Biodata (applicant ) (2).docx

WAYAN MANAGEMENT WISMA MAS ISMAN Jl.Teuku Cut Ditiro No.34 3rd floor Cikini Jakarta Puat 10310 INDONESIA Email : [email protected] website : www.wayanmanagement.com

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BIODATA PHOTO PHOTO

Country

: ( Australia / New Zealand / Canada / South Korea )

Position

:

1) PERSONAL INFORMATION Name

: LAST NAME

FIRST NAME

MIDDLE NAME

Home Address : Email Address :

Age

:

Phone. no

:

Mobile No

Date of Birth

:

Passport No Nationality

Gender

:

Place of Birth :

Race

:

:

Date of Issue :

Expiry Date :

:

Religion

Language :

Marital Status :

:

:

No. of Children:

2) IMMEDIATE FAMILY MEMBER (Parents, Spouse & Children) Name

Date of Birth

Name

Date of Birth

Occupation

Address

Mobile No.

ID# (If Any)

Father Mother Spouse

Address

Children 1 Children 2

1

Mobile No.

ID# (If Any)

WAYAN MANAGEMENT WISMA MAS ISMAN Jl.Teuku Cut Ditiro No.34 3rd floor Cikini Jakarta Puat 10310 INDONESIA Email : [email protected] website : www.wayanmanagement.com

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3) EDUCATIONAL BACKGROUND Year

School

From

Major/Degree/Specialties

To

Grade Achieved

4) EMPLOYMENT HISTORY (RECENT TO PREVIOUS) Company

Year Served From To

Position

Reason for Leaving

* Continue on a separate sheet if necessary

5) PERSONAL REFERENCES

Name

:

Tel/Mobile No:

:

Tel/Mobile No:

Company name : Name Company name :

6) ADDITIONAL INFORMATION Hobby : ……………………………………….. Language Spoken category English Japanese Chinese France Others:

Yes

No

☐ ☐ ☐ ☐ ☐

☐ ☐ ☐ ☐ ☐

Good ☐ ☐ ☐ ☐ ☐

2

Fair

Little

Poor

☐ ☐ ☐ ☐ ☐

☐ ☐ ☐ ☐ ☐

☐ ☐ ☐ ☐ ☐

Salary

Country

WAYAN MANAGEMENT WISMA MAS ISMAN Jl.Teuku Cut Ditiro No.34 3rd floor Cikini Jakarta Puat 10310 INDONESIA Email : [email protected] website : www.wayanmanagement.com

=============================================================================================== Are you prepared to work for any nationality? Are you prepared to extend your contract ? Do you have any allergies? If yes, please indicate: Do you have any surgeries, injuries, operation / illness for the last 6 months? If yes, please Indicate: Are you taking any medicine on regular basis for the last 6 months due to illness? If yes, please indicate: Are you right-handed? (If left-handed, please check No) Do you have a Driver’s License? If yes, please indicate: Type: _________________________________________________ Expiration Date:

YES☐ YES☐

NO☐ NO☐

YES☐

NO☐

YES☐

NO☐

YES☐

NO☐

YES☐

NO☐

YES☐

NO☐

7) OTHER SKILLS Computer Skills: Languages category English japanese Chinese france Others:

__________________________________________________________________________________________________

Yes

No

☐ ☐ ☐ ☐ ☐

☐ ☐ ☐ ☐ ☐

READING SKILLS Good Fair Little ☐ ☐ ☐ ☐ ☐

☐ ☐ ☐ ☐ ☐

☐ ☐ ☐ ☐ ☐

Poor

Yes

No

☐ ☐ ☐ ☐ ☐

☐ ☐ ☐ ☐ ☐

☐ ☐ ☐ ☐ ☐

WRITING SKILLS Good Fair Little ☐ ☐ ☐ ☐ ☐

☐ ☐ ☐ ☐ ☐

☐ ☐ ☐ ☐ ☐

Poor ☐ ☐ ☐ ☐ ☐

Other Skills: ________________________________________________________________________________________________________

8) IN CASE OF EMERGENCY Name

:

Relation:

Mobile No:

Tel No :

Occupation:

Address :

9) DOCUMENTS TO BE INCLUDED The following documents are to be included in this bio-data form : a) b) c) d) e)

Attested Copy of ID documents and Skills Certification ( scan) Attested Copy of Educational Certification ( scan ) Attested Passport Photocopy ( scan ) Original Police Clearance Certificate Photos ( passport size )

3

☐ ☐ ☐ ☐ ☐

WAYAN MANAGEMENT WISMA MAS ISMAN Jl.Teuku Cut Ditiro No.34 3rd floor Cikini Jakarta Puat 10310 INDONESIA Email : [email protected] website : www.wayanmanagement.com

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10) DECLARATION I hereby certify that all information given is true and correct to the best of my knowledge and beliefs, and that any misinformation declared herein, may be ground for my disqualification. I understand and agree that if this declaration is in any part false or incorrect, the company reserves the right to terminate my service immediately. Date:

_________________________ Signature of Applicant: ____________________________________________

FOR OFFICE USE ONLY ACCEPT/FIT TO WORK

KIV

REMARKS :

4

REJECT/UNFIT