Barat Citeureup .raian Tugas/,o* Description .enior 5perator .enior .uper;isor Rp 899009000 Nama = Alamat Perusahaan Compan" Name 5 Address Jenis .saha %ine (f Business &enganalisa sa"ple trial dan !o"plaint9

Ja!atan Position Ja!atan Atasan Superior$s Position (a0i Salar" ari #ampai From To

.raian Tugas/,o* Description

Nama = Alamat Perusahaan Compan" Name 5 Address

Jenis .saha %ine (f Business

Ja!atan Position Ja!atan Atasan Superior$s Position (a0i Salar" ari #ampai From To

.raian Tugas/,o* Description

Nama = Alamat Perusahaan Compan" Name 5 Address

Jenis .saha %ine (f Business

Ja!atan Position Ja!atan Atasan Superior$s Position (a0i Salar"

.raian Tugas/,o* Description

-I.REFERENSI/REFEREN6ES
N". Nama Name Perusahaan1 Alamat = Ja!atan Compan"3 Address 5 Position Telep"n Telephone Hu!ungi 'elationship

-II. KAR,A4AN BASF INDONESIA ,ANG 'ENGENAL SA,A PERSON 7S8 IN BASF INDONESIA 4(O KNO4S 'E N". Nama Name Perusahaan1 Alamat = Ja!atan Compan"3 Address 5 Position Telep"n Telephone Hu!ungi 'elationship

-III. PENGETA(UAN 'ENGENAI BASF KNO4LEDGE ABOUT BASF N". 1 Su*+ect Apakah An&a mengetahui 'A#F se!elumn3a> Do "ou )no4 a*out BASF *efore6 Jika 3a1 &ari mana An&a mengetahui 'A#F> 7f "es3 Ho4 do "ou )no4 BASF6 2 Apa 3ang An&a ketahui tentang 'A#F> hat do "ou )no4 a*out BASF6 ari mana An&a mengetahui in/"rmasi l"$"ngan ker0a ini> Ho4 did "ou )no4 a*out the +o* #acanc"6 YA Yes Pen0elasan &xplanation T, AK ?8"ret salah satu@ N"

,nternet &an tempat ker0a.

#upplier !ahan kimia.

J"!street.

Jika &iterima !eker0a1 sa3a &apat mulai !eker0a pa&a tanggal 7f accepted3 7 4ill *e a*le to start 4or)ing on

02 April 2015

engan ini sa3a men3atakan !ah$a semua 0a$a!an sa3a terha&ap pertan3aan-pertan3aan &i atas a&alah merupakan hal 3ang se!enar-!enarn3a. #a3a men3a&ari !ah$a !ila a&a pern3ataan &i aas 3ang ti&ak !enar &apat men3e!a!kan !ataln3a keikutsertaan sa3a &alam pr"ses seleksi ataupun pemutusan hu!ungan ker0a !ila telah &iterima se!agai kar3a$an 'A#F ,n&"nesia. 7 here*" declare that all m" ans4ers to the a*o#e 8uestions are true and correct- 7 am full" a4are that an" false statement gi#en in this form ma" ha#e as conse8uence m" dismissal from selection process or if emplo"ed3 m" discharge from BASF 7ndonesiaJakarta1 12 Fe!ruari 20159999999999999 Pelamar/Appli8ant1

999999Gilang Prasetiya999999999999999 .ntuk Keperluan #en&iri/For 7nternal 9se iterima se!agai/&mplo"ed as %asa Pengenalan Ja!atan/,o* (rientation Period (a0i K"t"r/!ross Salar" -atatan ?!ila a&a@ Notes :if an"; iterima "leh Human *es"ur8es epartment 'ecei#ed *" Human 'esources Department Nama/Name Tanggal/Date Tan&atangan/Signature ipr"ses "leh Human *es"ur8es epartment Processed *" Human 'esources Department Nama/Name Tanggal/Date Tan&atangan/Signature