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Ephr - Employee Application Form

This document is an employment application form for Eastparc Hotel. It requests personal information such as name, contact details, education history, employment history, references, and emergency contacts. It also asks about the applicant's availability, desired salary, interests and qualifications for the position. The applicant is required to declare that all information provided is true and correct, and authorizes the company to investigate their application.

Uploaded by

arham Maulana
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
28 views

Ephr - Employee Application Form

This document is an employment application form for Eastparc Hotel. It requests personal information such as name, contact details, education history, employment history, references, and emergency contacts. It also asks about the applicant's availability, desired salary, interests and qualifications for the position. The applicant is required to declare that all information provided is true and correct, and authorizes the company to investigate their application.

Uploaded by

arham Maulana
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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HUMAN RESOURCES DEPARTMENT

EMPLOYMENT APPLICATION FORM

Position Applying For :

Desired Salary : PHOTOGRAPH


3X4
Available Start Date :

PERSONAL DATA

Full Name :

ID Card Number :

Gender : Male Female

Marital Status : Single Married Divorced Widow(er)

Date of Birth :

Place of Birth :

Nationality : Indonesian Others, Please Specify:

Religion :

Home Address :

Email Address :

Phone Number :

Blood Type :

Height and Weight : cm kg

Hobbies :

Please describe why you are interested in working for Eastparc Hotel?

EP/HR/FORM-1/REV00/2018
HUMAN RESOURCES DEPARTMENT

EMPLOYMENT RECORD

Have you ever worked in Eastparc Hotel?

Yes No

If yes, please provide details:

1 Company Name :
Position :
Duties :
Address :
Telephone Number :
Name of Supervisor :
Salary :
Employment Date : From to

Reason for Leaving :

2 Company Name :
Position :
Duties :
Address :
Telephone Number :
Name of Supervisor :
Salary :
Employment Date : From to

Reason for Leaving :

3 Company Name :
Position :
Duties :
Address :
Telephone Number :
Name of Supervisor :
Salary :
Employment Date : From to

Reason for Leaving :

EDUCATION RECORD

CERTIFIED
EDUCATION LEVEL NAME OF INSTITUTION PERIOD (YES/NO)

High School

College

Others

EP/HR/FORM-1/REV00/2018
HUMAN RESOURCES DEPARTMENT

TRAINING COURSES AND SEMINARS ATTENDED

DATE OF CERTIFICATE
COURSE TITLE INSTITUTION OR ORGANIZATION
TRAINING OBTAINED

LANGUAGE PROFICIENCY

SPEAKING READING WRITING LISTENING


LANGUAGE
POOR FAIR GOOD POOR FAIR GOOD POOR FAIR GOOD POOR FAIR GOOD

OTHER SKILLS

HEALTH

Have you had any serious injuries or surgeries during the past 5 years?
If yes, please describe: Yes No

Do you have any physical handicaps, chronic diseases or other disabilities?


If yes, please describe: Yes No

Have you ever suffered from any of the following illnesses?

Heart Disease Diabetes


Tuberculosis Epilepsy
Hypertension Asthma
Hepatitis Skin Problem

Venereal Disease Other/s :

EP/HR/FORM-1/REV00/2018
HUMAN RESOURCES DEPARTMENT

REFERENCES

(Please list persons with your past or current colleagues)

NAME PHONE NUMBER COMPANY POSITION

(Please list relative(s) or friend(s) working in Eastparc Hotel, if any)

NAME PHONE NUMBER RELATIONSHIP POSITION

FAMILY RECORD
(Please list the details of your family member/s, as well as spouse and children, if any)

NAME RELATIONSHIP AGE ADDRESS OCCUPATION

PERSON TO CONTACT IN CASE OF EMERGENCY

Name :
Relationship :
Address :
Phone Number :

DECLARATION
I, hereby declare that the above details are true, complete and correct to the best of my knowledge. I understand that
misrepresentation or omission when discovered, will subject me to be discharged. I hereby authorized any
investigation relating to my work experience, education or reputation for the purpose of my application for employment.

Date : Applicant’s Signature :

EP/HR/FORM-1/REV00/2018

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