Application Form Recruitment Guru

Application Form
Position applied for: ________________________

Jabatan yang dilamar
PERSONAL DATA
Name:_____________________________________ Place & DOB: ___________________________

Nama Tempat&Tanggal Lahir
Nickname: _________________________________ Gender: _______________________________

Nama Panggilan JenisKelamin
Permanent Address: _________________________ Phone Number: _________________________
Alamat Tetap Nomor Telp
Email Address: _____________________________ ID Number: _____________________________

Alamat email No KTP/
Facebook/Instagram Account __________________ Driver License Type: ______________________

Account /Instagram Jenis SIM
Religion: ___________________________________ Race: __________________________________

Agama Suku
Language: __________________________________ Blood Type: _____________________________

Bahasa yang dikuasai Golongan Darah
Latest Covid Vaccination:* Dosis 3 Latest Vaccination Date:___________________

Vaksin covid terakhiryang diterima(*pilih salah satu)
FAMILY DATA
Marital Status:______________________________ Number of Child(ren): _____________________

Status Pernikahan Jumlah Anak
Spouse Name:_______________________________ DOB: ___________________________________

Nama Suami/Istri Tanggal Lahir
Spouse Occupation: __________________________ Spouse’s Company Name:__________________

PekerjaanSuami/Istri Nama PerusahaanSuami/Istri
Phone Number: _____________________________ Company Phone Number: __________________

No Telp No Telp KantorSuami/Istri
Email Address:_______________________________
YayasanHarapan Masa DepanCerah 1

KecamatanManis Mata, KabupatenKetapang
Provinsi Kalimantan BaratKodePos 78864
Alamat Email
Number of Child(ren):_____
JumlahAnak
Child(ren) Name: Gender DOB Occupation

Nama Anak Jenis Kelamin Tanggal Lahir Pekerjaan
_______________________________ ____________ ____________ _________________________
_______________________________ ____________ ____________ _________________________
_______________________________ ____________ ____________ _________________________
_______________________________ ____________ ____________ _________________________
Father’s Name: ________________________ DOB: ______________ Occupation:_______________

Nama Ayah Kandung Tanggal Lahir Pekerjaan
Mother’s Name: ________________________ DOB: ______________ Occupation: ______________

Nama Ibu Kandung Tanggal Lahir Pekerjaan
Number of Sibling: ______

Jumlah Saudara Kandung
Sibling Name Gender DOB Occupation

Nama Saudara Kandung JenisKelamin Tanggal Lahir Pekerjaan
_______________________________ ____________ ____________ _________________________
_______________________________ ____________ ____________ _________________________
EDUCATION
Type Name and Location Majoring Periods Graduated Yes/No

Nama dan Lokasi Jurusan Periode Lulus Ya/Tidak
High School
SMA
College
Akademi
University
Universitas
Business,
Technical
Magister/S2
Other
Lain-lain

TRAINING/COURSES ATTENDED
Type of Courses Name and Location Periods Certificate Yes/No

JenisKursus/Seminar Nama dan Lokasi Periode SertifikatYa/Tidak
EMPLOYMENT HISTORY
(List previous employers beginning with the previous)
Sebutka nsecara berurutan dari pemberi kerja yang terakhir kebelakang
Employer Name: _________________________ Business Type ___________________________

Nama Institusi Pemberi Kerja Jenis Usaha
Address: ________________________________ Phone Number__________________________

Alamat No Telp
Supervisor ______________________________ Supervisor Title _________________________

Atasan Langsung Jabatan Atasan
Latest Position ___________________________ Ending Salary _________________________

Jabatan Terakhir Gaji Terakhir
Employment Dates (mm/yy): From __________ To _____________

Masa Kerja Dari
Reason for Leaving: ________________________________________________________________________

Alasan Keluar
May we contact: • Yes • No


Alamat No Telp

AtasanLangsung Jabatan Atasan


Masa Kerja Dari s/d

Alasan Keluar


Alamat No Telp
________________________________________

Atasan Langsung Jabatan Atasan


Masa Kerja Dari s/d

Alasan Keluar
Are you willing to be placed in plantation?

Apakah anda bersedia ditempatkan di dalam lokasi kebun?
• Yes • No
Are you willing to travel or relocate if needed?

Apakah anda bersedia melakukan perjalanan atau direlokasi jika diperlukan?
• Yes • No
Do you have relatives who also work in YHMDC or Cargill?

