DATA PRIBADI
PERSONAL DATA STAFF ID:
DATA KELUARGA
FAMILY
Suami/Istri
Anak 1
Anak 2
Anak 3
RIWAYAT PENDIDIKAN
Educational background
PENDIDIKAN FORMAL
Formal education
Pendidikan Institusi Jurusan Tahun Masuk s/d Keluar Nilai Akhir/IPK Lulus/Tidak
Education Institution Major Start until Graduate Date GPA Graduate/Not
SMU SMA NUSANTARA LUBUK PAKAM IPA 2011-2014 8,64 LULUS
D3 PERGURUAN TINGGI CENDANA MANAJEMEN 2014-2017 3,63 LULUS
S1
S2
Lain-lain..
PENDIDIKAN NON-FORMAL
Informal education
Nama Kursus/Seminar Penyelenggara Tahun Sertifikat
Name of Course/Seminar Organizer Year Certificate
MARSMELLOW ENGLISH COURSE Mrs. Afriani,SS 2009 ADA
PELATIHAN PENINGKATAN KARAKTER BAGI MAHASISWA PTS KEMENDIKBUD RI 2015 ADA
TOASTMASTER INTERNATIONAL TOASTMASTER 2015 ADA
PENGALAMAN ORGANISASI
Organizational experiences
Nama Organisasi Alamat Jabatan Tahun Kurun waktu
Name of Organization Address Role/Position Year Duration
KETERAMPILAN KOMPUTER
Computer skills
Operasional Komputer Baik Cukup Kurang Nilai (Skor)
Computer operational Good Average Poor Score
Ms. Word P 8
Ms. Excel P 7
Ms. Power Point
P 8
Lain-lain ….............................
KETERAMPILAN BERBAHASA*
Language skills*
Bahasa Baca Tulis Bicara Jenis Sertifikat Keterangan
Language Reading Writing Speaking Certificate Information
*Kerabat didefinisikan sebagai pasangan, anak, saudara & adik, orang tua.
Relatives are defined as spouse, son/daughter, brother & sister, parents, friends.
No. HP atasan:
Nama atasan: Jabatan atasan:
SUTARNO DIREKTUR Supervisor/Manager's
Supervisor/Manager's name Position
phone number: -
Deskripsi pekerjaan: mencari peserta didik dan merekruit siswa untuk belajar atau kuliah
Job description
Alasan berhenti:
Reason to resign karena hanya di kontrak 2 tahun
Posisi terakhir anda dalam struktur organisasi perusahaan saat ini (dilengkapi dengan nama)
Your last position in organizational structures (with name)
No. HP atasan:
Nama atasan: Jabatan atasan:
Supervisor/Manager's
Supervisor/Manager's name Position
phone number:
Deskripsi pekerjaan:
Job description
Alasan berhenti:
Reason to resign
Posisi terakhir anda dalam struktur organisasi perusahaan saat ini (dilengkapi dengan nama)
Your last position in organizational structures (with name)
No. HP atasan:
Nama atasan: Jabatan atasan:
Supervisor/Manager's
Supervisor/Manager's name Position
phone number:
Deskripsi pekerjaan:
Job description
Alasan berhenti:
Reason to resign
Posisi terakhir anda dalam struktur organisasi perusahaan saat ini (dilengkapi dengan nama)
Your last position in organizational structures (with name)
MEMFOLOWUP PESERTA ATAU ANGGOTA UNTUK BISA MEMATUHI ATURAN2 YANG D BERIKAN
5. Apa target kehidupan (karir, pengembangan diri, dsb)
Anda 3 tahun ke depan?
What are your life goals (career, self-development, etc.) in the
next 3 years?
MENCAPAI KARIR YANG BAIK DAN MEMBUAT DIRI LEBIH BAIK LAGI DAN BISA MENJADI LEADER DI SETIAP KEGIATAN
6. Bagaimana cara Anda mengelola stress pribadi dan
demotivasi kelompok kerja?
How do you manage personal stress and work group
demotivation?
MENDENGARKAN MUSIK YANG KLASIK DAN MEMBERIKAN ARAHAN YANG BAIK DAN MUDAH DIPAHAMI TANPA MEMBERIKAN JARAK DENGAN KELOMPOK KERJA
*Silahkan tulis jawaban Anda secara rinci
Please write your answer elaboratively
INFORMASI TAMBAHAN
ADDITIONAL INFORMATION
Pertanyaan Ya Tidak Keterangan
1. Apakah Anda pernah melamar di perusahaan kami,
kapan & di posisi apa?
Have you ever applied in our company, when and in what
position? P
2. Apakah Anda terikat kontrak dengan perusahaan
tempat anda bekerja saat ini?
Are you under contract with the company where you work
today? P
3. Apakah Anda pernah/sedang mengalami gagal bayar
dalam hutang-piutang (kartu kredit/pinjaman)?
Have you ever / been experiencing a default on debt (credit card
/ loan)? P
4. Apakah Anda pernah mengalami sakit/kecelakaan
berat/penyalahgunaan obat (Narkoba)? Mohon
disebutkan.
Have you ever experienced illness/serious accident/drug abuse
(illicit drugs & narcotis)? Please indicate.
P
5. Apakah Anda pernah berurusan dengan polisi karena
tindak kejahatan/fraud? Mohon disebutkan.
Have you ever dealt with the law enforcement or police officers
for crime/fraud? Please indicate.
P
6. Apakah Anda memiliki hubungan keluarga dengan
pejabat pemerintahan atau aparatur negara?
Do you have any family relationship with government officials?
P
7. Bersediakah Anda ditugaskan dinas di luar kota?
Are you willing to travel in other city?
P SANGAT INGIN
8. Apakah Anda memiliki keluarga yang memiliki atau
bekerja di bidang usaha jual beli emas atau permata?
Do you have any family relationship that own or work at gold or
jewel industry?
P
Pertanyaan Jawaban
Question Answer
1. Apa hobi & minat Anda?
What are your hobbies and interests?
1. I hereby certify that the above information is true, complete and correct. I authorize PT Central Mega Kencana to verify all information made in this application to
determine validity of the information provided;
2. I fully consent and understand verification process conducted by the PT Central Mega Kencana , with reference to this application pertaining to my personal background
inquiries may include but will not be limited to; employment, family, educational, reasons for termination on past employment, criminal and others;
3. I hereby certify that I do not own any personal business or working for another company or engage in a particular organization/institution or act as a shareholder in a
company that may pose a conflict of interest with my employment in PT Central Mega Kencana;
4. I hereby certify that I have not been convicted or sentenced or plead guilty of a felony or misdemeanor or any violation in a civil or criminal court;
5. I hereby certify that I will not use any type of social media to publish matters related to work, Co-worker, Superior, Management of PT Central Mega Kencana, customer or
other parties as it could potentially harm those parties and reputation of PT Central Mega Kencana;
6. I fully agree to all Company Regulations and other implementing regulations in force at PT Central Mega Kencana and are willing to comply with all Company Regulations
and other implementing regulations as well as legislation in force in the Republic of Indonesia;
7. I hereby certify PT Central Mega Kencana to terminate my employment in accordance with the provision of applicable law if in the future the above statement and
information is proven incorrect.
This statement I make with the true and full sense of responsibility without any pressure from any party.
Tanggal: Nama Lengkap & Tanda Tangan Pelamar:
Date Full Name & Signature of Applicant
15-Sep-22
FAJAR KURNIA
16-Sep-22