APPLICATION FORM

FORMULIR APLIKASI
PERSONAL DATA/DATA PRIBADI
Name/Nama Muhammad Fathoni
Home Address/Alamat Kp. Ciburial RT 01 RW 05 Desa Cibogo Kecamatan Lembang Kabupaten Bandung Barat

Sex/Jenis Kelamin: Male

Tel.No. (off/kantor )
(Res/Rumah )
(HP) 0898 6973 491
Date of Birth/Tanggal Lahir *: 15 August 1987 Place of Birth/Tempat Lahir : Kendari
Marital Status/Status **: Married Nationality/Kebangsaan : Indonesia Religion/Agama ***: Islam
Driving License/SIM : SIM A & SIM C
EDUCATION & PROFESSIONAL QUALIFICATION/KUALIFIKASI PENDIDIKAN
FROM - TO NAME OF SCHOOL/COLLEGE STATE LEVEL ATTAINED MAJOR COURSE/SUBJECT
DARI-SAMPAI NAMA SEKOLAH/ PERGURUAN TINGGI BIDANG & LEVEL PENDIDIKAN
2002 - 2005 SMAN 1 Lembang IPA

MEMBERSHIP OF PROFESSIONAL & OTHER SOCIETIES (state dates and position held)
KEANGGOTAAN DALAM ORGANISASI (Detail tanggal dan posisi)

Computer proficient/Pengetahuan Komputer X Yes/Ya No/Tidak Type/Jenis :

Program/Languages (Program/Bahasa) : English

Position applied for/Posisi yang dilamar : Banquet Operation Manager

Are you interested in any other position:
Apakah Anda tertarik dengan posisi yang lain?
Current Salary/Gaji sekarang : 6,500,000 Salary expected/Gaji yang diharapkan:11.000.000
Details of current remuneration package/Keterangan paket remunerasi saat ini :
Basic Salary & Service Charge

When are you available to work? Immedietaly Notice period: None

Kapan Anda bersedia mulai bekerja? Periode Pemberitahuan:
* For insurance registration purpose (Untuk keperluan pendaftaran asuransi) *** For religion day attendance purpose
** For Tax calculation purpose (Untuk perhitungan pajak) (Untuk menghadiri acara keagamaan)

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EMPLOYMENT HISTORY/PENGALAMAN KERJA
(Commence with current or last employment/Dimulai dari pekerjaan yang sekarang atau sebelumnya)

Date of employment/Tanggal mulai bekerja : 15 Dec 2021 Date Employment Ended/Tanggal berhenti bekerja : 15 Dec 2023
Company/Perusahaan : Intercontinental Bandung Dago Pakar
Company:s Address/Alamat Perusahaan: Komplek Dago Resort

State nature of the business/Bidang Bisnis : Hospitality

Position Held/Jabatan : Assistant Banquet Operation Manager

Name & designation of immediate supervisor: Zico Sukmadani

Nama dan posisi atasan langsung:
Total number of employees in the company: 183 Number of staff supervise by you: 4
Jumlah karyawan perusahaan Jumlah karyawan yang bekerja dibawah Anda:
Detailed description of duties/responsibilities/Detail Pekerjaan :
Manage Banquet Operational start from scheduling staff, arrange operating equipment based on guest events, make sure all event running
well by coordination with related department and vendors.

How did you get employed in this company (Through Advertisement, Recommendation, etc.) Through advertisement
Bagaimana Anda mengetahui pekerjaan ini? (Melalui Iklan, rekomendasi, lain-lain)

Reason for leaving/Alasan berhenti : end of contract

Last Salary/Gaji Terakhir : 6.500.000 exclude service charge

Date of employment/Tanggal mulai bekerja : Date Employment Ended/Tanggal berhenti bekerja :

Company/Perusahaan :
Company:s Address/Alamat Perusahaan :

State nature of the business/Jenis Bisnis :

Position Held/Jabatan :

Name & designation of immediate supervisor:

Nama dan posisi atasan langsung:
Total number of employees in the company: Number of staff supervise by you:
Jumlah karyawan perusahaan Jumlah karyawan yang bekerja dibawah Anda:
Detailed description of duties/responsibilities/Detail Pekerjaan :

