PT.

KIDECO JAYA AGUNG Human Resource Department

EMPLOYMENT APPLICATION FORM
FORM BIODATA PELAMAR

POSITION APPLIED: _______________________

POSISI YANG DILAMAR

4x6

A. Personal Details Data Pribadi

Surname Nama Keluarga / Nama Belakang

: _________________________________

Given Name Nama Depan

: _________________________________

Place / Date of Birth Tempat / Tanggal Lahir

: ________________________ / _____________________

Contact Address Alamat (1)

: _______________________________________________

(Permanent / Temporary)

_______________________________________________
_______________________________________________

Contact Address Alamat (2)

: _______________________________________________

(Permanent / Temporary)

_______________________________________________
_______________________________________________

Contact Telephone Numbers Nomor Telepon

- Home Number

Telepon Rumah

: ____________________

- Mobile Number Telepon Genggam

: ____________________

- Other Number (if any)

: ____________________

Nomor Lain (Jika ada)

Height & Weight Tinggi & Berat Badan

: ______ cm

Marital Status Status

: ____________________

Religion Agama

: ____________________

Nationality Kewarganegaraan

: ____________________

Identity Number Nomor Identitas

: ___________________________ (KTP / Passport)

Driving License Number

Nomor SIM

_____ kg

Blood Type Gol. Darah : ________

Ethnics

Suku

: ______________

: ___________________________ (SIM A / SIM B / SIM

C)
Hobbies / Interests Hobi / Minat
Confidential

: ___________________________
4/7/2012

PT. KIDECO JAYA AGUNG Human Resource Department

B. FAMILY BACKGROUND LATAR BELAKANG KELUARGA

Filled out by All Applicants Diisi Oleh Semua Pelamar

Relationship
Hubungan

Name Nama

Sex
Jenis
Kelamin

Date of Birth

Education

Occupation

Tanggal Lahir

Pendidikan

Pekerjaan

Father Ayah
Mother Ibu
1st Child Anak Pertama
2nd Child Anak Kedua
3rd Child Anak Ketiga
4th Child Anak Keempat
5th Child Anak Kelima
6th Child Anak Keenam

Filled out by Married Applicants Only Diisi Hanya Oleh Pelamar Yang Berstatus Menikah

Relationship
Hubungan

Name Nama

Sex
Jenis
Kelamin

Date of Birth

Education

Occupation

Tanggal Lahir

Pendidikan

Pekerjaan

Date of Birth

Education

Occupation

Tanggal Lahir

Pendidikan

Pekerjaan

Spouse Suami / Istri

1st Child Anak Pertama
2nd Child Anak Kedua
3rd Child Anak Ketiga

Relation With Kideco Employee Hubungan Dengan Pegawai Kideco

Relationship
Hubungan

Confidential

Name Nama

Sex
Jenis
Kelamin

4/7/2012

PT. KIDECO JAYA AGUNG Human Resource Department

C. EDUCATION BACKGROUND LATAR BELAKANG PENDIDIKAN

Formal Education (please start with the HIGHEST education)

Pendidikan Formal (Mohon ditulis mulai dari jenjang pendidikan tertinggi)

No

Name of Institution

Major

Location

Nama Institusi

Bidang / Jurusan

Lokasi / Kota

Period
(Month & Year)
Masa waktu
(Bulan / Tahun)

Graduated?
Lulus / Tidak Lulus

Please write down the title of your thesis / final assignment (if any):
Mohon ditulis judul Thesis/Skripsi Anda (jika ada)

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

No

NON FORMAL EDUCATION

(Course, Training, Seminar, etc)

Pendidikan Non-Formal (Kursus, Pelatihan, Seminar, dll)

Name of Institution

Topic

Location

Nama Institusi

Topik

Lokasi / Kota

Confidential

Period

Certified?

Masa waktu
(Bulan / Tahun)

Ada / Tidak ada

Sertifikat

4/7/2012

PT. KIDECO JAYA AGUNG Human Resource Department

D. CAPABILITY Kemampuan

Capability In Foreign Language Kemampuan Dalam Berbahasa Asing

Please mark with X in the appropriate box and write down the other foreign languages (if any)
Mohon ditandai dengan X pada kolom yang sesuai dan tulislah kemampuan bahasa asing yang lain (jika ada)

WRITTEN
C

ORAL
C

English
Korean

REMARKS
A: Excellent
B: Good
C: Fair
D: Average
E: Poor

Capability In Computer Software Kemampuan Menggunakan Program Komputer (MS Word dan Excel Pengecualian)

Please mark with X in the appropriate box and write down the other program (if any)
Mohon ditandai dengan X pada kolom yang sesuai dan tulislah kemampuan program yang lain (jika ada)

