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Candidate Application Form

Date Applied For Position Avaliable


Immediately : :

Pas Foto 4x6

.. (..) Week Notices (..) month notices

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Joint Date* Temporary / Permanent*


Only For HR Departement

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Personal Information Full Name Nick Name Temporary Address Permanent Address : : : City
:

Zip Code

City Place / Date of : Birth Telephone : Number Email Address : Sex Religion : :

Zip Code

Mobile1

Mobile2

Passpo Driving Identity Number Other : KTP rt License : Martial Status Single Married Widow / Widower Parents Name : Spouse Name Spouse Name : 1. Father 2. Mother Emergency Contact Name Relationships Address : : : : Date Number Child Date Number Child : of : : of :

: : : Cit : y Mobile : 1 Page 3 of 9 Zip Code Mobile : 2 :

Telephone

FAMILY COMPOSITION Name Address

Telephone

Occupation

FORMAL EDUCATION Grad School e

Location

Majority

Years

I.P

TRAINING/COURSE/ACHIEVEMENT Subject Provider

Location

Date

Certification

WORK EXPERIENCE Years Company

Position

Job Description

Last Salary

SALARY EXPECTATION INTEREST

EXPLAIN ABOUT YOURSELF STRENGTH WEAKNESS

OTHER

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WHAT IS IMPORTANT FOR YOU FACTOR Current salary Future salary Challenging work Easy and routine work Work for a large company Work for a financially stable company Work in a team Office facilities Technical Skill SKILLS 1 = Light, 2 = Experienced, 3 = Proficient, 4 = Extensive, 5 = Excellent No of Year Mastery Level Detail Skill / Knowledge (Fill Detail) used 15 [Excellent] Operating Systems Windows OS OS/2 SunOS Linux/Unix MAC OS IBM AS/400 OS Other Programming Application Non Microsoft EJB Java Sevlet JSP Java Swing Java Script Java Applet XML / XLS Delphi PHP Other Microsoft VB.NET ASP.NET C#.NET C++ Page 5 of 8 Not Important POINT Important Very Important

Visual Basic ASP Silver Light Light Sweet Excel Macro Other Office Application Ms. Word Ms. Excel Ms. Outlook Ms. Power Point Ms. Publisher Ms. One Note Other Skill / Knowledge Detail
(Fill Detail)

No of Year used

Mastery Level 15 [Excellent]

Development Tools Application Oracle JDeveloper Oracle Designer Oracle Form Developer Oracle Report Developer IntellJDEA JBuilder Eclipse Rational Rose PL/SQL Developer Other Database Application PL/SQL PowerBuilder MS Access MS SQL Server Oracle IBM DB2 mySQL Sybase Other Report Application Crystal Report Star UML XML Spy Other Design Application Web design Flash Page 6 of 8

Adobe Photoshop 3D Studio Max Dreamweaver Premiere Fireworks Other Non Technical Skill Skill / Knowledge SDLC UML/RUP OOP/OOD MVC/Struts DFD/ERD Supply Chain Management Customer Resource Mgt. Enterprise Resource Planning Project Management Documentation Team work Banking knowledge Other Project 1 Project Description Role in this project Responsibilities/Contribut ion & Accomplishment Environment Programming Application Server Database Project 2 Project Description Role in this project Responsibilities/Contribut ion & Accomplishment Environment Programming Application Server Database Date : : : : Date : Detail
(Fill Detail)

No of Year used

Mastery Level 15 [Excellent]

: : : Date : : :

Date

: : : Page 7 of 8

Project 3 Project Description Role in this project Responsibilities/Contribut ion & Accomplishment Environment Programming Application Server Database Project 4 Project Description Role in this project Responsibilities/Contribut ion & Accomplishment Environment Programming Application Server Database Project 5 Project Description Role in this project Responsibilities/Contribut ion & Accomplishment Environment Programming Application Server Database

Date : : :

Date

: : : Date : : :

Date

: : : Date : : :

Date

: : :

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