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APPLICATION FOR EMPLOYMENT

POST APPLIED FOR : ASSISTANT ENGINEER

PERSONAL DATA * Delete where appropriate

Sex: * M / F : Male
Full Name : Mr/Mrs/Ms Muhammad Baharuddin Arif Aswar

Address : Tamangapa Raya Street III, Pesona Prima Griya M/16 Office Tel :

Antang, Makassar / 90235 Home Tel :

IC No. : 7316051409960001 Race : Religion : * Buddhism / Christianity / Catholic / Hand Phone : +62821 9152 9730

Hindu / Muslim / Others / None

Marital Status : No of Children : 4 BPJS Kesehatan No. :

* Single / Married / Divorced / Widowed Email : arifaswar14@gmail.com

Place of Birth : Pana Birth Date : September 14, 1996 Jamsostek Ketenagakerjaan No :

Nationality : Indonesian NPWP No. :

FAMILY PARTICULARS
Name Relationship Age Occupation Name of Company
Sumiaty Mother 52 Housewife

Harthanti Aswar Sister 28 Lecturer

Suryanti Aswar Mure Pana Sister 27 Civil Servant

Sri Haryanti Aswar Sister 25 Librarian

Yustika Aswar Sister 20 Student

Asy Syifa Nuraziza Aswar Sister 12 Student

In case of emergency, please notify Sumiaty Tel: +62822 9350 2434

EDUCATIONAL QUALIFICATIONS
School / Tertiary / Technical / Institution / Colleges / Year Certificates / Diplomas / Degrees Obtained
Universities Attended From To ( Highest Standard Passed )

State Elementary School 113 Pana – South of Sulawesi 2002 2008

State Madrasah Tsanawiyah Alla’ – South of Sulawesi 2008 2011

State Senior High School Alla’ – South of Sulawesi 2011 2014

University of Hasanuddin – South of Sulawesi 2014 2018

Extra Curriculum Activities :

Please attach supporting educational documents.

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EMPLOYMENT HISTORY (In Chronological Order-starting with current employment)
Period
Basic
S/N Name of Company Position From To Brief Duties and Responsibilities Salary/ Reason For Leaving
Others
Mth Yr Mth Yr

REFEREES :
S/N Name Address Tel No. Occupations Company

(Character referees should preferably be present/ past employers or superiors.)

1 Briefly state your career goals Be someone who can hire someone else and become a successful businessman

2 Why do you wish to join us? Toget work experience and new things

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Do you have any friends / relatives working in PaxOcean Group of Companies?
Name Designations Tel No. Company Remarks

MEMBERSHIP OF PROFESSIONAL & OTHER SOCIETIES/ EXTRA MURAL ACTIVITIES

Name of Professional Body/ Society Position Remarks

LANGUAGES/ DIALECTS
Spoken and Written Spoken Only

Bahasa

English

Duri

OTHER INFORMATION
1. What is your present state of health? * Excellent / Good / Average / Poor
2. Have you ever had any serious illness, accident, physical handicap? If yes, please give details: No, I haven’t

3. Are you presently suffering from any disease/ illness and/ or undergoing treatment for such disease/ illness?
No, I am not
If yes, please elaborate.
No, I haven’t
4. Have you ever been dismissed from any previous jobs?
No, I haven’t
5. Have you ever been charged and charged in court?
No, I haven’t
6. Have you been declared a bankrupt?
Yes, I can
7. If offered a post, ever can you join our Company?
5.000.000,-
8. Minimum basic salary expected? Rp

DECLARATION

I DECLARE THAT ALL INFORMATION GIVEN IN THIS APPLICATION FOR EMPLOYMENT IS TO THE BEST OF MY
KNOWLEDGE AND BELIEF, TRUE AND CORRECT. THIS DECLARATION SHALL, IF I AM EMPLOYED, CONSTITUE AN
INTERGRAL PART OF ANY CONTRACT OF SERVICE BETWEEN THE COMPANY AND MYSELF. I AGREE AND ACCEPT THAT
I WILL BE LIABLE FOR IMMEDIATE DISMISSAL IF I AM FOUND TO HAVE GIVEN FALSE INFORMATION.

DATE : SIGNATURE :

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 FOR INTERVIEWER USE

Interview Assessment Form

1st Interview by: 2nd Interview by:

Please circle one number for each criterion.

High Low High Low

Education and job knowledge (relating to requirements of position applied for)
1 25 20 15 10 5 25 20 15 10 5

Comments:

Experience (in particular relevant work experience)

2 25 20 15 10 5 25 20 15 10 5

Comments:

Attitude and aptitude (eagerness, trainable quality, perceptiveness)

3 20 16 12 8 4 20 16 12 8 4

Comments:

Communicative ability (use of language, expression, comprehension)

4 15 12 9 6 3 15 12 9 6 3

Comments:

Personality (mannerisms, organisation fit, confidence, ability to interact,

5 appearance) 15 12 9 6 3 15 12 9 6 3

Comments:

Total Scores: 1st / 100 2nd / 100

Signature/ Date:

Additional remarks:

Recommendation: Hire KIV Reject

FOR HR DEPT USE

Position : Grade :

Applicant Date of Commencement : Company/ Dept. :

Salary : Other Allowances :

Name : Approved By :

Date

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