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JOB APPLICATION FORM

Position applied for

: .

Notice:
a.
To be filled in CAPITAL LETTERS by applicant and to attach a photo in size 4x6. All
relevant certificates and documents to be enclosed.
b.
We HOLLIT INTERNATIONAL have the right to cancel this application and
subsequent contract, if it were to be found that the information provided is not
true and was meant to mislead the company.
I. PERSONAL DATA
Name

: MUHAMMAD YASSER
Telephone number :
.
Nickname
: YASSER
Handphone number:
085341743001
Birth of date/Place
: UJUNG PANDANG / 31 JANUARI 1989
Temporary Address : .
..

Permanent Address : JL.SUKARIA 7A NO2 MAKASSAR


..

.
Religion
: ISLAM
Do you live
:
Own house
(
)
Nationality
: INDONESIA
.
Rented house (
)
With parents
(
)
Others
( )
II. FAMILY DETAIL STATUS
Marital Status

: Single/Engaged since
.
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Married since
04 April
2013.
Divorce since
.
NAME OF
EMPLOYER

RELATIONSH
IP

NAME

AGE

LOCATION

OCCUPATION

Father

ARIFUDDIN

65

MAKASSAR

PENSIUNAN

Mother

RATNA
NINGSIH

62

MAKASSAR

IRT

PT.POS
INDONESIA
-

EKA SANDRI

33

JAKARTA

WIRAUSAHA

ARIE
ZAMRAH
ARYUN
ARIFUDDIN
MUHAMMAD
REZA

32

TIMOR LESTE

PEG SWASTA

30

UJUNG PANDANG

PEG SWASTA

28

GOWA

WIRAUSAHA

CARYA TIMOR
LESTE
PT.TRAKINDO
TIMIKA
-

ANDI DIAN
DIARFAH

25

MALANG

MAHASISWI

UNIV
MUHAMMADIYA
MALANG

ANDI FIQIH
ALFATIH

MALANG

Brother/Siste
r

Spouse

Children

III. EDUCATION & PROFESSIONAL QUALIFICATION

FROM - TO

NAME OF SCHOOL/COLLEGE

2007-2011

UNIVERSITAS SATRIA MAKASSAR

STATE LEVEL ATTAINED MAJOR


COURSE/SUBJECT
TEKNIK INFORMATIKA

2004-2007

SMK TRITUNGGAL 45 MAKASSAR

INFORMATIKA

2001-2004

PONPES DARUL ISTIQAMAH MAROS

ADDITIONAL QUALIFICATIONS
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1.
2.
3.
4. LANGUAGES

INDONESIA

..
SPOKEN

WRITTEN
5. Computer proficiency

ENGLISH

CHINESE(SPECIFY)

..

Yes

No

Type Ms.Office

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IV. WORKING EXPERIENCE

N
o

Name of Company

Nature of
Business
FARMASI

Period of
Employment
JANUARI 2015
Present

Position @ Time
of Joining
MARKETING
OFFICER

Head @ Time of
Leaving
HENDRIK
LIEWAN

Departing to

Last Salary
Drawn
Rp.3.300.00
0

Reason for
Leaving
-

PT. TAKEDA
INDONESIA

PETERNAKAN

Agustus 2013
APRIL 2014

CONTROLING

JUNAEDI

PT. CIOMAS
ADISATWA

Rp.2.900.00
0

Mencari yang
lebih baik

PT. SINAR SOSRO

DRINK

MARET 2012
APRIL 2013

MARKETING
SUPPORT

IMAN AL
PAHYUBI

Rp.2.900.00
0

Mencari
Pengalaman

V. MEMBERSHIP OF PROFESSIONAL & OTHER SOCIETIES

(state dates and position held)

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VI. GENERAL QUESTION (Please Answer Briefly)


1. If you should have to make a decision to solve some work related problems, what would you
normally do?
Saya akan mengambil keputusan tersebut dengan baik dan cepat
2. With whom do you usually share or discuss your professional and personal problems?
Biasanya saya berdiskusi dengan atasan saya untuk masalah professional ataupun pribadi,
tetapi terkadang saya juga mendiskusikannya dengan keluarga
3. Why do you want to work in our company?
Karena merupakan salah satu perusahaan terbaik di Indonesia dan keahlian saya dapat
mendistribusikan produk yang ada di perusahaan ini
4. What do you know about our company?
Perusahaan yang bergerak di bidang alat elektronik
5. What do you consider your strengths to be ?
Keinginan dan keluarga yang saya anggap selama ini menjadi kekuatan terbesar saya dalam
bekerja
6. What do you consider your weaknesses to be ?
Saya biasanya terburu-buru dalam bekerja
12. On Job confirmation, how soon can you start working in our company?
Seminggu setelah saya diterima diperusahaan ini
13. Salary/renumeration
a. Current Salary (Nett)

Rp.3.400.000..

..
Additional benefit (state)

..

(bonus, insurance, allowance)


b. Minimum Salary Expectation (Nett)

Rp.3.300.000..

..

VIII. MEDICAL DETAILS


1. Are you in a good health?

Yes
No
If no, why?........................................................
Please state with dates, any serious illness, allergies, operations, disabilities or accidents, you
had:

.
2. Do you take Cigarette/alcohol/drugs?

Yes
To what extend? .

No

IX. MISCELLANEOUS

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1. Do you have any references? Who? 1.Iman Al Pahyubi (0811449811) 2.Hendrik Liewan
(082344888339).

.
2.
Do
you
have
any
personal
..

vehicle?

YES.

3. Hobbies, games & other interests


Futsall
.

..
4. Give any additional information which you consider may be of interest to a prospective
employer, if
possible state why you believe you are suitable for the position you are applying.
Saya penuh dengan motivasi dan mau belajar terhadap sesuatu yang baru ataupun belum
sama sekali
saya pernah lakukan, disamping itu saya orang yang pantang
menyerah.

.
Makassar, 08 September 2015
Candidate,

Muhammad Yasser
(Signature)

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