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Application Form PROTERGO
CYBERSECURITY

Posisi Yang Dilamar : 1. Project Management Office

Apply For Position
2.

1. Nama Lengkap :Tiffany Khairunnisa

Full Name

2. Tempat/Tanggal Lahir : Bogor, 31 Januari 1997

Place, Date, and Birth

3. Alamat Rumah Di Jakarta : Bassura City Apartment Tower Edelweiss ( E )Unit 06AE
Mailing Address Jakarta Timur – Jatinegara 13410

4. Alamat Rumah : Taman Jaya II Rt.01/09 Kec.Pacet Kab. Cianjur

Home Address Prov. Jawa Barat 43253

5. Alamat Orang Tua : Taman Jaya II Rt.01/09 Kec.Pacet Kab. Cianjur

Parents Home Address Prov. Jawa Barat 43253

6. Email : Datatiffany@gmail.com
Email

7. Telepon Rumah : - Telepon Kantor : -

Home Number Office Number

8. Telepon Seluler : 0813 9550 2350 Telepon Orang Tua : 0812 1480 3801
Cellphone Number Parents Number

9. Agama : Muslim Jenis Kelamin :L/P

Religion Sex M/F

10. Status Perkawinan : Single No. KTP : 3203107101970005

Marital Status ID Card Number

11. Hobi : Travelling

Hobby

Pengalaman Kerja
Jenis
Name Tempat & Tgl. Lahir Pendidikan Working Experience
Kelamin
Name Place & Date of Birth Education Perusahaan Jabatan
Sex
Employee Position
Ayah / Father
D3 Analis PT. Sebuku Head of
Agus Trisna Komara L Purwakarta, 17/08/62 Iron Lateric
Kimia Laboratory
Ibu / Mother
Iis Ernawati P Bogor, 12/08/68 SMA - IRT
Saudara Kandung / Brother or Sister
1. Fariz Abdurakhman L Bogor, 22/06/1991 S2 CV. Mitra Sarana CEO
2. Andi Aulia R L Cianjur, 06/06/2000 S1 - Mahasiswa
3. Anty Aulia R P Cianjur, 06/06/2000 S1 - Mahasiswi
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PT PROTERGO SIBER SEKURITI

Application Form PROTERGO
CYBERSECURITY

Pengalaman Kerja
Jenis
Name Tempat & Tgl. Lahir Pendidikan Working Experience
Kelamin
Name Place & Date of Birth Education Perusahaan Jabatan
Sex
Employee Position
Suami/Istri/Spouse
-
Anak/Children
1.-
2.-
3.-

Keluarga Yang Dapat Dihubungi Dalam Kondisi Darurat Nama: Fariz

Telp: 0822 1768 8967
Abdurakhman

Tahun Pendidikan
Pendidikan Formal Nama & Lokasi Jurusan
Year Of Education
Formal Education Name & Location Major
dari/from sampai/to

SD/Elementary School SDN 4 Cipanas - 2002 2008

SMP/Junior High School SMPN 1 Cipanas - 2008 2011

Ilmu Pengetahuan
SMA/Senior High School SMAN 1 Sukaresmi 2011 2014
Alam
Akademi (D3)
- - - -
Academic School
Sarjana (S1) Institut Teknologi
Teknik Kimia 2014 2018
Under Graduate School Nasional Bandung
Pasca Sarjana (S2) Institut Manajemen
Manajemen Pemasaran 2021 2023
Graduate School Koperasi Indonesia

Pendidikan Non Formal/Kursus/Training/Seminar Bulan/Tahun Keterangan

Non Formal Education/Courses/Training/Seminar Month/Year Remarks
1. Sales Training “Micro-XRF”, Singapore July 2019 Participants
2. Micro-XRF for Craft and Batik May 2020 Speaker of Seminar
3. Micro-XRF for Fraud Money Printing September 2020 Speaker of Seminar
4. Seeing the world through other eyes: Optimizing the
April 2021 Speaker of Seminar
visualization of sample composition by Micro-XRF
5. MicroXRF System: As an x-ray beam point of view to
July 2021 Speaker of Seminar
compliment your SEM e-beam capabilities
6. Training Course Nuclear Magnetic Resonance - SEA
July 2021 Participants
meeting

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PT PROTERGO SIBER SEKURITI

Application Form PROTERGO
CYBERSECURITY

Lisan/Oral Tulisan/Written
Bahasa
baik cukup kurang baik cukup kurang
Language
good fair poor good fair poor
1.
2. 1.Bahasa Indonesia  
2.Bahasa Inggris  
Program/Software Computer baik cukup kurang
Computer Software good fair poor

