FORM BIODATA KARYAWAN BARU

Nama Lengkap : .........................................................................................................................

Panggilan : .........................................................................................................................
Tempat Tgl. Lahir : .........................................................................................................................
Jenis Kelamin : .........................................................................................................................
Agama : .........................................................................................................................
Status Perkawinan : .........................................................................................................................
No. KTP : .........................................................................................................................
No. KK : .........................................................................................................................
No. NPWP *Jika ada : .........................................................................................................................
No. BPJS Kes *Jika ada : ........................................ No. BPJS TK *Jika ada : ..........................................
Golongan Darah : .........................................................................................................................
Alamat *sesuai KTP : .........................................................................................................................
.........................................................................................................................
Rt. ......... Rw. ......... Kota/Kab. ..................................... Kode Pos ...............
Alamat *Sekarang : .........................................................................................................................
(Abaikan jika sesuai dgn KTP) .........................................................................................................................
Rt. ......... Rw. ......... Kota/Kab. ..................................... Kode Pos ...............
No. Telepon Rumah : ............................................... HP : ..................................................
Email Pribadi : .........................................................................................................................

Pendidikan Terakhir Nama Sekolah (SMA/SMK) : .....................................................................

Jurusan : .....................................................................
Tahun Lulus : .....................................................................
D1/D2/D3/S1/S2/S3 : .....................................................................
Nama Kampus : .....................................................................
Jurusan : .....................................................................
Tahun Lulus : .....................................................................

Tanggal Join : .........................................................................................................................

Data Keluarga Nama Ayah : ...............................................................................................

TTL : ...............................................................................................
No. KTP : ...............................................................................................
Alamat : ...............................................................................................
No.Tlp/HP : ...............................................................................................
Nama Ibu : ...............................................................................................
TTL : ...............................................................................................
No. KTP : ...............................................................................................
No.Tlp/HP : ...............................................................................................
Alamat : ...............................................................................................
Suami/Istri
Nama : ...............................................................................................
TTL : ...............................................................................................
No.KTP : ...............................................................................................
No.Tlp/HP : ...............................................................................................
Nama Anak 1 : ...............................................................................................
TTL : ...............................................................................................
No.KTP : ...............................................................................................
Nama Anak 2 : ...............................................................................................
TTL : ...............................................................................................
No.KTP : ...............................................................................................
Nama Anak 3 : ...............................................................................................
TTL : ...............................................................................................
No.KTP : ...............................................................................................

Ukuran Seragam : ................................ Ukuran Jas Hujan (cabang) : .........................

No. Rekening Mandiri Aktif : ............................................................................................................