Form Application BPG.pdf

Binakarya Propertindo Group Mall Taman Palem, Lt.3 Blok D, Jl. Kamal Raya Outer Ringroad Cengkareng, Jakarta Barat 10730 Tel. (62-21) 5436 0381. Fax. (62-21) 5436 0391 www.binakaryapropertindogroup.co.id

FR-HRG/01/Rev.00 APPLICATION FORM

Posisi yang dilamar : 1. _____________________________________________________ 2. _______________________________________________________ Position to be applied Nama lengkap :__________________________________________________________________________________________________________________ Full Name Jenis kelamin : Pria(Male) Wanita (Female) Gender Tempat / Tanggal Lahir :_________________________________ Kewarganegaraan :_______________________ Place/ Date of Birth Citizenship Nomor KTP :_______________________ Nomor SIM :_______________________ (A/B1/B2/B3/C) Identity Card Number Driving License Number (lingkari yang dipilih / circle your option) NPWP :_______________________ Nomor Jamsostek :_______________________ NPWP Jamsostek Number

Agama :_______________________ Golongan Darah :_______________________ Religion Blood Type Tinggi Badan dan Berat Badan :_________cm ________kg Ukuran Pakaian : S / M / L / XL / XXL Height and Weight Cloth Size (lingkari yang dipilih / circle your option) Alamat lengkap sesuai KTP :_________________________________________________________________________________________________________________ Address based on ID Card

____________________________________________________________________________ Alamat tempat tinggal saat ini : _________________________________________________________________________________________________________________ Current address

____________________________________________________________________________ Status tempat tinggal : ( ) Rumah sendiri ( ) Sewa ( ) Orang tua ( ) Kost ( ) Lain-lain Residence Status ( own house) ( rent house) (parents' house) (lodging) (others) Alamat surat elektronik : _________________________________________________________________________________________________________________ Email address No. telephone rumah : _________________________________________________________________________________________________________________ Phone (Home) number No. Telephone genggam (HP) : _________________________________________________________________________________________________________________ Handphone number Status Perkawinan : Bujangan / Bertunangan* / Menikah* / Bercerai* (lingkari yang dipilih / circle your option) Marital Status Single / Engaged * / Married * / Divorced*

* Sejak tanggal / Since : PENDIDIKAN FORMAL / EDUCATIONAL BACKGROUND No. Tingkat

Pendidikan/Education Level

Nama Sekolah/ School Name

Tempat/Kota/Place/City Jurusan/Major Periode Pendidikan/ Period of Education

IPK/ GPA

1. SMU / Senior High School s/d

2. Akademi / Academy s/d

3. Universitas / University s/d

4. Pasca sarjana / Postgraduate

s/d

Judul skripsi (Title of thesis) :_________________________________________________________________________________

Photo

3 x 4

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FR-HRG/01/Rev.00 PENDIDIKAN TIDAK FORMAL / INFORMAL EDUCATION No. Kursus/Training

Course/Training Penyelenggara Organizer

Durasi Duration

Tahun Penyelenggaraan Year of Conducting

Disponsori Oleh Sponsored By

KELUARGA / FAMILY No. Hubungan Keluarga

Family Relation Nama Name

L/P M/F

Tempat/Tgl Lahir Place/Date of Birth

Pendidikan Education

Pekerjaan Occupation

Posisi Position

Perusahaan Company

1. Ayah / Father

2. Ibu / Mother

3. Saudara Kandung 1. (termasuk Anda) Siblings 2. (including you) 3. 4. 5. 6.

4. Suami/ Istri Husband / Wife

5. Anak 1. Children 2. 3.

No.

Bahasa Asing Foreign Language

Membaca / Reading Menulis / Writing Berbicara / Speaking

Baik Good

Cukup Fair

Kurang Poor

Baik Good

Cukup Fair

Kurang Poor

Baik Good

Cukup Fair

Kurang Poor

2


FR-HRG/01/Rev.00 No.

Kegiatan Sosial / Social Activities Tempat / Place Jabatan / Title Periode / Period

s/d

s/d

s/d

Hobi / Hobby :_________________________________________________________________________________________ PENGALAMAN KERJA (2 PEKERJAAN TERAKHIR) / WORKING EXPERIENCE ( 2 Last Job ) 1. Nama Perusahaan :_________________________ Bergerak di bidang :____________________________ Company's name Type of business Periode bekerja (Bulan & Tahun) :__________ s/d___________ Jabatan :____________________________ Period of employment (Month & Year)Title Tugas dan tanggung jawab anda pada jabatan terakhir / assignment & responsible in your last job : _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ Atasan (Superior) :___________________ Gaji Pokok (Salary) :___________________(Gross/Nett) Fasilitas (Facility) :____________________ Transportasi / Transportation :___________________ Uang Makan / Meals :____________________

Bonus / Bonus :___________________ Tunj. Kshtn/Health Ins. :____________________ Lain-lain /Others :___________________ Gambarkan struktur organisasi departemen Anda / Please draw your position in the organization department structure: Perbaikan yang telah Anda lakukan / Area of improvement: __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ Alasan berhenti : ________________________________________________________________________________________________________________________ Reason of resignation