How did you get employed in this company (Through Advertisement, Recommendation, etc.)
Bagaimana Anda mengetahui pekerjaan ini? (Melalui Iklan, rekomendasi, lain-lain)

Reason for leaving/Alasan berhenti :

Last Salary/Gaji Terakhir :

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EMPLOYMENT HISTORY/PENGALAMAN KERJA
(Commence with current or last employment/Dimulai dari pekerjaan yang sekarang atau sebelumnya)

Date of employment/Tanggal mulai bekerja : Date Employment Ended/Tanggal berhenti bekerja :

Company/Perusahaan :
Company:s Address/Alamat Perusahaan :

State nature of the business/Bidang Bisnis :

Position Held/Jabatan :
Name & designation of immediate supervisor:
Nama dan posisi atasan langsung:
Total number of employees in the company: Number of staff supervise by you:
Jumlah karyawan perusahaan Jumlah karyawan yang bekerja dibawah Anda:
Detailed description of duties/responsibilities/Detail Pekerjaan :

How did you get employed in this company (Through Advertisement, Recommendation, etc.)
Bagaimana Anda mengetahui pekerjaan ini? (Melalui Iklan, rekomendasi, lain-lain)

Reason for leaving/Alasan berhenti :

Last Salary/Gaji Terakhir :

Date of employment/Tanggal mulai bekerja : Date Employment Ended/Tanggal berhenti bekerja :

Company/Perusahaan : Type equation here.

Company:s Address/Alamat Perusahaan :

State nature of the business/Bidang Bisnis :

Position Held/Jabatan :
Name & designation of immediate supervisor:
Nama dan posisi atasan langsung:
Total number of employees in the company: Number of staff supervise by you:
Jumlah karyawan perusahaan Jumlah karyawan yang bekerja dibawah Anda:
Detailed description of duties/responsibilities/Detail Pekerjaan :

How did you get employed in this company (Through Advertisement, Recommendation, etc.)
Bagaimana Anda mengetahui pekerjaan ini? (Melalui Iklan, rekomendasi, lain-lain)

Reason for leaving/Alasan berhenti :

Last Salary/Gaji Terakhir :

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FAMILY DETAILS/DETAIL KELUARGA *
RELATIONSHIP NAME DATE OF BIRTH PHONE NUMBER (In Case of Emergency)
(Hubungan) (Nama) (Tanggal Lahir) (Nomor Telepon - Untuk Keadaan Darurat)

Spouse (Istri/Suami)
Nurul Afiati 3 january 1989
Shaluna Sabeen 4 october 2014
Children/Anak Dhiaurrahman Khalid . J 25 January 2019

* For Insurance Registration Purpose/ Untuk keperluan pendaftaran asuransi

THE PERSON TO BE CONTACTED IN CASE OF EMERGENCY:

Orang yang dapat dihubungi dalam keadaan darurat
NAME RELATIONSHIP PHONE NUMBER ADDRESS
(Nama) (Hubungan) (Nomor Telepon) (Alamat)

Nurul Afiati Wife Kp. Ciburial rt 01 rw 05 Lembang KBB

PERSONAL DETAILS/DETAIL PRIBADI

Does your current health status prevent you from performing any position related tasks? Yes/Ya X No/Tidak
Apakah status kesehatan Anda menghalangi Anda melakukan pekerjaan Anda?
(Please explain/Jelaskan )

Do you take illegal substance? (Apakah Anda menggunakan obat terlarang?) Yes/Ya X No/Tidak
Have you ever been convicted in a court of law? Yes/Ya X No/Tidak
Apakah Anda pernah terlibat dalam kasus hukum?
if so, give details/ Jika ya, jelaskan:

Have you been dismissed or suspended from any position? Yes/Ya X No/Tidak
Apakah Anda pernah diberhentikan atau diskors?
if so, give details/ Jika ya, jelaskan:

Do you have any interest or involvement in any business in the hotel or restaurant or travel industry?
Apakah Anda memiliki minat untuk atau terlibat di dalam mengelola bisnis hotel, restoran atau industri perjalanan?
(Please specify/Jelaskan secara spesifik )

