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PT. MNC INVESTAMA TBK & GROUP
Human Resources Department, Recruitment Center 4 X 6
MNC Tower Jl. Kebon Sirih No. 17-19, Jakarta Pusat 10340

FORMULIR LAMARAN KERJA/APPLICATION FOR EMPLOYMENT MNC FINANCE

PRIVATE & CONFIDENTIAL
DATA PRIBADI / PERSONAL DATA
Nama Lengkap Jenis Kelamin Laki-Laki Perempuan
Full Name Gender Male Female
Tempat Tanggal Lahir Gol. Darah A AB
Place & Date of Birth Blood Type B O
Nomor KTP Minat
ID Number Hobby ________________________________
Kewarganegaraan Indonesia Lainnya
Citizenship Others _______________
Agama Islam Katolik Kristen Budha Hindu Lainnya
Religion Moslem Catholic Christian Budha Hindu Others_____
Alamat Rumah Kode Pos
Home Address Postal Code_______
Telepon Rumah Telepon Seluler Email
Home Phone Mobile Phone ________________
Posisi Yang Dilamar
Position Applied For

DATA KELUARGA / FAMILY DATA

Status Pernikahan Lajang Janda/Duda Menikah, Tahun
Marital Status Single Divorced Married, Year _____
Nama Tempat / Tgl Lahir L/P Pendidikan Pekerjaan
Name Place & Date of Birth M/F Education Occupation
Suami/Istri
Spouse
Anak 1
1st child
Anak 2
2nd child
Anak 3
3rd child

Susunan anggota keluarga Anda

Family Members
Ayah
Father
Ibu
Mother
Anak 1
1st child
Anak 2
2nd child
Anak 3
3rd child
Anak 4
4th child
Anak 5
5th child

PENDIDIKAN NON FORMAL / NON FORMAL EDUCATION

Kursus/ Training Tahun Lama Ijazah Dibiayai Oleh
Course/Training Year Duration Certificate Sponsored by
PENDIDIKAN FORMAL / FORMAL EDUCATION
Jenjang Lembaga Pendidikan Jurusan IPK Tahun/Year
Masuk Lulus
Level Name of Institution Major GPA
Entry Graduate
SLTA
High School
Universitas/
Akademi
University/
Academy
Pascasarjana
Postgraduate
Sebutkan keanggotaan, Asosiasi/ Klub yang diikuti
Please indicate if you are member of any professional association, society or club
Nama Lembaga Lokasi Jenis Kegiatan Masa Bergabung
Date of Joining
Name of Institution Location Nature of Activities
From To

Sebutkan Penghargaan yang pernah Anda terima

Please list any awards attained
1.
2.
3.

KEMAMPUAN BAHASA ASING / LANGUAGE PROFICIENCY

Bahasa Baca Lisan Tertulis
Reading Speaking Writing
Language Baik Cukup Kurang Baik Cukup Kurang Baik Cukup Kurang
Fluent Fair Poor Fluent Fair Poor Fluent Fair Poor

KEMAMPUAN KOMPUTER / COMPUTER PROFICIENCY

Jenis Program / Aplikasi Tingkat Penguasaan
Level of Proficiency
Program / Apllication Baik Cukup Kurang
Good Fair Poor

MINAT DAN KONSEP PRIBADI / PERSONAL INTERESTS AND CONCEPT

Darimana Anda mengetahui Lowongan ini?
Where did you hear this position?
Jenis pekerjaan apa yang anda sukai ? Mengapa ?
Type of work you like ? Why ?
Berapa Gaji Bersih yang Anda Harapkan ?
How Much Salary do You Expect? Rp. ________________________________
Kapan Anda dapat mulai bekerja ?
When will you be able to start working ?
Bila diterima, Bersediakah Anda bertugas ke Luar Kota?
If you work here, will you duty out of town ?
Bila diterima, Bersediakah Anda ditempatkan ke Luar Kota? Sebutkan daerahnya
If you work here, will you placed out of town? Write the regions
ORANG YANG DIHUBUNGI DALAM KEADAAN DARURAT/CONTACT PERSON IN EMERGENCY
Nama Alamat dan Telp Jabatan Hubungan
Name Addres and Phone Number Position Relation