Microsoft Office 
MicroXRF M4 Tornado Bruker Software

Keterampilan Lain Yang Sesuai Dengan Pekerjaan baik cukup kurang
Other Skill Related To Job good fair poor
Project Management


RIWAYAT PEKERJAAN (MULAI DARI PEKERJAAN YANG TERAKHIR)

EMPLOYMENT HISTORY (STARTING FROM THE CURRENT)
Bulan & Tahun Nama Perusahaan
December 2018 PT. Dynatech International
Month & Year Employer
Proyek FTIR- ITB Pemilik Proyek
Project Project Owner Marcel Alexander Tanny
Press Machine - ITB
Jabatan Atasan Langsung
Position Sales Engineer Bruker AXS Superior Ardiansyah
Gaji + Tunjangan Rp.5.500.000 Alasan Keluar
Salary + Benefit Reason For Leaving Looking for new opportunity
Rp.3.800.000
Uraian Tugas & Tanggung jawab Gambarkan Posisi Anda dlm Struktur Org. Perusahaan
Role & Responsibility Show Your Position in Company Organization Structure

1. Searching for new clients, traveling to visit Director

potential clients.
2. Managing & Interpreting customer requirements Manager II Manager I Manager III
3. Making technical presentations & demonstrating
the product
4. Handle applications for Micro-XRF Senior Me

Bulan & Tahun Nama Perusahaan

- -
Month & Year Employer
Proyek Pemilik Proyek
Project Project Owner
Jabatan Atasan Langsung
Position Superior
Gaji + Tunjangan Alasan Keluar
Salary + Benefit Reason For Leaving
Uraian Tugas & Tanggung jawab Gambarkan Posisi Anda dlm Struktur Org. Perusahaan
Role & Responsibility Show Your Position in Company Organization Structure

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Application Form PROTERGO
CYBERSECURITY

Bulan & Tahun Nama Perusahaan

- -
Month & Year Employer
Proyek Pemilik Proyek
Project Project Owner
Jabatan Atasan Langsung
Position Superior
Gaji + Tunjangan Alasan Keluar
Salary + Benefit Reason For Leaving
Uraian Tugas & Tanggung jawab Gambarkan Posisi Anda dlm Struktur Org. Perusahaan
Role & Responsibility Show Your Position in Company Organization Structure

Bulan & Tahun Nama Perusahaan -

-
Month & Year Employer
Proyek Pemilik Proyek
Project Project Owner
Jabatan Atasan Langsung
Position Superior
Gaji + Tunjangan Alasan Keluar
Salary + Benefit Reason For Leaving
Uraian Tugas & Tanggung jawab Gambarkan Posisi Anda dlm Struktur Org. Perusahaan
Role & Responsibility Show Your Position in Company Organization Structure

Bulan & Tahun - Nama Perusahaan -

Month & Year Employer
Proyek Pemilik Proyek
Project Project Owner
Jabatan Atasan Langsung
Position Superior

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PT PROTERGO SIBER SEKURITI

Application Form PROTERGO
CYBERSECURITY

Gaji + Tunjangan Alasan Keluar

Salary + Benefit Reason For Leaving
Uraian Tugas & Tanggung jawab Gambarkan Posisi Anda dlm Struktur Org. Perusahaan
Role & Responsibility Show Your Position in Company Organization Structure

PRIBADI ANDA YOUR PERSONALITY

Menurut Anda (atau komentar teman/atasan/bawahan/ Kelebihan (Strength)
pasangan Anda), apa kelebihan dan kekurangan pada diri 1. Social Intelligence
Anda? Sebutkan masing-masing 5 item.
What are your strengths and weakness’es? Please state 5 2. Curiosity
items.
3. Brave
4. Teamwork

5. Flexibility

Kekurangan (Weakness)
1. Self-Critism

2. Multitasking too much

3. Easy to get distracted

4. Anxious

5. Impulsive

Ceritakan salah satu kesuksesan & kegagalan dalam bekerja
yang pernah Anda alami.
(Please explain your achievement and failure in job)
Kesuksesan (Achievement)
On my first year with my first job, I struggled a lot. I
was belittled by my senior and he pressured me for no
apparent reason. I was shouted at, he trown me a
glass for very trivial reasons. I felt it was the lowest
point in my life, being treated that bad which I never
had it before. it also happened to my other co-
workers, so they lasted less than 6 months. But I
wasn’t discouraged, because I can see this company
have a potential to growth, so I was continue to learn
and prove that I’m capable to give contribution here
even though it was very difficult considering that
person always brings me down.

Because of my high curiosity, I was brought to

Singapore by the principal to learn and was trusted by
the director to handle a product that no one has been
able to handle until now. The journey wasn’t easy,
there were many obstacles, especially my senior who
was bad tempered. But I managed to did it well.