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FR-HRG/01/Rev.00 2. Nama Perusahaan :_________________________ Bergerak di bidang :____________________________ Company's name Type of business Periode bekerja (Bulan & Tahun) :__________ s/d___________ Jabatan :____________________________ Period of employment (Month & Year)Title Tugas dan tanggung jawab anda pada jabatan terakhir / assignment & responsible in your last job : _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ Atasan (Superior) :___________________ Gaji Pokok (Salary) :___________________(Gross/Nett) Fasilitas (Facility) :____________________ Transportasi / Transportation :___________________ Uang Makan / Meals :____________________

Bonus / Bonus :___________________ Tunj. Kshtn/Health Ins. :____________________ Lain-lain /Others :___________________ Gambarkan struktur organisasi departemen Anda / Please draw your position in the organization department structure: Perbaikan yang telah Anda lakukan / Area of improvement: ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Alasan berhenti : ________________________________________________________________________________________________________________________ Reason of resignation Di perusahaan mana Anda paling senang bekerja: In which company you enjoyed working the most __________________________________________________________________________________________________________________ Mengapa : Why __________________________________________________________________________________________________________________ Di perusahaan mana Anda paling tidak senang bekerja: In which company you enjoyed working the least __________________________________________________________________________________________________________________ Mengapa: Why __________________________________________________________________________________________________________________

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FR-HRG/01/Rev.00 REFERENSI / REFERENCES No.

Nama / Name Alamat & No. Telepon / Address & Phone Number

Jabatan / Title Perusahaan / Company

Hubungan / Relationsip

MINAT KERJA / WORK INTEREST Minat Anda pada pekerjaan / your point of interest : (harap lingkari /please circle) a. Marketing e. Technical i. Manufacturing m. Quality Management q. Legal b. Sales f. HRD j. Logistic n. Training r. lain-lain / others : c. Finance g. Business Development k. Import o. IT d. Accounting h. Clerical/ Administration l. Audit p. Purchasing Jelaskan / please explain your reason :_________________________________________________________________________ ____________________________________________________________________________________________________________ INFORMASI LAINNYA / INFORMATION CONCERNING APPLICATION No. Pertanyaan / Questions Ya / Yes Tidak / No Penjelasan / Explanations

1. Pernahkah Anda melamar di perusahaan ini ?

Have you ever applied in our company before ? Jika pernah, kapan dan untuk posisi apa ? If Yes, when and what did your apply for ?

2. Apakah Anda masih terikat kontrak dengan perusahaan Anda saat ini ? Did you sign any contract with your current company ?

3. Apakah Anda memiliki pekerjaan sampingan, dimana dan sebagai apa? Do You have any part time / free lance job, where & what is the position?

4. Pernahkan Anda menderita sakit berat / lama sembuh atau menjalani operasi? Have you ever suffered any serious illness or any major / minor operation?

5. Apakah saat ini Anda sedang menderita sebuah penyakit ? Do you currently have any diseases or illnesses ?

6. Apakah Anda mempunyai referensi/kenalan di perusahaan ini ? Do you have reference / relative who works for this company ?

7. Pernahkan Anda terlibat dengan kasus kriminal ? Have you ever been involved in a criminal case?

8. Apakah Anda siap dan bersedia ditempatkan di seluruh wilayah Indonesia ? Are you ready to be placed in other cities (troughout Indonesia)?

9. Jenis pekerjaan apa yang Anda sukai ? What kind of job you like ?

10. Jenis pekerjaan apa yang Anda tidak sukai ? What kind of job you don't like ?

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FR-HRG/01/Rev.00 INFORMASI LAINNYA / INFORMATION CONCERNING APPLICATION No. Pertanyaan / Questions Ya / Yes Tidak / No Penjelasan / Explanations

11. Apakah Anda pernah mengikuti tes psikologis

sebelumnya ? Have you ever joined any psychology test before?

12. Kemampuan apakah yang Anda miliki yang berkaitan dengan pekerjaan yang dilamar ? What kind of knowledge or skill do you have, related to applied position ?

1.

2.

3.

13. Apa saja kelebihan yang Anda miliki ? What kind of strength do you have ?

1.

2.

3.

14. Apa saja kelemahan yang Anda miliki ? What kind of weakness do you have ?

1.

2.

3.

15. Berapa besar gaji dan fasilitas yang Anda harapkan? How much salary and other benefits / facilities do you expect ?

16. Apakah memungkinkan bagi Anda untuk bekerja lembur? Are You available to work overtime?

17. Kapan Anda siap untuk bergabung dengan perusahaan ini ? When are you ready to join this company?

Saya menyatakan bahwa semua informasi dan data yang telah saya buat adalah benar. Bila ternyata ada keterangan yang tidak benar, saya bersediamempertanggungjawabkannya dan diberhentikan tanpa syarat I undertake that all material and/or information I provided for this application form is true and complete to the best of my knowledge and believe. I also undertake that I am fully liable for any action if found wrong, therefore I agree to be terminated from my position.

Jakarta, _______________________

[ ] Pelamar / Applicant

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Form Application BPG.pdf

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Transcript of Form Application BPG.pdf