APPLICATION FOR EMPLOYMENT Photo

Form No. F03-SFTGR-PER-03

POSISI YANG DILAMAR : OPERATOR FORKLIFT

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TANGERANG
LOKASI : ...............................................................................................................

PART I – PERSONAL

1. Nama : SUDARWAN
.............................................................................. Nama Lain : ...............................................................
2. Tempat/ Tanggal Lahir : TANGERANG, 28-071995
.......................................................................................... 27 THN
Usia : ......................................
3. Alamat Sekarang : KP.SUKAJADI RT. 003/007 DS. SUKAJADI, KEC. CIBALIUNG - PANDEGLANG
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............................................................................................................................. 0812 9669 7862
Telp./HP : ...................................................
INDONESIA
4. Kebangsaan : .............................................................................................................................................................................
5. Agama : ISLAM
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6. Status Pernikahan * Menikah/Lajang/Duda/Janda 28 JANUARI 2021
Jika Menikah, Kapan : .......................................................................
SITI ROHMAH
Nama Pasangan : .............................................................................. 24 -08 -1666
Tanggal Lahir : .........................................................
Pekerjaan : IBU RUMAH TANGGA
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Dimana : ......................................................................... Sejak : ...................................................
Jumlah Anak 1 (SATU)
: ................................................................................................................................................
Usia : 14 BULAN
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7. Tinggi Badan : ..........................................................................................................................................................................
8. Berat Badan 13 KG
: ..........................................................................................................................................................................
SULASTINAH
9. Nama Ibu Kandung : …................................................................................................................................................................
10. Pernah menderita sakit serius, operasi atau kecelakaan? TIDAK
...........................................................................................
Jika iya, sebutkan : ...............................................................................................................................................................
11. Alamat Rumah Asal : KP.TOBAT RT. 005/002 DS.SENTUL JAYA KEC. BALARAJA-BANTEN
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Pernah melamar di kantor ini sebelumnya : TIDAK
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Jika iya, (Kapan?) : ......................................................................................................................................................
Untuk posisi : ........................................................................................................................................................................

PART II – PENDIDIKAN DAN KEAHLIAN

A. Pendidikan Formal
1. Perguruan Tinggi
Nama Universitas/ Sekolah Tinggi Tahun Mulai Tahun Selesai Gelar GPA
1)
2)
3)

Program Studi
1) .......................................................................................................................................................................................
2) .........................................................................................................................................................................................
3) ........................................................................................................................................................................................
2. Pendidikan Menengah Atas
Nama Sekolah Tahun Mulai Tahun Selesai
1) SMK DWI PUTRA BANGSA 2010 2013
2)
 B. Pendidikan setara/ Pelatihan, Kursus, dll., setelah lulus sekolah/ kuliah
Nama Program Pelatihan / Kursus Nama Institusi Tahun
1)
2)
3)
4)

C. Office Skills : (komputer, Mengetik, dll)

1) ............................................................................................................................................................................................
2) ............................................................................................................................................................................................

D. Keahlian Bahasa Lisan Tulis

1) ........................................................................................................................................ Excellent
2) ........................................................................................................................................ Good
3) ........................................................................................................................................ Fair

PART III – PENGALAMAN KERJA

Pekerjaan Tetap (Mulai dengan pekerjaan saat ini)

1. Nama Perusahaan Tempat Bekerja
PT. WIKA INDUSTRI KONTRUKSI
.............................................................................................................................................................................................
.............................................................................................................................................................................................
............................................................................................................................. Telp. : 02122807127
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Posisi jabatan : REPAIR
.................................................................................. Sejak : Bulan & tahun s/d bulan & tahun
APRIL 19 s/d ….....
…...... & 20.... JAN & 20....
23
Atasan Langsung : BUDI SANTOSO
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Penghasilan (Rp.) : 4.700.000
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Tugas Utama :
MEMASTIKAN MESIN PRODUKSI ATAU ALAT ANGKUT BERJALAN NORMAL
1. ......................................................................................................................................................................................
2. ......................................................................................................................................................................................
3. .....................................................................................................................................................................................
4. ....................................................................................................................................................................................
Alasan Resign : HABIS KONTRAK
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2. Nama Perusahaan Tempat Bekerja