A
Access
PowerPoint

Confidential

REMARKS
A: Excellent
B: Good
C: Fair
D: Average
E: Poor

4/7/2012

PT. KIDECO JAYA AGUNG Human Resource Department

E. JOB EXPERIENCES PENGALAMAN PEKERJAAN

EMPLOYMENT HISTORY Riwayat Pekerjaan

No

Company Name
Nama Perusahaan

Core of Business

Period

Bidang Usaha

Periode / Masa Waktu

Working Status
(Permanent /
Contract /
Internship)
Status (Tetap / Kontrak /
Magang)

From: ..
To : ..
Total: years .. month
From: ..
To

: ..

Total: years .. month

From: ..
To

: ..

Total: years .. month

From: ..
To

: ..

Total: years .. month

Confidential

4/7/2012

Last Position
Jabatan Terakhir

Last Salary (Rp)

Gaji Terakhir
(Rp)

Reasons for Leaving

Alasan Berhenti atau
Mengun
durkan
Diri

1. Please tell us any significant problems you have experienced with in your previous
companies and how did you overcome them.
Masalah signifikan apa yang pernah Anda alami ketika bekerja di perusahaan sebelumnya, dan bagaimana Anda mengatasinya.

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
2. Have you ever made a change / innovation in your previous companies? If so, what
kind of change / innovation did you make?
Pernahkah Anda membuat suatu perubahan atau inovasi di perusahaan sebelumnya? Jika ada, perubahan atau inovasi apakah itu?

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
3. Please tell us the reason why do you want to work in our company.
Jelaskan alasan Anda, mengapa Anda ingin bekerja di perusahaan kami.

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
4. What do you know about our company?
Apa yang Anda ketahui tentang perusahaan kami?

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
5. If you appointed in this position and accepted to work for KIDECO, how much salary
you expect in accordance with your capabilities and contributions that you can give to
the company?
Jika Anda ditetapkan untuk posisi ini dan diterima kerja di KIDECO, berapa besar gaji yang Anda harapkan sesuai dengan kapabilitas dan
kontribusi yang bisa Anda berikan pada perusahaan?

_________________________ per month (Gross / Nett)

6. Besides the salary, what other benefits would you like to have?
Selain gaji, tunjangan / fasilitas apa yang Anda inginkan?

___________________________________________________________________
___________________________________________________________________
7. Are you willing to work outside the city (remote area)? [Yes / No] __________
Apakah Anda bersedia bekerja di luar kota (lokasi terpencil) [Ya / Tidak]

Outside the country? [Yes / No] ___________

Di luar negeri? [Ya / Tidak]

8. When will you be ready to start working with us?

Kapan Anda siap untuk mulai bekerja?

___________________________________________________________________

F. PERSONAL TRAITS KARAKTER PRIBADI

1.

What kinds of person do you like the most? Tipe orang bagaimanakah yang paling Anda sukai?

PT. KIDECO JAYA AGUNG Human Resource Department

___________________________________________________________________
2.

What kind of person you dont like? Tipe orang bagaimana yang tidak Anda sukai?
___________________________________________________________________

3.

What are your own strong points? Apakah kelebihan Anda?

___________________________________________________________________

4.

What are your own weak points? Apakah kekurangan Anda?

___________________________________________________________________

5.

Have you ever been involved with crime? If yes, please explain.

Apakah Anda pernah terlibat dalam

tindak kejahatan? Jika ya, tolong jelaskan.

___________________________________________________________________
6.

Please at least 2 (two) referees other than relatives to whom we can contact and
inquire questions about you. Berikan 2 (dua) pemberi referensi selain kerabat/keluarga yang bisa kita hubungi.

Name

______________________________________

Company / Position

______________________________________

Relation

______________________________________

Address & Tel. Number

______________________________________

Name

______________________________________

Company / Position

______________________________________

Relation

______________________________________

Address & Tel. Number

______________________________________

I hereby stated that the above information are true and agree to be based of the working
agreement. If the above information are later on find out incorrect, the company has the right to
cancel this application, to terminate the employment and / or to demand application according to
the valid law.
Saya menyatakan bahwa data dan informasi di atas adalah benar dan setuju untuk dijadikan sebagai dasar kesepakatan kerja. Jika informasi di atas di
kemudian hari terbukti tidak benar, perusahaan mempunyai hak untuk membatalkan formulir lamaran ini, untuk mengakhiri pekerjaan dan atau permintaan
lamaran ini sesuai dengan hukum yang berlaku.

_____________ , __________________

( ___________________________ )

Confidential

4/7/2012