Form Daftar Riwayat Hidup & Riwayat Tugas (1)

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  • 8/18/2019 Form Daftar Riwayat Hidup & Riwayat Tugas (1)

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    ASESI

    FORMULIR DATA PRIBADI

    I. IDENTITAS DIRI

    1. Nama Lengkap :

    2. Tempat/Tanggal Lahir :

    3. Jenis Kelamin :

    4. Alamat :

    5. Telepon / HP :

    . Alamat e!mail :

    ". Agama :

    #. $tat%s Pernikahan :

    &. Peker'aan saat ini :

    II. RIWAYAT PENDIDIKAN

    1. Pen(i(ikan )ormal

    Nama$ekolah/*ni+.

    J%r%san Tempat Thn s/(Thn

    Keterangan

    $3

    $2

    $1

    ,3

    $LTA

    a. Isilah dengan huruf cetakb. Berilah tanda silang ( X ) pada jawaban untuk pertanyaan pilihan

    I. IDENTITAS

    FOTO

    3X4

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    ASESI

    2. Pen(i(ikan -n ormal K%rs%s ata% Training 0

    No. Jenis K%rs%s / Training Tempat Tah%n Keterangan

    1.

    2.

    3.

    4.

    5.

    III. RIWAYAT PEKERJAAN

    1. *raikan (engan singkat peker'aan An(a selama ini (im%lai (ari posisi terakhir0:

    No. Ja atan ln/Thn s/( ln/Thn *nit Ker'a1.

    *raikan t%gas %nt%k masing!masing i(ang peker'aan (i atas :

    1. ........................................ ........................................ ....................................... ..

    2. ........................................ ........................................ ....................................... .

    3. ........................................ ........................................ ....................................... ..

    4. ........................................ ........................................ ....................................... ..

    5. ........................................ ........................................ ....................................... ... ........................................ ........................................ ....................................... ..

    ". ........................................ ........................................ ....................................... ..

    #. ........................................ ........................................ ....................................... ..

    &. ........................................ ........................................ ....................................... ..

    1 . .........................................................................................................................

    11. .........................................................................................................................

    12. .........................................................................................................................

    2. Ja atan ln/Thn s/( ln/Thn *nit Ker'a

    a. Isilah dengan huruf cetakb. Berilah tanda silang ( X ) pada jawaban untuk pertanyaan pilihan

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    ASESI

    *raikan t%gas %nt%k masing!masing i(ang peker'aan (i atas :

    1. ........................................ ........................................ ....................................... ..

    2. ........................................ ........................................ ....................................... .

    3. ........................................ ........................................ ....................................... ..

    4. ........................................ ........................................ ....................................... ..5. ........................................ ........................................ ....................................... ..

    . ........................................ ........................................ ....................................... ..

    ". ........................................ ........................................ ....................................... ..

    #. ........................................ ........................................ ....................................... ..

    &. ........................................ ........................................ ....................................... ..

    1 . .........................................................................................................................

    11. .........................................................................................................................

    12. .........................................................................................................................

    4. Ja atan ln/Thn s/( ln/Thn *nit Ker'a

    *raikan t%gas %nt%k masing!masing i(ang peker'aan (i atas :

    1. ........................................ ........................................ ....................................... ..

    2. ........................................ ........................................ ....................................... .

    3. ........................................ ........................................ ....................................... ..

    4. ........................................ ........................................ ....................................... ..5. ........................................ ........................................ ....................................... ..

    . ........................................ ........................................ ....................................... ..

    ". ........................................ ........................................ ....................................... ..

    #. ........................................ ........................................ ....................................... ..

    &. ........................................ ........................................ ....................................... ..

    1 . .........................................................................................................................

    11. ........................................................................................................................

    12. .........................................................................................................................

    a. Isilah dengan huruf cetakb. Berilah tanda silang ( X ) pada jawaban untuk pertanyaan pilihan

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    ASESI

    IV. MINAT DAN HARAPAN

    1. Apakah ang An(a s%kai (ari peker'aan An(a sekarang kon(isi t%gas!t%gas (s 06engapa 7

    2. Apa ang paling An(a ti(ak s%kai (ari peker'aan/'a atan An(a sekarang kon(isi t%gas!t%gas(s 0 6engapa 7

    a. Isilah dengan huruf cetakb. Berilah tanda silang ( X ) pada jawaban untuk pertanyaan pilihan

    8am arkan agan organisasi ang memperlihatkan posisi An(a (alam %nit ker'asaat ini.

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    ASESI

    3. erikan 9ontoh pengalaman An(a (alam peker'aan:

    a. Pengalaman ang mem%askan

    . Pengalaman ang ti(ak mem%askan

    4. *raikan karir ang An(a ingin 9apai 5 tah%n men(atang. ,an %raikan p%la apa ang s%(ah

    An(a lak%kan %nt%k men9apai t%'%an terse %t.

    i(ang ang

    (iminati

    Posisi Ken(ala *saha ang

    s%(ah (ilak%kan

    *saha ang

    akan (ilak%kan

    a. Kem%kakan pen(apat An(a ila masih a(a hal!hal lain ang har%s (ilak%kan %nit ker'a

    an(a per aikan kon(isi ker'a (emi peningkatan pro(%kti+itas ker'a.

    a. Isilah dengan huruf cetakb. Berilah tanda silang ( X ) pada jawaban untuk pertanyaan pilihan

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    ASESI

    . ila a(a harapan!harapan lainn a silahkan t%lis (i sini.

    VI. Kekuatan dan As ek !an" Pe#$u D%t%n"katkan

    1. Apakah ang men'a(i kek%atan ( Strong Point ) An(a 7

    2. Kemamp%an apakah ang men%r%t an(a perl% (itingkatkan (an (iper aiki saat ini

    ( Improvement point ) 7

    a. Isilah dengan huruf cetakb. Berilah tanda silang ( X ) pada jawaban untuk pertanyaan pilihan

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    ASESI

    Tgl

    ..0

    a. Isilah dengan huruf cetakb. Berilah tanda silang ( X ) pada jawaban untuk pertanyaan pilihan