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Application For Employment Form

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WahYu Redha Putra
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11 views

Application For Employment Form

Uploaded by

WahYu Redha Putra
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 4

PT.

VOLEX INDONESIA
APPLICATION FOR EMPLOYMENT FORM

Position Applied For :

Personal Particulars
Name : Male / Female

Current Address :

Mobile / Hp :

E-mail Address : Currently working : Yes / No

Place of Birth : Birth Date :

Race : Age :

Religion : Martial Status : Since :

Education Background

Year
Name of High School/University Discipline / Faculty Highest Standard Passed
From To

Academic and other qualifications/certificates obtained. (Pls. State Name and Place of Institute, Subjects taken, grade and
year obtained)

If you have planned further education, please explain :

Hobbies/Interests :

Please state your class of driving license : Type of vehicle owned :

Family Particulars
Page 1 of 4
Name Age Relationship Occupation Home Address

EMPLOYMENT HISTORY

DETAILED CAREER IN CHRONOLOGICAL STARTING WITH FIRST EMPLOYMENT. EXPLAIN ANY INACTIVITY IN
BETWEEN

Position Reason for leaving


Working period
Type of
Last Basic Estimated Take
Name of Company Company's From To Salary (Rp) Home Pay (Rp)
Business mm / Mm
yyyy /yyyy
1.

2.

3.

4.

Expected Basic Salary & Gross Salary : Date Available :

Are you presently serving any bond with your Company or sponsor? Yes No

If yes, when will the bond end? . And do you have any objection if we need to contact your

previous company to validate your information ? Yes No

Page 2 of 4
Declaration

Yes No

 Are you presently suffering from any serious illness?


(for example : epilepsy, acute asthma, etc)

If yes, please specify

 Have you been convicted in court? (Except traffic offence & littering)

If yes, please specify

 Has the court declared you bankrupt?

 Are you currently a guarantor for any un-discharged bankrupt?

 Are you related to anyone inclusive friend in Volex Group?

If yes, please give full name/dept :

 Are you prepared to do shift work?

Please draw an organization chart in the space provided below indicating your present position or previous position

(If presently unemployed) in the Department or company

I certify that the information given above is accurate and that no pertinent details have been withheld. If any information
given above is subsequently found to be incorrect or untrue, the company may dismiss my employment without notice or
compensation.

Signature of Applicant Date

Page 3 of 4
FOR ASSESSMENT BY INTERVIEWER

1st interview : Rejected Pending Potential Selected

Name of Interview: Date :

2nd Interviewer : Comments : Rejected Pending Potential Selected

Name of Interviewer: Date :

Page 4 of 4

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