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A. PERSONAL DETAILS

Name :
First Middle Last Nickname

Current Address : Phone No. Details

Home :
Office :
Mobile :

Permanent Address : Phone No. :

(If different from current)

Place of Birth : Date of Birth : 26 January, 1979

Gender : Male Blood Type A B

Female AB O

Religion : Nationality : Indonesian

Identity Number : Marital Status Single Divorced

(KTP / Driving License / Passport) Married since

B. FAMILY DETAILS

Spouse and Children Details

Name Gender Place and Date of Birth Education Occupation

Family Details (Mother,Father, Order of your brothers and sisters inlcuding yourself)
Name Gender Place and Date of Birth Education Occupation

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 C. EDUCATION BACKGROUND

Formal Education

Name of College Faculty Major Title Period Grade

Informal Education (Course or Training)

Name of Course/Training Name of Organizer Venue Certification Period of Training

D. SKILL

Language Skill Computer Skill

Foreign Language Level Ability Competence
Writing Good Fair Less
Eglish Speaking Good Fair Less
Writing Good Fair Less
Speaking Good Fair Less
Writing Good Fair Less
Speaking Good Fair Less

E. ORGANIZATIONAL EXPERIENCE

Organization Scope of Organization Position Period

F. REFERENCES ( INTERNAL OR EXTERNAL PT. PANGANSARI UTAMA)

Name : Name :

Phone No. : Phone No. :

Relationship : Relationship :

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 G. EMPLOYMENT RECORD

Current Employment (or prior employment if not employed recently)

Name of Company Type of Business

Work Period - Since Until Department /Division

Position / Role

Address

Reason for leaving

Wages + Allowance Gross Net

Other Benefits

Job Description

Prior Employment

Name of Company Type of Business

Work Period - Since Until Department /Division

Position / Role

Address

Reason for leaving

Wages + Allowance Gross Net

Other Benefits

Job Description

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 Prior Employment

Name of Company Type of Business

Work Period - Since Department /Division

Position / Role

Address

Reason for leaving

Wages + Allowance Gross Net

Other Benefits

Job Description responsible for preparing meals for all crews, ordering, inventory, receiving and storing food, food costing, cleanliness,

hygine and sanation, monitoring stewards.

G. FUTURE EMPLOYMENT

Position sought :

Desired Pay Range :

Desired Other Benefits :

Available Start Date :

G. PERSONAL VIEW

Please decribe about yourself in your own opinions subjectively

(without any attempt)

1. What is the most important thing in your life?

2. What are your ambitions if you have ones?

3. What is your understanding about success?

4. In your opinion, what is the fundamental base about morale or ethic?

5. What are the people's opinions (that you know) about yourself ?
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 6. What is your positive attitude that you have ?

7. What is your negative attitude that you do have?

8. What kind of leadership that you expect (from your superior)?

9. How do you usually solve your own personal problem?

10. How do you manage any dispute among your co-workers?

The above list of questions is honestly responded and accountable and if there are incorrect datas discovered in
the future, I hereby am ready to receive sanction from the company.

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