Job Application Form

Full Name *

Place of Birth *

Date of Birth *

Family Card Number *

The family card number must contain 16 digits.

National ID Number *

The national ID number must contain 16 digits.

Driving License A Number *

Driving License B Number *

Driving License C Number *

Vehicles You Own *

Religion *

Blood Type *

Full Address on National ID *

Full Residential Address *

Residence Status *

Tax Identification Number *

BPJS Employment Insurance Number *

BPJS Health Insurance Number *

Email Pribadi *

Mobile Phone No. *

Home Phone Number *

Fax Number *

Emergency Contact Name *

Emergency Contact Number *

Emergency Contact Status *

Highest Formal Education

Education Type *

School / University Name *

Major *

Start Year *

Graduation Year *

GPA / Final Grade *

Diploma *

Non-Formal Education

Course / Training Name *

Institution *

Start Year *

End Year *

Certificate *

Employment History

Job Position *

Company Name *

Start Year *

End Year *

Job Description *

Skill

Type Skill *

Skill *

Level Skill *

Specify your expected salary *

Specify any other benefits you expect *

When can you start working? *

Marital Status *

Family Members (Spouse/Children)

Family Relationship *

Name *

Gender *

Place of Birth *

Date of Birth *

Occupation *

Living / Deceased *

Do you have any pre-existing medical conditions?

Do you smoke?

Medical Condition *

Start Year *

End Year *

Current Impact on Your Health *

Job Description

Job

Receptionist HRD

Location

--PT. Jakarana Tama--

Department

HRD

Time to Answer

2 open days

Process

1 Phone Call

1 Onsite Interview

Days to get an Offer

4 Days after Interview