PT. Reeracoen Indonesia - Job Application Form
Content
REERACOEN INDONESIA, PT.
RUKO TRIVIUM SQUARE NO.18
Jl. Kemang Raya, Lippo Cikarang
Phone : 021-89911283
JOB APPLICATION FORM
Thank you for coming today.
Before we start the interview, please answer the question following
below.
Do you have your word that your CV and experience is really true?
Yes / No
Are you really aggressive for changing job?
Yes / So-so / No
Can you smoothly change the job?
happen by contract base)/ others
Did you bring your last pay slip?
Could you make decision by yourself toward the offer?
husband /My parents / others
Yes / No (penalty will
Yes / No
Yes / My wife / My
Do you have your own transportation?
Moter cycle/ Car/ No
When is easily reach to you?
any time
After working hour/
For Japanese speaker, do you have official certification?
Yes/No
I swear to above question and start to use our service.
_______________________
Signature
Thank you for your corporation.
Page 1 of 7
REERACOEN INDONESIA, PT.
RUKO TRIVIUM SQUARE NO.18
Jl. Kemang Raya, Lippo Cikarang
Phone : 021-89911283
May 30th 2015
Date:
Position
for:
applied
Expected
Salary:
QC Leader
IDR 6.000.000
PERSONAL INFORMATION
Name:
Abdul Qodir Mustofa
Oding
Qodir
Surname
Given Name
Middle Name
December 5th 1989
Birthdate:
Religio
n:
Status: Single
Age
:
Gender
:
25
Nationalit
y:
ISLAM
ID Card No.:
3326100512890001
Driving
Licence:
NPWP No.:
445772460502000
BPJS
No.:
Address
:
Male
Indonesia
891214600002
Jl. Jeruk no 213 RT 01/RW 16 Griya Sragi Indah 51155 Pekalongan
Phone
No.:
085795040050
Email:
[email protected]
ACADEMIC QUALIFICATIONS
Year
From
To
2007
2010
Schools/Institutions Attended
State Politechnic of Bandung
Qualifications
Obtained (Level,
Degree, Diploma)
Diploma
Major/GPA
2,84
OTHER QUALIFICATIONS/COURSES ATTENDED/AWARDS ATTAINED
Page 2 of 7
REERACOEN INDONESIA, PT.
RUKO TRIVIUM SQUARE NO.18
Jl. Kemang Raya, Lippo Cikarang
Phone : 021-89911283
Year
From
Qualifications and Awards Obtained
To
Achievements
DETAILS OF PREVIOUS EMPLOYMENT
Employ
er:
Monthly Salary:
Key
Responsibilities:
Report
to:
Duratio
n:
Positio
n:
PT. Shinryo Indonesia
3.500.000
Incentiv
es:
Mechanical Engineer Site SPV.
3.000.000 to 5.000.000
Supervise mechanical work installation by subcontractor, testing & commissioni
system
Control material project and follow up to supplier
Project Manager & Main Contractor
August 2012 to July 2014
Employee
Status:
Reason
leaving:
for
Contract
I was looking for more of a challenge
Date start – Date End
Employ
er:
Monthly Salary:
Key
Responsibilities:
Report
to:
Duratio
n:
Positio
n:
PT. Meprofarm
1.800.000
Incentiv
es:
Assistan SPV Validation-Qualification
200.000 to 400.000
Execute Equipment/machine Qualification in all factory area (Installation, O
Performance Qualification), Testing & Commissioning installation of HVAC system co
work.
Evaluate & report analysis activity of Validation-Qualification work and submit to su
Supervisor Validation-Qualification
Nov 2010 to July 2012
Reason
leaving:
Employee
Status:
for
contract
just always contract employees
Date start – Date End
Page 3 of 7
REERACOEN INDONESIA, PT.
