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Application Form LIPPO

Application Form LIPPOvcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGXvcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGXSFVWSFDRWRWRWDSZDSWDFRWFvcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGXSFVWSFDRWRWRWDSZDSWDFRWFvcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGXSFVWSFDRWRWRWDSZDSWDFRWFvcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGXSFVWSFDRWRWRWDSZDSWDFRWFvcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGXSFVWSFDRWRWRWDSZDSWDFRWF vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGXSFVWSFDRWRWRWDSZDSWDFRWF

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Zainal Abidin ZB
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24 views

Application Form LIPPO

Application Form LIPPOvcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGXvcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGXSFVWSFDRWRWRWDSZDSWDFRWFvcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGXSFVWSFDRWRWRWDSZDSWDFRWFvcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGXSFVWSFDRWRWRWDSZDSWDFRWFvcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGXSFVWSFDRWRWRWDSZDSWDFRWFvcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGXSFVWSFDRWRWRWDSZDSWDFRWF vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGX vcdfgdf fsfsafsafsaGFDSGDSFGFVXDF DFSAFSAVDXBGRGXSFVWSFDRWRWRWDSZDSWDFRWF

Uploaded by

Zainal Abidin ZB
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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You are on page 1/ 18

FORMULIR DATA ISIAN

HUMAN RESOURCES DEVELOPMENT DIVISION

PT LIPPO KARAWACI TBK


Unit :
- HOUSING & LAND DEVELOPMENT

Bulevard Gajah Mada 2121 #01-01 Lippo Cyber park


Lippo Karawaci - Tangerang 15811
Telp:(62 21) 5579-0190 / 91 Fax: 5579-7220,7117,7111

Please Complete This Form Properly


Personal Data
Full Name

Nick Name

Place of Birth

State

Country

Date of Birth

Gender

Male

Female

Blood Type

Status

Single

Married

Divorce

Religion

Ethnic

Citizenship

Indonesia

Others

Height / Weight

E-mail Address

Hobby

ID Card Number

License Number

Kg /

Cm

A
B1
C

Address (Original and Residential)


Original Address

RT :
Kelurahan :

Phone Number

Handphone Number

RW:

Kecamatan :

City

State

Country
/ Fax :

Hal 3 dari 18

Residential Address

RT :
Kelurahan :

Phone Number

Handphone Number

RW:

Kecamatan :

City

State

Country
/ Fax :

Family Members & Emergency Contact


Family Members
Relation
Husband / Wife

Name

Place of
Birth

Date of Birth
(dd/mm/yy)
/

M/F

Addr

Children

Parents
Father

Hal 4 dari 18

Mother

Siblings (Including yourself)

Emergency Contacts
Full Name

Date of Birth

Gender
dd

Place of Birth

Relation

Address

mm

Phone Number

Handphone Number

Company Name

City

Position

Fema

yy

Sibling

RT :
Kelurahan :

Male

Parents

Others

RW:

Kecamatan :

City

State

Country

Educational Background
1. College
Educational Degree

Major

Diploma

Bachelor

Master

Doctor

Others

Hal 5 dari 18

College Name

City

Years of Completed

GPA

SKS

Date of Graduation

until
dd

mm

yy

dd

mm

yy

dd

mm

yy

2. College
Educational Degree

Major

College Name

City

Years of Completed

GPA

SKS

Date of Graduation

Diploma

Bachelor

Master

Doktor

Other

until
dd

mm

yy

dd

mm

yy

dd

mm

yy

Courses / Training
Subject

Institution

Languages
Language

Read

Write

Speak

Hal 6 dari 18

Organisations
Organisation Name

Position

Working Experiences
1
Company Name

Latest Position

Period

until
dd

Reason for Leaving

Latest Salary

Company Address

City

Business Type

mm

yy

Division

2
Company Name

Latest Position

Period

BUMN

Latest Salary

Company Address

City

Business Type

BUMD

mm

Division

3
Company Name

PMA
Others

yy

dd

mm

yy

nett/gross

BUMN
SWASTA

Business Area

yy

until
dd

Reason for Leaving

mm

nett/gross

SWASTA
Business Area

dd

BUMD

PMA
Others

Hal 7 dari 18

latest Position

Period

until
dd

Reason for Leaving

Latest Salary

Company Address

City

Business Type

mm

yy

Division

mm

yy

nett/gross

BUMN

BUMD

SWASTA
Business Area

dd

PMA
Others

Job Descriptions (Latest Position)


01.
02.
03.
04.
05.

Organisation Chart (Latest Position)

Hal 8 dari 18

Medical History
Heigh

Weight

Last Medical Check-Up

Medical Check-Up Type

Place

Cm
Kg
dd

mm

yy

Regular Check-Up

Sickness

General Check up

Others

Hospital
Clinic
Others

Doctor's Name

Eyes Condition

Silinder

Minus

Plus

Lainnya :

Others
My weaknesses are

My strenghts are

Position Applied For

Expected Monthly Salary


Expected Benefits
Expected Facilities
Availability

If there are company needs to know you better, would you mind to do psychological test and medical check-u
a. Psychological Test
b. Medical Check-Up
Have you ever been through any process of recruitment in this company and subsidiaries?
If you have, when is it?

Declaration
Hal 9 dari 18

I hereby certify that the facts in the above employment application are true and complete to the best of my kno

I understand that if employed, falsified statements of any kind or omissions of facts called for on this applicatio
bassis for dismissal.

Signature
Tangerang,

__________________________

Hal 10 dari 18

Expiration Date

(number & street)

Zip Code

Hal 11 dari 18

(number & street)

Zip Code

Address

Occupation

Hal 12 dari 18

Female

Zip Code

Hal 13 dari 18

Institution

Period

Speak

Listen

Hal 14 dari 18

Position

Period

Hal 15 dari 18

Hal 16 dari 18

psychological test and medical check-up? Yes / No

Hal 17 dari 18

e true and complete to the best of my knowledge and authorize.

ssions of facts called for on this application shall be considered sufficient

Hal 18 dari 18

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