APPLICATION FORM POSITION CODE: * Please fill in the form in English Full name : Place/Date of Birth : Address : Email : Phone Number : University Faculty Course/Training Address Organization/Extracurricular Language 1. English Internship Experience: 1. Company Name Major Poor Year (From/To) Course/Training Address Good Language GPA Address Position Fluent Degree S2/S1/D3 S2/S1/D3 Year (From/To) Poor Good Fluent 2. Position Year (From/To) Salary Reason of Leaving Position Year (From/To) Salary Reason of Leaving Position Year (From/To) Salary Reason of Leaving Describe your work responsibility: Target: Working Experience: 1. Company Name Describe your work responsibility: Target: 2. Company Name Describe your work responsibility: Target: Expected salary : Rp. Why do you want to apply for that position? Are you willing to be assigned outside Jakarta? Strength : Weakness : Willing Not willing I declare that all the information given is true. I am willing to withdraw from the recruitment process if any of the statement is incorrect. ……………..…, ..…………………………
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