Prospective Employee Data Entry Form

Complete your biodata to start the recruitment process

1

2

3

Position/Department Applied *

I. PERSONAL IDENTITY

a. Full name *

L/P *

Nickname

b. Place of birth *

Date of birth *

Status *

c. Complete Address (KTP) *

d. Current address

e. Telephone/Mobile Number *

f. E-mail *

g. Mobile phone number of relatives/relatives who can be contacted *

Name *

Relationship with you *

h. KTP NIK *

i. NPWP

j. Religion *

k. Language Mastery

l. Height (cm) *

Body Weight (kg) *

m. Eye Sight - Minus

Plus

n. Blood type *

II. FAMILY DATA

a. Father's name *

Age *

Work *

b. Mother's Name *

Age *

Work *

c. Siblings

#	Name	L/P	Age	Work
1.
2.
3.

d. Husband and wife

Age

Work

e. Child

#	Name	L/P	Age	Education
1.
2.
3.

Mention if there are other dependents

III. EDUCATION

1. Formal

a. elementary school

In

Graduated Yr

b. JUNIOR HIGH SCHOOL

In

Graduated Yr

c. high school

In

Graduated Yr

d. College

In

Graduated Yr

2. Informal / courses

3. Other abilities

4. Awards / achievements that have been achieved

IV. WORK EXPERIENCE

a. Company History

Fill in a maximum of five work experiences. Leave blank if not present.

#	Company name	Position / Position	Period (example: Jan 2020 to Mar 2022)
1.
2.
3.
4.
5.

b. Mention the field of duties/work at the last company

c. State the reason for leaving the last company

d. Mention your most favorite task/job

e. Name your least favorite task/job

f. Salary received from last company (Rp.)

g. Expected salary range in this company (Rp.) *

V. HEALTH HISTORY

1. Have you ever had a health check? *

What year

What parameters are checked?

2. Have you ever suffered from an illness?

a. Did you end up in the hospital? *

Yr

Types of Disease

b. Not hospitalized, but chronic for more than 1 month? *

Types of Disease

VI. SOCIAL ACTIVITIES / OTHERS

1. Organizational Experience

#	Organization	Position	Activities / Responsibilities
a.
b.
c.

2. Mention your activities in your free time/holidays

3. Hobbies

Personal talents/skills

VI. SOCIAL ACTIVITIES / OTHERS (Continued)

4. Personal Assessment

a. Your strengths - Professional *

Personal *

b. Your weakness - Professional *

Personal *

5. Dreams - 1. When I was little *

2. Now *

6. Mention the abilities/skills that you have, so that the company chose you to work here? *

7. State your hopes, why do you want to join this company? *

8. What do you know about PT. Solas Lasting Prosperity? *

9. How do you know this company? *

10. How did you know that there is information about job vacancies here? *

11. Do you have any acquaintances/relatives in this company? *

If yes, what is his name?

What is the relationship with you?

12. If you are declared accepted at this company, when can you start working? *

Thus, I have filled in these personal data truthfully and responsibly, and if in the future, after being accepted as an employee of PT. Solas Langgeng Sejahtera, if the data is found to be incorrect, is willing to accept sanctions, in accordance with Company Regulations.

Place *

Date *

Signature *

Please sign in the area above using your mouse or finger

Clear Name

(Akan diisi otomatis dari nama lengkap di atas)

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Prospective Employee Data Entry Form

Attention

I. PERSONAL IDENTITY

II. FAMILY DATA

III. EDUCATION

1. Formal

IV. WORK EXPERIENCE

V. HEALTH HISTORY

VI. SOCIAL ACTIVITIES / OTHERS

VI. SOCIAL ACTIVITIES / OTHERS (Continued)

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