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CYBERSECURITY

Because of that, I was noticed by top managers to do

a lot of presentations in large institutions. After that
my senior turned to respect me, he became a very
nice person towards me and accepted my input. I’m
very happy because I can finally work with him. My
success story isn’t about how I can master the
product or how I can be seen as an achiever by
superiors but I feel successful in bringing someone
who was very hard at turning into a person who
respects others more without having to repay him with
badness. I love to feel that way of success because
after that I can work together with anyone without any
hard feeling.

Kegagalan (Failure)

Become a salesperson, we provide the best solutions

to the customers. Of course, the customer expect the
same. One time I sold 3 unit products from Australia,
after I installed within 2 hours the unit had a problem
and it effected to their productions. They lose so much
money because of that. I was really felt guilty because
I couldn’t fix it very soon. I tried to change all the
spareparts but still have the same issues. I followed
every suggestions from the factory in Australia but it
didn’t fix. Until the customer furious and accused me
of selling fake units. After long drama, we found that
was factory error. Even though that was factory faults
but I consider this as failure to negotiate and give trust
to customers.

Menurut pendapat Anda, persyaratan apa yang harus dimiliki Kepemimpinan (Managerial Skill)
untuk menduduki posisi yang Anda lamar sekarang?
(What skills do you think are required for the job that you Managerial skill would be very important for PMO
applied for now?) because we will support the company including it’s top
management and stakeholders to control their
- Kepemimpinan (managerial skill) operations and define the responsibilities within the
- Teknis (technical skill) Company.
- - Sikap kerja (attitude)

Teknis (Technical Skill)

Sikap kerja (Attitude)

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CYBERSECURITY

Siapakah Anda? □ Pengambil Keputusan (Decision Maker)

Who are you?
□
Pemecah Masalah (Problem Solver)

Penganalisa Masalah (Problem Analyst)
REFERENSI (Kepada siapa kami dapat menanyakan mengenai diri Anda lebih lengkap, selain saudara Anda)
REFRENCES (To whom,not your family,we can ask about your academic or professional performance)

Nama Telp. Hubungan Jabatan Keterangan

Name Phone Relation Occupation Remarks
Karyawan
1. Rendra Jamiatul Fikri 0857-9730-2656 Kerabat dekat -
Swasta
Karyawan
2. Elma Ari Pratiwi 0858-9481-2199 Kerabat dekat
Swasta

KETERANGAN TAMBAHAN / ADDITIONAL INFORMATION

Apakah Anda pernah melamar di perusahaan ini sebelumnya? Ya/Tidak

Kapan dan sebagai apa?
(Have you ever applied to our company before? When and what
Was the position?)
Apakah Anda terikat dengan perusahaan lain saat ini? Ya/Tidak
(Are you currently engaged in other company?)
Apakah Anda mempunyai teman/saudara yang bekerja disini Ya/Tidak
di group/perusahaan ini? Sebutkan nama dan hubungannya.
(Do you have any family or friend working for this company?
Please, mention his/her name and your relationship with him/her)
Bila diterima, bersediakah Anda bertugas diluar Jakarta? Ya/Tidak
(Are you willing to be posted out of Jakarta?)
Jenis pekerjaan apa yang Anda sukai? □ Kantor (office)  Lapangan (field)
(What kind job do you prefer?)
□ Sendiri (individual) □ Kelompok (team)

Bila diterima, berapa gaji dan fasilitas apa yang Anda harapkan? Rp. 8000,000,-
(How much is your salary expectation?)
Negotiable or Not Ya/Tidak. Rp.
Bila diterima, kapan Anda dapat mulai bekerja? 17 September 2021
(When you will be ready to join this company?)

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CYBERSECURITY

BACALAH PERNYATAAN INI DENGAN TELITI

PLEASE READ THIS STATEMENT CAREFULLY

Saya menyatakan bahwa informasi yang saya berikan pada formulir ini lengkap dengan benar. Saya mengerti jika terdapat
pemalsuan atau pengurangan informasi dapat mengakibatkan pemutusan hubungan kerja. Saya memberi wewenang
kepada perusahaan untuk menyelidiki tingkah laku, reputasi dan latar belakang pekerjaan, jika diperlukan.

I hereby affirm that the information given by me on this application for employment is complete and accurate.
I understand that any falsification or omission will be considered sufficient cause for dismissal. I authorize a thorough investigation to
be made in connection with this application concerning my character, general reputation, employment and educational background,
whichever may be applicable.

DIISI OLEH HRD

MULAI BEKERJA
N.I.K.

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