Apakah anda mempunyai Saudara/Kerabat /Istri/Suami yang juga bekerja diYHMDC atau Cargill?
• Yes • No
If yes, please mention below:

Jika ya, mohon dituliskan dibawah ini
Name __________________________________ Position: ______________________________
Nama Jabatan
What is your present salary and what facilities are you getting at your last workplace?
Berapa pendapatan saat ini dan apa fasilitas yang anda dapatkan di tempat kerja yang terakhir?
Describe the minimum salary and facilities you are expecting when you start work at YHMDC?
Jelaskan gaji minimum dan fasilitas yang Anda harapkan ketika anda mulai bekerja di YHMDC?
Do you have any immediate person to be contacted in case of an emergency? Give details
Dalam keadaan darurat siapakah yang dapat dihubungi? Berikan detailnya.
Name/Nama :
Family Status/StatusKeluarga :
Phone Number/No. Hp :
With this, I hereby certify that all the above particulars are true to my knowledge. If at any point of time
there will be some discrepancies, I am responsible to bear the respective consequences.
Dengan ini saya menyatakan bahwa informasi diatas benar adanya. Apabila di kemudian hari ada perbedaan
dengan pernyataan saya maka saya bersedia menerima konsekuensinya.
Candidate Signature: _______________________________________ Date: ___________________

Tanda TanganKandidat Tanggal
*EstimationDate To Join____________________________________
Perkiraan tanggal bergabung


Application Form Recruitment Guru

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Informasi Dokumen

Deskripsi Asli:

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Application Form Recruitment Guru

Diunggah oleh

Hak Cipta:

Format Tersedia

Application Form

Position applied for: ________________________

Name:_____________________________________ Place & DOB: ___________________________

Nickname: _________________________________ Gender: _______________________________

Permanent Address: _________________________ Phone Number: _________________________

Alamat Tetap Nomor Telp

Email Address: _____________________________ ID Number: _____________________________

Facebook/Instagram Account __________________ Driver License Type: ______________________

Religion: ___________________________________ Race: __________________________________

Language: __________________________________ Blood Type: _____________________________

Latest Covid Vaccination:* Dosis 3 Latest Vaccination Date:___________________

Marital Status:______________________________ Number of Child(ren): _____________________

Spouse Name:_______________________________ DOB: ___________________________________

Spouse Occupation: __________________________ Spouse’s Company Name:__________________

Phone Number: _____________________________ Company Phone Number: __________________

YayasanHarapan Masa DepanCerah 1

Child(ren) Name: Gender DOB Occupation

Father’s Name: ________________________ DOB: ______________ Occupation:_______________

Mother’s Name: ________________________ DOB: ______________ Occupation: ______________

Number of Sibling: ______

Sibling Name Gender DOB Occupation

Type Name and Location Majoring Periods Graduated Yes/No

YayasanHarapan Masa DepanCerah 2

Type of Courses Name and Location Periods Certificate Yes/No

Employer Name: _________________________ Business Type ___________________________

Address: ________________________________ Phone Number__________________________

Supervisor ______________________________ Supervisor Title _________________________

Latest Position ___________________________ Ending Salary _________________________

Employment Dates (mm/yy): From __________ To _____________

Reason for Leaving: ________________________________________________________________________

May we contact: • Yes • No

Employer Name: _________________________ Business Type ___________________________

Address: ________________________________ Phone Number__________________________

Supervisor ______________________________ Supervisor Title _________________________

YayasanHarapan Masa DepanCerah 3

Employment Dates (mm/yy): From __________ To _____________

Reason for Leaving: ________________________________________________________________________

May we contact: • Yes • No

Employer Name: _________________________ Business Type ___________________________

Address: ________________________________ Phone Number__________________________

Supervisor ______________________________ Supervisor Title _________________________

Latest Position ___________________________ Ending Salary _________________________

Employment Dates (mm/yy): From __________ To _____________

Reason for Leaving: ________________________________________________________________________

May we contact: • Yes • No

Are you willing to be placed in plantation?

Are you willing to travel or relocate if needed?

Do you have relatives who also work in YHMDC or Cargill?

If yes, please mention below:

Candidate Signature: _______________________________________ Date: ___________________

YayasanHarapan Masa DepanCerah 5

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Name:___________ Place & DOB: _

Nickname: ___ Gender: _

Permanent Address: _ Phone Number: _

Email Address: _ ID Number: _

Facebook/Instagram Account Driver License Type: ____

Religion: _ Race:

Language: ______ Blood Type: _

Marital Status:__________ Number of Child(ren): _

Spouse Name:_ DOB: _____

Spouse Occupation: ________ Spouse’s Company Name:

Phone Number: ___________ Company Phone Number:

Father’s Name: ________ DOB: Occupation:_

Mother’s Name: ________ DOB: Occupation:

Employer Name: _ Business Type ___

Address: ______ Phone Number

Supervisor ______ Supervisor Title _

Latest Position ___ Ending Salary _

Employment Dates (mm/yy): From To ___

Employer Name: _ Business Type ___

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Employment Dates (mm/yy): From To ___

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Address: ______ Phone Number

Supervisor ______ Supervisor Title _

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Employment Dates (mm/yy): From To ___

Candidate Signature: _____________________ Date: _