PENGALAMAN KERJA / EMPLOYMENT HISTORY (PLEASE BEGIN WITH YOUR CURRENT JOB/WORK)
Nama Perusahaan :
Company Name
Alamat Perusahaan :
Company Addres
No. Telpon & Fax :
Phone Number & Fax
Bidang Usaha :
Line of Business
Dari (bln/thn) Sampai (bln/thn) Jabatan Gaji
From (mm/yy) To (mm/yy) Position Held Salary
Awal : Awal :
First First
Akhir : Akhir :
Last Last
Tugas & Tanggung Jawab
Describe your duties & responsibilities
Alasan Mengundurkan Diri
Reason for Leaving

Nama Perusahaan :
Company Name
Alamat Perusahaan :
Company Addres
No. Telpon & Fax :
Phone Number & Fax
Bidang Usaha :
Line of Business
Dari (bln/thn) Sampai (bln/thn) Jabatan Gaji
From (mm/yy) To (mm/yy) Position Held Salary
Awal : Awal :
First First
Akhir : Akhir :
Last Last
Tugas & Tanggung Jawab
Describe your duties & responsibilities
Alasan Mengundurkan Diri
Reason for Leaving
PENGALAMAN KERJA / EMPLOYMENT HISTORY (CONTINUED)
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Nama Perusahaan :
Company Name
Alamat Perusahaan :
Company Address
No Telp & No Fax :
Company Number & Fax
Bidang Usaha
Line of Business
Dari (bln/thn) Sampai (bln/thn) Jabatan Gaji
From (mm/yy) To (mm/yy) Position Held Salary
Awal : Awal :
First First
Akhir : Akhir :
Last Last
Tugas & Tanggung Jawab
Describe your duties & responsibilities

Alasan Mengundurkan Diri

Reason for Leaving

Gambarkan Struktur Organisasi yang memperlihatkan posisi Anda, atasan dan bawahan di tempat kerja Anda terakhir
Please draw the latest organization chart. Indicate clearly your position, your supervisor and your subordinate

KETERANGAN LAINNYA / OTHER INFORMATION

Berat Badan Apakah Anda pernah dirawat di rumah sakit & atau menderita sakit yang lama? Ya/Yes
Weight ____ Kg Have you been hospitalized and/or seriously ill for a long time Tidak/No
Tinggi Badan Apakah Anda pernah mengikuti evaluasi psikologis Ya/Yes
Height ____Cm Have you ever taken a psychological test? Tidak/No
Sebutkan Nama kenalan Anda di perusahaan kami, dan telpon serta hubungannya dengan anda

Name your friends/family in MNC Group

Apakah anda pernah diproses di MNC Group? Tidak /No

Have you ever been processed in MNC Group? Ya / Yes ; PT/Company : ………………………
Posisi/Position :…………………… Tanggal/Date : ………………

REFERENSI DAN REKOMENDASI / REFERENCE AND RECOMMENDATION

Referensi dan rekomendasi tentang Anda dapat diperoleh dari:
Further reference and recommendation about the candidate can be obtained from:
Nama Alamat dan No Telp Jabatan Hubungan
Name Address and phone number Position Relation

PERNYATAAN / DECLARATION
I authorize background investigation of all statements contained in this record if I am considered for employment. I
Understand that a misinterpretation or mission fact called for herein sufficient cause for cancellation of consideration of
employment or dismissal from the company service if I have been employed. I understand that employment is subject to
satisfactory background investigation check, including verification of my employment status with my present employer and
a medical examination in which my health must be found to be satisfactory to the Company. I acknowledge that all above
information and statement may be transferred to, accesses and/or utilized by other entities now or hereafter within MNC
Group of Companies for consideration of my application or placement
Tanda Tangan Pelamar Tanggal
Signature of Applicant Date