Application Form
PT. Layar Nusantara Gas - Recruitment Team
Apply Date
-
Day
-
Month
Year
Date
Applied Position
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How do you know available vacancy on this company?
Family
Friends
'Windowshopping'
Linkedin
Petromindo
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A. Personal Information
Full Name
First Name
Last Name
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Geolocation
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Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Are you social enough? tell us your social media!
Religions
Moslems
Christian
Catholic
Hindu
Budha
Other
Marital Status
Single
Married
Gender
Male
Female
N/A
Height
Weight
Birth Date
-
Day
-
Month
Year
Date
Kartu Tanda Penduduk
NPWP
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B. Family Detail
How many family member do you have?
Husband/Wife Name
His/her birth date
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Day
-
Month
Year
Date
Husband/Wife's Occupation
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
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C. Educational Background
Formal Education
Rows
Year to Year
University/Academy/School
Location
GPA
Degree
1.
2.
3.
4.
Informal Education
Rows
Year to Year
Workshops/Training
Location
Vendors
1.
2.
3.
4.
Seminars
Rows
Seminars
Year
Topic
Location
1.
2.
3.
4.
Education Certificate
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Latest Certificate
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Upload personal CV
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Personal CV
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Spoken English
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Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Read & Written English
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Other Languages
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D. Working Experience
Company Name
Address / Phone
Position
Work period
from ....... to .........
Superordinates
Resignation Reason
Salary - Take Home Pay
write numbers only
Job Description
Positions
Explain your position in your organization
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E. Organisational Activity & Others
Hobbies
Organisational Activity
Rows
Organisation Name
Year
Period
Position
1.
2.
3.
4.
Do you have any acquaintances in this company?
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Have you ever to apply to this company before?
Yes
No
Have you ever work at this company before?
Yes
No
Do you still work now?
Yes
No
Can we confirm about you to your previous company?
Yes
No
What is your favourite job? Explain it briefly!
What is your least favourite job? Explain it briefly!
What is your reason to join this company?
What will you contribute to this company if you've been chosen to the position?
Expected Gross Salary
write numbers only
When you can join?
-
Day
-
Month
Year
Date
Preferred Working Location
Preferred Working Type
Full Time
Part Time
Shift
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Skills & Knowledge
Explain 5 your latest achievements briefly
If you are accepted, what is your goal in this company?
Explain your 5 weaknesses
Explain your 5 strengths
What do you expect from this company?
What is an ideal company to you?
Please sort what become priority for you!
Rows
Priority
Career
Financial Compensation
Experience
Work Environment
Security
Self Esteem
What usually makes you resign from one company to another?
Emergency Contact Number
Name - Number
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