REERACOEN INDONESIA, PT.RUKO TRIVIUM SQUARE NO.18Jl. Kemang
Raya, Lippo CikarangPhone : 021-89911283JOB APPLICATION FORMThank
you for coming today.Before we start the interview, please answer
the question following below.
Do you have your word that your CV and experience is really
true? Yes / NoAre you really aggressive for changing job? Yes /
So-so / NoCan you smoothly change the job? Yes / No (penalty will
happen by contract base)/ others Did you bring your last pay slip?
Yes / NoCould you make decision by yourself toward the offer? Yes /
My wife / My husband /My parents / othersDo you have your own
transportation? Moter cycle/ Car/ NoWhen is easily reach to you?
After working hour/ any timeFor Japanese speaker, do you have
official certification? Yes/No
I swear to above question and start to use our service.
_______________________ Signature
Thank you for your corporation.
Date:May 30th 2015
Position applied for:QC LeaderExpected Salary:IDR 6.000.000
PERSONAL INFORMATION
Name:Abdul Qodir MustofaOdingQodir
SurnameGiven NameMiddle Name
Birthdate:December 5th 1989Age:25Gender:Male
Status:SingleReligion:ISLAMNationality:Indonesia
ID Card No.:3326100512890001Driving Licence:891214600002
NPWP No.:445772460502000BPJS No.:
Address:Jl. Jeruk no 213 RT 01/RW 16 Griya Sragi Indah 51155
Pekalongan
Phone No.:085795040050Email:[email protected]
ACADEMIC QUALIFICATIONS
YearSchools/Institutions AttendedQualifications Obtained (Level,
Degree, Diploma)Major/GPA
FromTo
20072010State Politechnic of BandungDiploma2,84
OTHER QUALIFICATIONS/COURSES ATTENDED/AWARDS ATTAINED
YearQualifications and Awards ObtainedAchievements
FromTo
DETAILS OF PREVIOUS EMPLOYMENT
Employer:PT. Shinryo IndonesiaPosition:Mechanical Engineer Site
SPV.
Monthly Salary:3.500.000Incentives:3.000.000 to 5.000.000
Key Responsibilities:Supervise mechanical work installation by
subcontractor, testing & commissioning HVAC system
Control material project and follow up to supplier
Report to:Project Manager & Main ContractorEmployee
Status:Contract
Duration:August 2012 to July 2014Reason for leaving:I was
looking for more of a challenge
Date start Date End
Employer:PT. MeprofarmPosition:Assistan SPV
Validation-Qualification
Monthly Salary:1.800.000Incentives:200.000 to 400.000
Key Responsibilities:Execute Equipment/machine Qualification in
all factory area (Installation, Operation, Performance
Qualification), Testing & Commissioning installation of HVAC
system contractor work.
Evaluate & report analysis activity of
Validation-Qualification work and submit to supervisor.
Report to:Supervisor Validation-QualificationEmployee
Status:contract
Duration:Nov 2010 to July 2012Reason for leaving:just always
contract employees
Date start Date End
Employer:Position:
Monthly Salary:Incentives:
Key Responsibilities:
Report to:Employee Status:
Duration:Reason for leaving:
Date start Date End
PROFESSIONAL REFERENCE
Name:Muhamad Taufik D.Position:Validation & Calibration
Manager
Company Name:PT. Meprofarm
Contact No.:0858-6301-379Email:-
PERSONAL REFERENCE
Name:Position:
Company Name:
Contact No.:Email:
CAREER PLAN
Priority while you looking for job, whats important for you
while you decided to change job.
Interesting, challenging & appropriate with my basic
education
Prosperity
career path
Kind of Job that:
You like:Check and testing
You dont like:
Position you prefer:Quality Control Leader
Career plan in 5 years ahead:Im going to generate your company
as the top utility equipment & machine manufacturer in Asian
countries as generally and Indonesia in particular. I will improve
my skill by following training and take so many additional
seminars. I would like to be cooperate with other Department in
order to improve quality in order to help this company branding
includes the wider market.
PREFERRED INDUSTRY CATEGORY
Software / Information ProcessingManufacturing (Computer /
Telecommunication)
IT / TelecommunicationsManufacturing (Electronics /
Semiconductors)
Web / Mobile / GameManufacturing (Automobile)
Food ServicesManufacturing (Machinery)
RetailManufacturing (Chemicals / Materials)
Hospitality, Tourism, and LeisureManufacturing (Food)
Human ResourcesManufacturing (Pharmaceutical / Medical
Equipment)
Call CenterManufacturing (Other)
Medical and HealthcareFinance (Banking)
EducationFinance (Insurance)
Publishing / Printing / Advertising / BroadcastingFinance
(Securities)
Trading FirmFinance (Other)
LogisticReal Estate
Retail / Distribution (Fashion and Apparel)Civil Engineering /
Architecture
Retail / Distribution (Other)Utilities
ConsultingOther
PREFERRED WORK LOCATION
JakartaTangerangKarawang
BogorBekasiCibitung
DepokCikarangAny
CHARACTER REFERENCES
Strength:cheerfulness, carefulness, strong will to learn new
things, and my skill to work under pressures as an individually and
as a team
Weakness:Sometime I should check the task or job at least 3 time
before collecting it on deadline, I cant say no when someone ask
for help and Im a bit lazy about which Im not interested.
Do you have pending application/s?
YesNo
If YES, please provide the details below:
Company Name:Date of application:
Company Name:Date of application:
Have you ever been convicted for any criminal case and/or
violate deny law under the Indonesian Government?
YesNo
If YES, please explain further:
Do you allow the company to conduct background check to verify
the authenticity of the information you provided?
YesNo
If NO, kindly state the reason why:
PLEASE CHECK THE FOLLOWING APPROPRIATE BOX FOR THE REQUIREMENTS
THAT YOU HAVE BROUGHT WITH YOU
Updated Curiculum VitaeCopy of ID Card Number
Copy of university transcriptCopy of NPWP Number
Copy of professional license or language testCopy of Jamsostek /
BPJS Number
Copy of reference letter from previous employerCopy of SKCK
I verify that the above information is correct to the best of my
knowledge. I accept that providing false information deliberately
could result in my dismissal.
Signature above Printed NameDate
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