DAFTAR RIWAYAT HIDUP

1.
2.
3.
4.
5.
6.
7.
8.
9.

Nama
: ................................................
Pria/ Wanita
: ................................................
Warga Negara
: ................................................
Tempat/tanggal lahir
: ................................................
Alamat
: ................................................
Agama
: ................................................
Sudah/belum kawin
: ................................................
Nama suami/istri
: ................................................
Nama Anak-anak
:
1. ....................... Tgl lahir ...............................
2. ....................... Tgl lahir ...............................
3. ....................... Tgl lahir ...............................
10. Nama Ayah
: ................................................
11. Nama Ibu
: ................................................
12. Pekerjaan Orang Tua
: ................................................
13. Alamat Orang Tua
: ................................................
14. Ijazah Sekolah
:
a. ....................................................................................................................
b. ....................................................................................................................
c. ....................................................................................................................
d. ....................................................................................................................
15. Ijazah Kursus/ lainnya
:
a. ....................................................................................................................
b. ....................................................................................................................
c. ....................................................................................................................
d. ....................................................................................................................
16. Pengalaman Kerja
:
a. ....................................................................................................................
b. ....................................................................................................................
c. ....................................................................................................................
d. ....................................................................................................................
Nama Kantor, kota, lama bekerja/gaji/ dan lain-lain
a. ....................................................................................................................
b. ....................................................................................................................
c. ....................................................................................................................
d. ....................................................................................................................
17. Melamar sebagai
: ................................................
18. Keinginan
:
a. Gaji ..............................................................
b. Gaji ..............................................................
Daftar Riwayat Hidup ini dibuat dengan sebenarnya.
................................ 20........
Pelamar

(...........................................)