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FORM APLIKASI KERJA KARYAWAN
Posisi yang dilamar :
Penjualan
Produksi
1. IDENTITAS DIRI
Nama Lengkap
Tempat/Tgl Lahir
Jenis Kelamin
Agama
Status Pernikahan
Alamat (sesuai KTP)
Alamat Korespondensi
Nomor Induk Kependudukan
2. IDENTITAS KELUARGA
2.1. Ayah
Nama
Usia
Pekerjaan
Alamat
Pendidikan Terakhir
2.2. Ibu
Nama
Usia
Pekerjaan
Alamat
Pendidikan Terakhir
2.3. Saudara Kandung :
NO
NAMA
2.4. Istri/Suami
Nama Istri/Suami
Usia Istri/Suami
Pekerjaan Istri/Suami
Pendidikan Istri/Suami
Gudang
Support
:..............................................................................................................................
: ..............................................................................................................................
: ..............................................................................................................................
: ..............................................................................................................................
: ..............................................................................................................................
: ..............................................................................................................................
: ..............................................................................................................................
: ..............................................................................................................................
: ..............................................................................................................................
: ..............................................................................................................................
: ..............................................................................................................................
: ..............................................................................................................................
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: ..............................................................................................................................
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: ..............................................................................................................................
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: ..............................................................................................................................
USIA
PENDIDIKAN
PEKERJAAN
ALAMAT
: ..............................................................................................................................
: ..............................................................................................................................
: ..............................................................................................................................
: ..............................................................................................................................
2.5. Sebutkan 2 orang yang dapat kami kontak sebagai referensi Anda.
a. Nama
:...................................................................................................................
Telepon
: ..................................................................................................................
Hubungan
:...................................................................................................................
b. Nama
:...................................................................................................................
Telepon
: ..................................................................................................................
Hubungan
:...................................................................................................................
3. RIWAYAT PENDIDIKAN
NO
PENDIDIKAN
INSTITUSI
JURUSAN
TAHUN LULUS
NO
BAHASA
NO
PELATIHAN
FASIH
PENYELENGGARA
BAIK
TAHUN
CUKUP
SERTIFIKAT
Keahlian lain yang sesuai dengan posisi yang dilamar :
1. .....................................................................................................................................................................
2. .....................................................................................................................................................................
3. ............................................................................................................................................. ........................
4. RIWAYAT PEKERJAAN
(diisi pekerjaan terakhir)
4.1. Nama Perusahaan :
Alamat
:...........................................................................................................
Jabatan
: ...........................................................................................................
Periode kerja
: ...........................................................................................................
Gaji terakhir
: ...........................................................................................................
Atasan Langsung
: ...........................................................................................................
Alasan Keluar
: ...........................................................................................................
Mohon gambarkan struktur organisasi yang menunjukkan posisi Anda di perusahaan
5. RIWAYAT ORGANISASI
NO
ORGANISASI
JABATAN
TAHUN
NO HP ATASAN
6. VISI, MISI, DAN MOTIVASI
Apa yang Anda ketahui tentang perusahaan kami?
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Mengapa Anda berniat untuk melamar diperusahan kami?
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Mengapa Anda berminat di posisi yang Anda lamar?
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Bersediakah Anda ditempatkan di posisi selain yang Anda lamar? Jika bersedia, diposisi apa?
.....................................................................................................................................................................................
Bersediakan Anda ditempatkan diluar kota? Jika tidak, berikan alasan.
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Apabila diperlukan, bersediakah Anda melakukan lembur? Jika tidak, berikan alasan.
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Bersediakah Anda menjalani masa percobaan? Jika tidak, berikan alasan.
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Mohon ceritakan tentang pencapaian yang membanggakan dalam hidup Anda
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Mohon ceritakan tentang keluarga dan teman-teman Anda!
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Apa ambisi pribadi Anda?
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Mohon sebutkan hal-hal positif tentang diri Anda!
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Mohon sebutkan hal-hal negatif Anda!
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Menurut Anda, apa alasan kuat yang membuat kami harus menerima Anda!
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Apabila diterima di perusahaan kami, apa yang anda lakukan dalam 3 bulan pertama?
.....................................................................................................................................................................................
7. RIWAYAT KESEHATAN
Apakah anda pernah mengalami sakit parah ? jika iya, sakit apa? Berapa lama?
.....................................................................................................................................................................................
Apakah Anda pernah menjalani rawat inap di rumah sakit? Jika pernah, kapan dan sakit apa? Berapa lama?
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8. LAIN-LAIN
Apakah Anda memiliki kenalan di perusahaan kami? Jika iya, siapa dan apa hubungannya dengan Anda?
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Fasilitas apa yang Anda inginkan bila diterima di perusahaan kami? Mengapa Anda menginginkan fasilitas
tersebut?
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Apa yang Anda inginkan (selain fasilitas gaji) apabila diterima di perusahaan kami? Mengapa Anda
menginginkan hal tersebut?
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Bila diterima, kapan Anda bisa bergabung dengan perusahaan kami?
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Berapa gaji yang Anda inginkan apabila diterima di perusahaan kami? Mengapa Anda mengharapkan gaji
sebesar itu?
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