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Employee Application Form

This document is an employee application form that collects personal and professional information from applicants. It requests information such as name, contact details, education history, work experience, skills, languages spoken, availability, and emergency contacts. It also asks if the applicant has ever been convicted of a crime or had a serious disease. The applicant is asked to declare that the information provided is true and correct, and authorizes the company to keep the application on file and disclose it confidentially during the hiring process.

Uploaded by

Luthfia
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
17 views

Employee Application Form

This document is an employee application form that collects personal and professional information from applicants. It requests information such as name, contact details, education history, work experience, skills, languages spoken, availability, and emergency contacts. It also asks if the applicant has ever been convicted of a crime or had a serious disease. The applicant is asked to declare that the information provided is true and correct, and authorizes the company to keep the application on file and disclose it confidentially during the hiring process.

Uploaded by

Luthfia
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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EMPLOYEE APPLICATION FORM

Date
Position Applied
Availability

Personal Information
Full Name
No KTP
Phone Number Personal Email

Current Address

Place of Birth Date of Birth

Gender Blood type

Marital Status Religion

Call in case emergency


1st Contact 2nd Contact

Name
Address
Phone Number
Relationship

Formal Education and Professional Certification


Name of Institution Place Year Faculty / Major GPA

Working Experience
Name of Company Position Period Reason of Resignation

Skills and Abilities


Languages Level of Proficiency Computer Literate / Other skills Level of Proficiency

OTHERS
What kind of information you would like to inform us? Please specify e.g. awards, acknowledgement.

Current Salary Expected Salary

Would you mind if we contact your previous company?

If yes, why?
Have you ever been convicted of a crime?

If yes, why?
Would you mind to work from the office?

If yes, why?
Reference Contact Name
Company/position

Have you had any serious disease or physical or mental disorder?


Please Describe

I hereby declare that the information provided us is true and correct. I also understand that any willfull dishonesty may impact to immediate
termination of the employment
I authorize PT Cerdas Digital Nusantara to keep this information in my personal file and disclose n a confidential
manner of any information supplied in this form to the parties namely the People & Culture staff, concerning
department head or above for and assessment.
I also understand that it is mandatory to update the above information, if any.

Date
Full name
Signature

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