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Application Form VENTENY

The document appears to be a job application form for Venteny Inc. that requests standard personal and employment details such as name, contact information, education history, and references. There is also a section for an HR evaluation of the applicant with ratings of "Hired", "For Final Interview", "For Further Evaluation", or "Failed".

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Dina Kharista
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24 views

Application Form VENTENY

The document appears to be a job application form for Venteny Inc. that requests standard personal and employment details such as name, contact information, education history, and references. There is also a section for an HR evaluation of the applicant with ratings of "Hired", "For Final Interview", "For Further Evaluation", or "Failed".

Uploaded by

Dina Kharista
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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APPLICATION FORM

EVALUATION RESULT (For HR Department Only)

TOTAL RATE Comment


HIRED
FOR FINAL INTERVIEW
FOR FURTHER EVALUATION
FAILED
__________________________________________________________________________________________________
__________________________________________________________________________________________________
____________________________________________________________

Please write the information legibly and in printed form. Put N/A if the needed information is not available.

Position Applied : FULLSTACK____________________________________________________________________


Current salary (THP) : 15.000.000_________________ Expected salary (THP) : 20.000.000_________________
Contact Number : 08990277847____________________ Email : ____________________
How did you know about VENTENY INC.?
□ Jobstreet □ TechInAsia □ LinkedIn □ Others (Please specify) : _____________________________________

Full Name : Ogy___________________ Rahmawan____________ Febrianto____________ Ogy_______________


First Name Middle Name Last Name Nick Name

Current Address : Jl. Citandui 24__________________________________________________________________


Date of Birth : 17 February 1994____________________ Age : 29____________________
Sex :M/F Religion : ____________________
Instagram : ____________________ Facebook : ____________________
Twitter : ____________________ LinkedIn : ____________________

Marital Status
Spouse’s Full Name : ____________________ Occupation : ____________________
Number of Children : ____________________
Member of Family
Full Name Relationship Occupation
Contact Person in Case of Emergency
Full Name Relationship Contact Number

Educational Background
School Year Graduated GPA Degree

Employment History (Start from the most recent one)


Company Job Title Duration Reason for Leaving

Health Condition
Do you have any current serious sickness / previous surgery? _____Yes _____No
If so, please specify : ______________________________________________________________________________
References
Name Title Company Email / Phone Number
Declaration
I hereby certify that all information written here are true and correct to the best of my knowledge. In case of any of the
above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable
for it and will withdrawn my application at Venteny Indonesia.

____________________
Signature

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