Moratelindo.co.id

APPLICATION FORM

Candidate Name

Job Position

Personal data

Data Pribadi / Personal Identity

Nama Lengkap (Sesuai KTP) *
Full Name

Tempat & Tanggal Lahir *
Place & Date of Birth

Alamat Rumah saat ini *
Residence Address

Nomor Handphone *
Mobile Number

Nomor Telepon Kantor
Office Number

Nomor KTP *
ID Card Number

Nomor BPJS Ketenagakerjaan
BPJS Ketenagakerjaan Number

Nomor NPWP
NPWP Number

Nomor Kartu Keluarga *
KK Number

Jenis Kelamin *
Gender

Laki-laki (Male) Perempuan (Female)

Alamat Rumah di luar Jakarta
Residence Address Outside of Jakarta

Nomor Telepon Rumah
Residence Phone Number

Alamat Email *
Email Address

Pendidikan Terakhir *
Education

Kewarganegaraan
Nationality

Golongan Darah
Blood Type

Nomor BPJS Kesehatan
BPJS Kesehatan Number

Nomor Passport
Passport Number

Status Perkawinan *
Marital Status

Agama *
Religion

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Family Information

Data Keluarga / Family Identity

Data Suami/Istri / Spouse Identity

Nama Suami/Istri
Spouse Name

Tempat & Tanggal Lahir
Place & Date of Birth

Pekerjaan
Occupation

Jabatan
Job Title

Alamat Kantor
Office Address

Data Anak / Child(s) Identity

Nama Anak
Child's Name

Tempat & Tanggal Lahir
Place & Date of Birth

Pendidikan
Education

Sekolah/Universitas
School/University

Data Ayah / Father's Identity

Nama Ayah
Father's Name

Pekerjaan Ayah
Occupation

Alamat Ayah
Address

Data Ibu / Mother's Identity

Nama Ibu *
Mother's Name

Pekerjaan Ibu
Occupation

Alamat Ibu
Address

Kontak Keadaan Darurat/ Emergency Case Contact

Anak ke
Child Number

Dari
From

Siapa yang dapat dihubungi dalam keadaan darurat? Tuliskan nama lengkap.*
Contact person in case of Emergency?

Hubungan *
Relation

Nomor yang dapat dihubungi *
Contact Number

Alamat *
Address

Employment History

Riwayat Pekerjaan / Employment History

Perusahaan
Company

Dari-Sampai
From-To

Gaji Terakhir
Last Salary

Tempat
Location

Jabatan
Position

Alasan Berhenti
Reason for Leaving

Education History

Riwayat Pendidikan Formal / Formal Education History

Sekolah / Universitas *
School / University

Mulai-Tamat
From - To

Tempat
Location

Strata
Certificate

Bidang Study / Jurusan
Subject

Riwayat Pendidikan Informal (Kursus) / Informal Education History

Kursus / Training
Courses

Mulai-Tamat
From - To

Tempat
Location

Sertifikat / Ijazah
Certificate

Bidang Study / Jurusan
Subject

Data Penguasaan Bahasa Asing / Language Proficiency

Bahasa Language	Pengertian Understanding	Berbicara Speaking	Membaca Reading	Menulis Writing
Inggris * English
Mandarin Chinese

Additional info

Informasi Tambahan / Additional Informations

Dapat Mulai bekerja Tanggal
Available to start working

Hobi / Minat
Hobbies / Interest

Jelaskan Alasan Saudara ingin Bekerja di Perusahaan kami
Please Explain why you want to work in our company

Pernahkah Saudara mengikuti proses rekrutmen di perusahaan kami
Have You ever been processed in our company

Bila iya , untuk posisi apa dan kapan ?
If yes, for what position and when

Sebutkan nama kenalan atau karyawan di perusahaan kami
Name's of family / relative who is working in our company

Gangguan kesehatan yang kerap dialami
Physical disturbances which often disturb you

Sakit keras yang pernah dialami
A serious illness or injury which often disturb you

Bersediakah Saudara ditempatkan di semua wilayah operasional perusahaan?
Are you willing to be placed anywhere within the company operational area?

Gaji Kotor yang Diharapkan / Expected Salary (Gross)

Total gaji saat ini
Current total salary

Tunjangan yang diterima saat ini
Current allowance(s)

Gaji kotor yang diharapkan
Expected salary (gross)

Tunjangan yang diharapkan
Expected allowance(s)

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