PT. KORINDO CITRA UTAMA
...........................................................................................................................................................................................
............................................................................................................................................................................................
........................................................................................................................... Telp. : 02191187112
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Posisi jabatan : PERALATAN
….......................................................................................... Sejak : Bulan & tahun s/d bulan & tahun
MARET 19 s/d ….....
…...... & 20.... 20
03 & 20....
Atasan Langsung : YADI
.......................................................................................................................................................
Penghasilan (Rp.) 4,000.000
: .....................................................................................................................................................
Tugas Utama : …...........................................................................................................................................................
BONGKAR ATAU MUAT KEBUTUHAN STOK GUDANG MAUPUN PRODUKSI
1. .......................................................................................................................................................................................
2. .......................................................................................................................................................................................
3. .......................................................................................................................................................................................
4. .......................................................................................................................................................................................
Alasan Resign :
HABIS KONTRAK
............................................................................................................................................................................................
 3. Nama Perusahaan Tempat Bekerja
PT. BANGUN SARANA BAJA
............................................................................................................................................................................................
............................................................................................................................................................................................
........................................................................................................................... Telp. : 02159451111
.............................................
Posisi jabatan : MEKANIK
.................................................................................. Sejak : Bulan & tahun s/d bulan & tahun
17 s/d ….....
11 & 20....
…...... 01 & 20....
19
Atasan Langsung : BAMBANG SETIYONO
..........................................................................................................................................................
Penghasilan (Rp.) 3,800,000
...............................................................................................................................................................
Tugas Utama :
MENGAWAL SELURUH KEGIATAN PRODUKSI AGAR BERJALAN DENGAN LANCAR
1. ........................................................................................................................................................................................
2. .......................................................................................................................................................................................
3. .......................................................................................................................................................................................
4. .......................................................................................................................................................................................
Alasan Resign : HABIS KONTRAK
..........................................................................................................................................................
.............................................................................................................................................................................................

4. Nama Perusahaan Tempat Bekerja

..............................................................................................................................................................................................
...............................................................................................................................................................................................
............................................................................................................................. Telp. : .............................................
Posisi jabatan : …................................................................................................ Sejak : Bulan & tahun s/d bulan & tahun
…...... & 20.... s/d …..... & 20....
Atasan Langsung : ..........................................................................................................................................................
Penghasilan (Rp.) ...........................................................................................................................................................
Tugas Utama :
1. .........................................................................................................................................................................................
2. ........................................................................................................................................................................................
3. .........................................................................................................................................................................................
4. .........................................................................................................................................................................................
Alasan Resign :
................................................................................................................................................................................................

PART IV – GAMBARKAN KARIR YANG DIINGINKAN :

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PART V – AKTIVITAS DILUAR PEKERJAAN

A. Hobi :
MUSIK
1. .............................................................................................................................................................................................
2. .............................................................................................................................................................................................

B. Organisasi (Sosial, Politik, dll)

Sekarang dan Lalu Posisi Jabatan
1. ................................................................................................... ...........................................................................
2. ................................................................................................... ...........................................................................

PART VI – GAJI DAN BENEFIT YANG DIINGINKAN

MENGIKUTI KETETNTUAN PERUSAHAAN YANG BERLAKU

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Tulis dua referensi, diutamakan bukan anggota keluarga
1. Nama : SUDARWAN
.......................................................................... Pekerjaan : TIDAK BEKERJA
.........................................................
Alamat : KP. SUKA JADI RT.003/007 DS. SENTUL JAYA KEC. CIBALIUNG - PANDEGLANG
...........................................................................................................................................................................
.......................................................................... Telp : 0812 9669 7862
...........................................................................

2. Nama : .......................................................................... Pekerjaan : .........................................................

Alamat : ............................................................................................................................................................................
.......................................................................... Telp : ...........................................................................

Apakah anda memliki keluarga/ rekan yang bekerja di Indofood? Jika iya, Tulis nama dan departement tempat bekerja

Keluarga Hubungan dlm keluarga Department

1. ...................................................... ...................................................... ......................................................
2. ...................................................... ...................................................... ......................................................

Rekan Department
SUKANTA
1. .......................................................................................................................... WHRM
......................................................
2. .......................................................................................................................... ......................................................

Kapan dapat bergabung : SUDAH SIAP BERGABUNG

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Tanda Tangan Pelamar :

SUDARWAN
......................................................................... Tanggal :
14 FEBRUARI 2023
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FOR OFFICE USE ONLY

Note by HR Dept./Recruitment Section