RUKO TRIVIUM SQUARE NO.18
Jl. Kemang Raya, Lippo Cikarang
Phone : 021-89911283
Employ
er:
Positio
n:
Incentiv
es:
Monthly Salary:
Key
Responsibilities:
Report
to:
Employee
Status:
Duratio
n:
Reason
leaving:
for
Date start – Date End
PROFESSIONAL REFERENCE
Name:
Muhamad Taufik D.
Company
Name:
Contact
No.:
Positio
n:
Validation & Calibration Manager
PT. Meprofarm
0858-6301-379
Emai
l:
-
PERSONAL REFERENCE
Name:
Positio
n:
Company
Name:
Contact
No.:
Emai
l:
CAREER PLAN
Priority while you looking for job, what’s important for you while you decided to change job.
①
Interesting, challenging & appropriate with my basic education
Page 4 of 7
REERACOEN INDONESIA, PT.
RUKO TRIVIUM SQUARE NO.18
Jl. Kemang Raya, Lippo Cikarang
Phone : 021-89911283
②
Prosperity
③
career path
Kind of Job that:
You like
: Check and testing
You
like
:
don’t
Position you prefer
: Quality Control Leader
I’m going to generate your company as the top utility equipment &
manufacturer in Asian countries as generally and Indonesia in particul
Career plan in 5 years
: improve my skill by following training and take so many additional seminars
ahead
like to be cooperate with other Department in order to improve quality in
help this company branding includes the wider market.
PREFERRED INDUSTRY CATEGORY
Software / Information Processing
Manufacturing (Computer / Telecommunication)
IT / Telecommunications
Manufacturing (Electronics / Semiconductors)
Web / Mobile / Game
Manufacturing (Automobile)
Food Services
Manufacturing (Machinery)
Retail
Manufacturing (Chemicals / Materials)
Hospitality, Tourism, and Leisure
Manufacturing (Food)
Human Resources
Manufacturing (Pharmaceutical / Medical Equipmen
Call Center
Manufacturing (Other)
Medical and Healthcare
Finance (Banking)
Education
Publishing /
Broadcasting
Trading Firm
Finance (Insurance)
Printing
/
Advertising
/
Finance (Securities)
Finance (Other)
Logistic
Real Estate
Retail / Distribution (Fashion and Apparel)
Civil Engineering / Architecture
Retail / Distribution (Other)
Utilities
Page 5 of 7
REERACOEN INDONESIA, PT.
RUKO TRIVIUM SQUARE NO.18
Jl. Kemang Raya, Lippo Cikarang
Phone : 021-89911283
Consulting
Other
PREFERRED WORK LOCATION
Jakarta
Tangerang
Karawang
Bogor
Bekasi
Cibitung
Depok
Cikarang
Any
CHARACTER REFERENCES
Strength:
cheerfulness, carefulness, strong will to learn new things, and my skill to work under pres
an individually and as a team
Weakness
:
Sometime I should check the task or job at least 3 time before collecting it on deadline, I c
no when someone ask for help and I’m a bit lazy about which I’m not interested.
Do you have pending application/s?
Yes
No
If YES, please provide the details below:
Company
Name:
Date
application:
of
Company
Name:
Date
application:
of
Have you ever been convicted for any criminal case and/or violate deny law under the In
Government?
Yes
No
If YES, please explain
further:
Do you allow the company to conduct background check to verify the authenticity of the informa
provided?
Yes
No
If NO, kindly state the reason
why:
PLEASE CHECK THE FOLLOWING APPROPRIATE BOX FOR THE REQUIREMENTS THAT YO
BROUGHT WITH YOU
Updated Curiculum Vitae
Copy of ID Card Number
Copy of university transcript
Copy of NPWP Number
Page 6 of 7
REERACOEN INDONESIA, PT.
RUKO TRIVIUM SQUARE NO.18
Jl. Kemang Raya, Lippo Cikarang
Phone : 021-89911283
Copy of professional license or language test
Copy of reference letter from previous
employer
Copy of Jamsostek / BPJS Number
Copy of SKCK
I verify that the above information is correct to the best of my knowledge. I accept that providi
information deliberately could result in my dismissal.
