Position / Department Applied For *

I. PERSONAL INFORMATION

a. Full Name *

GENDER *

Nickname

b. Place of Birth *

Date of Birth *

Status *

c. Address on National ID Card (KTP) *

d. Current Address

e. Telephone Number / Mobile *

f. Email *

g. Emergency Contact Phone Number *

Name *

Relationship to You *

h. National ID Number (NIK) *

i. NPWP

j. Religion *

k. Language Proficiency

l. Height (cm) *

Body Weight (kg) *

m. Eyesight Prescription - Minus

Plus

n. Blood Type *

II. FAMILY INFORMATION

a. Father's Name *

Age *

Occupation *

b. Mother's Name *

Age *

Occupation *

c. Siblings

#	Name	GENDER	Age	Occupation
1.
2.
3.

d. Spouse

Age

Occupation

e. Children

#	Name	GENDER	Age	Education
1.
2.
3.

List any other dependants

III. EDUCATION

1. Formal

a. Primary School

In

Graduation Year

b. Junior Secondary School

In

Graduation Year

c. Senior Secondary School

In

Graduation Year

d. Higher Education

In

Graduation Year

2. Informal Education / Courses

3. Other Skills

4. Awards / Achievements

IV. WORK EXPERIENCE

a. Employment History

List up to five previous roles. Leave blank if you have no work experience.

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

b. Describe your responsibilities at your most recent employer

c. Explain why you left your most recent employer

d. Describe the duties you enjoyed most

e. Describe the duties you enjoyed least

f. Salary at Your Most Recent Employer (IDR)

g. Expected Salary Range at This Company (IDR) (optional)

V. HEALTH HISTORY

1. Have you ever had a health check? *

In which year?

Which health checks were performed?

2. Have you ever had an illness?

a. Did it require hospitalisation? *

Yr

Illness

b. Did an illness last more than one month without hospitalisation? *

Illness

VI. SOCIAL ACTIVITIES / OTHER INFORMATION

1. Organizational Experience

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

2. Describe your leisure or holiday activities

3. Hobbies

Personal talents/skills

VI. SOCIAL ACTIVITIES / OTHER INFORMATION (Continued)

4. Personal Assessment

a. Your Professional Strengths *

Personal *

b. Areas for Professional Improvement *

Personal *

5. Career Aspirations - 1. As a Child *

2. Now *

6. What skills and abilities make you a suitable candidate for this company? *

7. Why would you like to join this company, and what are your expectations? *

8. What do you know about PT. Solas Langgeng Sejahtera? *

9. How did you first hear about this company? *

10. Where did you find out about this job opening? *

11. Do you know anyone or have a relative working at this company? *

If yes, what is their name?

What is your relationship to them?

12. If you are offered a position, when can you start work? *

I declare that the personal information provided in this form is true and verifiable. If any information is found to be false after I join PT Solas Langgeng Sejahtera, I agree to be subject to disciplinary action under the Company Regulations.

Place *

Date *

Signature *

Sign using your mouse or finger. If drawing is difficult, select "Type Name" instead.

Printed Name

(Will be filled in automatically from full name above)

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Applicant Information Form

Attention

I. PERSONAL INFORMATION

II. FAMILY INFORMATION

III. EDUCATION

1. Formal

IV. WORK EXPERIENCE

V. HEALTH HISTORY

VI. SOCIAL ACTIVITIES / OTHER INFORMATION

VI. SOCIAL ACTIVITIES / OTHER INFORMATION (Continued)

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