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Personal Data Application Form

This document contains an application form seeking personal details such as name, address, education history, employment history, family details, references, and salary information. The applicant provides their personal data including name, address, date of birth, religion, nationality, marital status, identity number, and contact details. They also list their formal education from elementary school to university as well as employment history including company, position, and duration at each prior role. Additional sections gather family member details, references, last and expected salaries, and a signature.

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143 views2 pages

Personal Data Application Form

This document contains an application form seeking personal details such as name, address, education history, employment history, family details, references, and salary information. The applicant provides their personal data including name, address, date of birth, religion, nationality, marital status, identity number, and contact details. They also list their formal education from elementary school to university as well as employment history including company, position, and duration at each prior role. Additional sections gather family member details, references, last and expected salaries, and a signature.

Uploaded by

cucutuhan
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

APPLICATION FORM

PERSONAL DATA
1. Full Name :
……………………………………………………………………………………………
2. Current Address :
……………………………………………………………………………………………
3. Place / Date of Birth :
……………………………………………………………………………………………
4. Religion :
……………………………………………………………………………………………
5. Nationality :
……………………………………………………………………………………………
6. Marital Status :
……………………………………………………………………………………………
7. Identity Number / ID Card :
……………………………………………………………………………………………
8. Apply for Position :
……………………………………………………………………………………………
9. Phone Number :
……………………………………………………………………………………………
10. Email :
…………………………………………………………………………………………...
FORMAL EDUCATION
Name of School Location Major Graduation Year

Elementry School :
………………………………….. …………………….. …………………….. ……………………..
Junior High School :
………………………………….. …………………….. …………………….. ……………………..
Senior High School :
………………………………….. …………………….. …………………….. ……………………..
University :
………………………………….. …………………….. …………………….. ……………………..

EMPLOYEMENT HISTORY (start from your recent experience)


Company Location Position From / To

1.
…………………………………………………………….. …………………………… …………………………… ……………………………

Reason for Leaving:


2
…………………………………………………………….. …………………………… …………………………… ……………………………

Reason for Leaving:


3
…………………………………………………………….. …………………………… …………………………… ……………………………

Reason for Leaving:


FAMILY MEMBER
Name Relation phone Number Address

1. ……………………………… ……………………………… ……………………………… ………………………………

2. ……………………………… ……………………………… ……………………………… ………………………………

3. ……………………………… ……………………………… ……………………………… ………………………………

4. ……………………………… ……………………………… ……………………………… ………………………………

REFERENCES

Name Relation Phone Number Address

1. ……………………………… ……………………………… ……………………………… ………………………………

2. ……………………………… ……………………………… ……………………………… ………………………………

3. ……………………………… ……………………………… ……………………………… ………………………………

Last Salary :

Salary Expected :

I hereby a firm that the information given by me on this application employee is complete and accurate

Jakarta, ……………………………………2020
Interview By : (Note)
1. HRD □ YES □ NO

2. Manager □ YES □ NO (………………………………………………..)

3. Direktur □ YES □ NO

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