Signature above Printed Name
Date
Page 7 of 7
RUKO TRIVIUM SQUARE NO.18
Jl. Kemang Raya, Lippo Cikarang
Phone : 021-89911283
JOB APPLICATION FORM
Thank you for coming today.
Before we start the interview, please answer the question following
below.
Do you have your word that your CV and experience is really true?
Yes / No
Are you really aggressive for changing job?
Yes / So-so / No
Can you smoothly change the job?
happen by contract base)/ others
Did you bring your last pay slip?
Could you make decision by yourself toward the offer?
husband /My parents / others
Yes / No (penalty will
Yes / No
Yes / My wife / My
Do you have your own transportation?
Moter cycle/ Car/ No
When is easily reach to you?
any time
After working hour/
For Japanese speaker, do you have official certification?
Yes/No
I swear to above question and start to use our service.
_______________________
Signature
Thank you for your corporation.
Page 1 of 7
REERACOEN INDONESIA, PT.
RUKO TRIVIUM SQUARE NO.18
Jl. Kemang Raya, Lippo Cikarang
Phone : 021-89911283
May 30th 2015
Date:
Position
for:
applied
Expected
Salary:
QC Leader
IDR 6.000.000
PERSONAL INFORMATION
Name:
Abdul Qodir Mustofa
Oding
Qodir
Surname
Given Name
Middle Name
December 5th 1989
Birthdate:
Religio
n:
Status: Single
Age
:
Gender
:
25
Nationalit
y:
ISLAM
ID Card No.:
3326100512890001
Driving
Licence:
NPWP No.:
445772460502000
BPJS
No.:
Address
:
Male
Indonesia
891214600002
Jl. Jeruk no 213 RT 01/RW 16 Griya Sragi Indah 51155 Pekalongan
Phone
No.:
085795040050
Email:
[email protected]
ACADEMIC QUALIFICATIONS
Year
From
To
2007
2010
Schools/Institutions Attended
State Politechnic of Bandung
Qualifications
Obtained (Level,
Degree, Diploma)
Diploma
Major/GPA
2,84
OTHER QUALIFICATIONS/COURSES ATTENDED/AWARDS ATTAINED
Page 2 of 7
REERACOEN INDONESIA, PT.
RUKO TRIVIUM SQUARE NO.18
Jl. Kemang Raya, Lippo Cikarang
Phone : 021-89911283
Year
From
Qualifications and Awards Obtained
To
Achievements
DETAILS OF PREVIOUS EMPLOYMENT
Employ
er:
Monthly Salary:
Key
Responsibilities:
Report
to:
Duratio
n:
Positio
n:
PT. Shinryo Indonesia
3.500.000
Incentiv
es:
Mechanical Engineer Site SPV.
3.000.000 to 5.000.000
Supervise mechanical work installation by subcontractor, testing & commissioni
system
Control material project and follow up to supplier
Project Manager & Main Contractor
August 2012 to July 2014
Employee
Status:
Reason
leaving:
for
Contract
I was looking for more of a challenge
Date start – Date End
Employ
er:
Monthly Salary:
Key
Responsibilities:
Report
to:
Duratio
n:
Positio
n:
PT. Meprofarm
1.800.000
Incentiv
es:
Assistan SPV Validation-Qualification
200.000 to 400.000
Execute Equipment/machine Qualification in all factory area (Installation, O
Performance Qualification), Testing & Commissioning installation of HVAC system co
work.
Evaluate & report analysis activity of Validation-Qualification work and submit to su
Supervisor Validation-Qualification
Nov 2010 to July 2012
Reason
leaving:
Employee
Status:
for
contract
just always contract employees
Date start – Date End
Page 3 of 7
REERACOEN INDONESIA, PT.
RUKO TRIVIUM SQUARE NO.18
Jl. Kemang Raya, Lippo Cikarang
Phone : 021-89911283
Employ
er:
Positio
n:
Incentiv
es:
Monthly Salary:
Key
Responsibilities:
Report
to:
Employee
Status:
Duratio
n:
Reason
leaving:
for
Date start – Date End
PROFESSIONAL REFERENCE
Name:
Muhamad Taufik D.
