PT Nestl

Indonesia

PERSONAL DATA SHEET

5th Floor Wisma Nestl

Arkadia Office Park
Jl. Let. Jen. T. B. Simatupang Kav. 88
Jakarta 12520
Tel.: (62-21) 7883-6000
Fax.: (62-21) 7883-6001
Email: recruitment@id.nestle.com

No: 232.1310.F.022

HR Recruitment Use only

HR Interview Date

INSTRUCTIONS:

User Interview Date

1.

Psychological Test Date

(if any)

Medical Check Date

Regret Letter Date

Date Applied (d/m/y)

POSITION APPLIED for

Please accomplish this form by fill up all blanks.

Write NA if not applicable.

2.
3.

Use separate of paper if needed

Use CAPITAL LETTER

Full Name

Present Address:
District/ City/ Province

Area Code

Telephone Number (s)

(Residence & Cellular)

District/ City/ Province

Area Code

Telephone Number (s)

Permanent
Address:

PERSONAL

(As stated on ID/KTP)

Emergency
Address:

Person to be contacted &

Relationship

District/ City/ Province

Date of Birth
(d/m/y)

Place & Country of Birth

Sex

ID/KTP Number:

FAMILY

Civil
Status:

Area Code

Telephone Number (s)

Email Address

Religion

Date & City of Issued

Single
Divorce
Widower/ Widow

Married (Date of Wedding) D/M/Y

Certificate No: _____________________

Name of Wife
or Husband:

Full Name

Occupation of
Spouse:

Company / Place Employed

Nationality

Plc. & Country

Position Held

Birthday

Religion

Telephone No.

If divorce, please submit a letter of alimony

Details of Living Children (Eldest First)
Full Name

Sex

Date of Birth (d/m/y)

Place & Country of Birth

1.
2.
3.
4.
5.

Father:
Full Name

Mother:

Plc. & Country of

Date of Birth

Nationality

Occupation & Position

Plc. & Country of

Full Name

FORMAL EDUCATION

Name of Elementary / High School &

Location (City, Country)

Name of College/Graduate School

& location (City, Country)

Date of Birth

Years Attended

Major

FROM

Degree

Major

Nationality

(d/m/y)
TO

Occupation & Position

Scholastic Standing
(Highest Grade
Possible)

Date of
Graduated

Date of
Entry

(d/m/y)

(d/m/y)

GPA

Thesis Made (if any):

If you were just starting college, what would you do differently?

ACADEMIC ACTIVITIES

Scholastic or academic honors,

scholarships/prizes:

List down your extracurricular activities, incl. Participations in organizations, society, professional, sport, etc.
Name of Organizations

INFORMAL EDU.

Name of Institution

Type of activity

Positions Held and Responsibilities

City/Country

Subject

Duration
FROM

List down hobbies and interests

Other
Skills:

Driving

Operates Computer

(please specify type of

Program/language):
___________________________

TOEFL/GMAT score (if any):

_________________________

TO

PROFESSIONAL PROFILE

Give information regarding present and former employment. If on commission, estimate average earnings on a monthly basis. MOST RECENT FIRST

Name & Country of Company

Area of Business

Job & Position Held

Timing
(d/m/y)

Reporting to

Last Salary (in gross Rp. 000)

From

To

Reason for Leaving

Describe nature of your job

Name & Country of Company

Area of Business

Job & Position Held

Timing
(d/m/y)

Reporting to

Last Salary (in gross Rp. 000)

From

To

Reason for Leaving

Describe nature of your job

Name & Country of Company

Area of Business

Job & Position Held

Timing
(d/m/y)

Reporting to

Last Salary (in gross Rp. 000)

From

To

Reason for Leaving

Describe nature of your job

Name & Country of Company

Area of Business

Job & Position Held

Timing
(d/m/y)

Reporting to

Last Salary (in gross Rp. 000)

From

To

Reason for Leaving

Describe nature of your job

From which company did you enjoy your job most and why?

Was there anything you particularly disliked about any of the jobs? Why?

Please indicate the functions you are interested to: (give V in the selected box)

Technical: Manufacturing, Engineering, Quality

Management, Packaging, Industrial Performance

Finance: Accounting, Costing, Audit, Treasury, Tax

Supply Chain: Supply Chain Management, Logistics,

Demand & Supply Planning

Marketing Research, Marketing Communications

Management: Purchasing, Legal & Corporate Affairs,

Public Relations

Sales: Sales Trade Marketing. Sales Promotion

IS / IT

Human Resource: Compensation, Benefits, Industrial

Relation, Recruitment, Training, Organizations
Development

Marketing: Brand Management, Marketing Projects,

State briefly why you are qualified for the position you are interested to:

Have you had any illness, hospitalization or accidents in the past 3 years, which will present special consideration as to
job assignments? If yes, Please explain

Are you willing to be assigned anywhere the company operates?

Yes
No, Why?

OTHER INFORMATION

Channel of Application
Job Fair/Campus Recruitment

Nestle website

Classified Ads

Walk In

Other Website

Referral (specify name)

Letter / e-mail

Executive Search

Have you ever applied with PT. Nestle Indonesia before?

How soon could you start work?

Yes, When? For what position

No
Minimum salary you expect? (gross)

Do you have relatives and/or friends who have worked with us at one time or another or are presently in our employ? If so
state name(s) and relationship(s)
Name

Relationship

Name

Relationship

Do you have relatives working with competitive firms. (Other companies producing same products as PT. Nestle Indonesia)
Name

Relationship

Name

Relationship

Give three (3) personal references, but NOT relatives, former employers or teachers
Complete Name

Complete Address (Important)

Occupation

Telephone Nos.

I hereby certify that all the information supplied by me on this application form are true and correct. Should untruths be discovered during my
employment in any position in this Company, I fully agree to being immediately dismissed for just cause.

Date:

Applicant Signature:

LAY/DEC04