LANGUAGES/BAHASA INDONESIA ENGLISH/INGGRIS CHINESE/CINA ……………. ……………

SPOKEN/LISAN x x

WRITTEN/TERTULIS x x

ADDITIONAL INFORMATION - Give any additional information which you consider may be of interest to a
prospective employer, if possible state why you believe you are suitable for the position you are applying to.
INFORMASI TAMBAHAN - Berikan informasi tambahan yang menurut pertimbangan Anda penting bagi perusahaan,
Jika mungkin jelaskan mengapa Anda yakin Anda memenuhi kualifikasi posisi yang Anda lamar.
i heve been worked in Banquet Service Department for more than 12 years and have served thaousands of guest

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EMPLOYMENT REFERENCES/REFERENSI KARYAWAN
From past & present employment
Pekerjaan yang sebelumnya dan sekarang
Name/Nama : Zico Sukmadani
Position/Posisi : Banquet Manager
Company Name/Nama Perusahaan : Intercontinental Bandung
Company Address/Alamat Perusahaan : Dago resort
From past & present employment
Pekerjaan yang sebelumnya dan sekarang
Name/Nama : Andre Ruslandi
Position/Posisi : Banquet Manager
Company Name/Nama Perusahaan :Hilton Bandung
Company Address/Alamat Perusahaan:Pasir Kaliki Bandung

Tel: (Office/kantor ) Tel: (Office/kantor )

PERSONAL REFERENCES/REFERENSI PRIBADI

Give names of person of responsibility who have known you for at least 3 years
Berikan nama orang yang mengenal Anda minimal selama 3 tahun.
Name/Nama : Dahlansyah Siregar Name/Nama : Erwin Subagio
Position/Posisi : Food & Beverage Manager Position/Posisi : Banquet Manager
Company Name/Nama Perusahaan : Sheraton Bandung Hotel & Tower Company Name/Nama Perusahaan : Sheraton Grand Jakarta
Company Address/Alamat Perusahaan : Company Address/Alamat Perusahaan :

Jl. Ir Juanda Dago Gandaria City Kebayoran Lama

Tel: (Office/kantor ) (Res/Rumah ) Tel: (Office/kantor ) (Res/Rumah )
Years of Acquintance/Lama Kenal : 5 years Years of Acquintance/Lama kenal : 9 years

Name of companies with which you have pending applications for employment
Sebutkan nama perusahaan lain yang Anda lamar
(Give dates of applicant/Tanggal melamar )
1 Sheraton Bandara
2 Hilton Double Tree Bintaro
3

Have you applied with this office before? (State date)

Apakah Anda sebelumnya pernah melamar ke kantor ini? (Tanggal Melamar) Yes/Ya No/Tidak

I HEREBY CONFIRM ALL THE ABOVE DETAILS TO BE TRUE AND CORRECT. I AUTHORISE ACCOR INDONESIA TO CARRY OUT
REFERENCE CHECK WITH PAST EMPLOYER AND REFEREES IN CONNECTION WITH THIS APPLICATION.
I UNDERSTAND THAT ANY MISPRESENTATION OR MISSION OF INFORMATION WILL BE SUFFICIENT REASONS FOR WITHDRAWL
OF AN OFFER OR SUBSEQUENT DISMISSAL, IF EMPLOYED.
SAYA MENYATAKAN BAHWA SEMUA INFORMASI YANG ADA ADALAH BENAR DAN TEPAT. SAYA MENGIJINKAN ACCOR
INDONESIA UNTUK MEMERIKSA REFERENSI SAYA DENGAN PERUSAHAAN YANG MEMPEKERJAKAN SAYA SEBELUMNYA DAN
SAYA MENGERTI JIKA INFORMASI YANG DISAJIKAN ADALAH TIDAK BENAR MAKA AKAN BERAKIBAT DIBATALKANNYA
PENAWARAN KERJA ATAU PEMUTUSAN HUBUNGAN KERJA APABILA SAYA SUDAH DIPEKERJAKAN.

Date/Tanggal : 3 january 2024 Signature/Tanda tangan :

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