Company
Name:
Contact
No.:
Positio
n:
Validation & Calibration Manager
PT. Meprofarm
0858-6301-379
Emai
l:
-
PERSONAL REFERENCE
Name:
Positio
n:
Company
Name:
Contact
No.:
Emai
l:
CAREER PLAN
Priority while you looking for job, what’s important for you while you decided to change job.
①
Interesting, challenging & appropriate with my basic education
Page 4 of 7
REERACOEN INDONESIA, PT.
RUKO TRIVIUM SQUARE NO.18
Jl. Kemang Raya, Lippo Cikarang
Phone : 021-89911283
②
Prosperity
③
career path
Kind of Job that:
You like
: Check and testing
You
like
:
don’t
Position you prefer
: Quality Control Leader
I’m going to generate your company as the top utility equipment &
manufacturer in Asian countries as generally and Indonesia in particul
Career plan in 5 years
: improve my skill by following training and take so many additional seminars
ahead
like to be cooperate with other Department in order to improve quality in
help this company branding includes the wider market.
PREFERRED INDUSTRY CATEGORY
Software / Information Processing
Manufacturing (Computer / Telecommunication)
IT / Telecommunications
Manufacturing (Electronics / Semiconductors)
Web / Mobile / Game
Manufacturing (Automobile)
Food Services
Manufacturing (Machinery)
Retail
Manufacturing (Chemicals / Materials)
Hospitality, Tourism, and Leisure
Manufacturing (Food)
Human Resources
Manufacturing (Pharmaceutical / Medical Equipmen
Call Center
Manufacturing (Other)
Medical and Healthcare
Finance (Banking)
Education
Publishing /
Broadcasting
Trading Firm
Finance (Insurance)
Printing
/
Advertising
/
Finance (Securities)
Finance (Other)
Logistic
Real Estate
Retail / Distribution (Fashion and Apparel)
Civil Engineering / Architecture
Retail / Distribution (Other)
Utilities
Page 5 of 7
REERACOEN INDONESIA, PT.
RUKO TRIVIUM SQUARE NO.18
Jl. Kemang Raya, Lippo Cikarang
Phone : 021-89911283
Consulting
Other
PREFERRED WORK LOCATION
Jakarta
Tangerang
Karawang
Bogor
Bekasi
Cibitung
Depok
Cikarang
Any
CHARACTER REFERENCES
Strength:
cheerfulness, carefulness, strong will to learn new things, and my skill to work under pres
an individually and as a team
Weakness
:
Sometime I should check the task or job at least 3 time before collecting it on deadline, I c
no when someone ask for help and I’m a bit lazy about which I’m not interested.
Do you have pending application/s?
Yes
No
If YES, please provide the details below:
Company
Name:
Date
application:
of
Company
Name:
Date
application:
of
Have you ever been convicted for any criminal case and/or violate deny law under the In
Government?
Yes
No
If YES, please explain
further:
Do you allow the company to conduct background check to verify the authenticity of the informa
provided?
Yes
No
If NO, kindly state the reason
why:
PLEASE CHECK THE FOLLOWING APPROPRIATE BOX FOR THE REQUIREMENTS THAT YO
BROUGHT WITH YOU
Updated Curiculum Vitae
Copy of ID Card Number
Copy of university transcript
Copy of NPWP Number
Page 6 of 7
REERACOEN INDONESIA, PT.
RUKO TRIVIUM SQUARE NO.18
Jl. Kemang Raya, Lippo Cikarang
Phone : 021-89911283
Copy of professional license or language test
Copy of reference letter from previous
employer
Copy of Jamsostek / BPJS Number
Copy of SKCK
I verify that the above information is correct to the best of my knowledge. I accept that providi
information deliberately could result in my dismissal.
Signature above Printed Name
Date
Page 7 of 7
