FIRST RESOURCES LIMITED

CORPORATE OFFICE JAKARTA

28th APL Tower - Central Park
Jl. Letjend S. Parman Kav. 28
Slipi, Jakarta 11470 – Indonesia
Telp: (62) 21 – 2929 8888
Fax: (62) 21 – 2929 8878

EMPLOYMENT APPLICATION FORM

I. GENERAL INFORMATION
FULL NAME SEX

F M

NATIONALITY PLACE OF BIRTH DATE OF BIRTH (dd/mm/yy) MARITAL STATUS

CURRENT ADDRESS EMAIL

SOCIAL MEDIA
ID NUMBER (instagram/facebook TELEPHONE NUMBER MOBILE NUMBER RELIGION
/twitter/lainnya)

II. FAMILY INFORMATION

NAME RELATION DATE OF BIRTH OCCUPATION

III. EDUCATION BACKGROUND

FORMAL
LEVEL INSTITUTION'S NAME MAJOR START FINISH GPA

TRAINING / COURSE / CERTIFICATE

TRAINING SUBJECT PROVIDER DURATION PERIOD
IV. JOB EXPERIENCES
COMPANY NAME PERIOD WORK LOCATION LAST POSITION

POSITION IN ORGANISATION STRUCTURE

RESPONSIBILITES REASON FOR LEAVING

COMPANY NAME PERIOD WORK LOCATION LAST POSITION

POSITION IN ORGANISATION STRUCTURE

RESPONSIBILITES REASON FOR LEAVING

COMPANY NAME PERIOD WORK LOCATION LAST POSITION

COMPANY NAME PERIOD WORK LOCATION LAST POSITION

COMPANY NAME PERIOD WORK LOCATION LAST POSITION

V. COMPENSATION & BENEFITS
CURRENT BASIC SALARY EXPECTED BASIC SALARY

per month per month

CURRENT BENEFITS EXPECTED BENEFITS
Benefit Value Benefit Value

VI. OTHERS
Have you ever applied to First Resources before? If yes, please mention the time and position

Do you have any side jobs or own a business? If yes, please explain

Do you have relatives and/or friends who work in our company? If yes, please mention the name(s)
and relationship(s)

Please give three references who ever work together with you
Name Relation Contact Number Company

Applicants Agreements

I certify that information contained in this application is true and complete

I understand that false information may be grounds for not hiring me and for immediate
terimnation of employment at any point in the future if I am hired
I authorize the veifircation of all of information listed above

Jakarta,……………………………………………