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CONFIDENTIAL

APPLICATION FOR EMPLOYMENT


POSITION
APPLIED:
1.

FINANCE ASSISTANT MANAGER


(Full-Time / Temporary / Part-Time)

PERSONAL DATA / PARTICULARS:

Full Name (in block letters):

* Mr / Miss / Mrs / Mdm (please circle)

MULYADI
You want us to address you as:
Home
Telephone:
Office
Telephone:

Address: Jll. BEKASI TIMUR VI


Rt.14 Rw 10 KELURAHAN CIPINANG BESAR UTARA

Date of
birth:
Sex:

KECAMATAN JATINEGARA

Mobile:

JAKARTA TIMUR

Email:

21-04-1977

Male /
Female

Marital
Status

Age:

36
thn

Place
of
Birth:

JAKARTA
No of
Childre
n:

MARRIED

2 (TWO)

ID
Passport No &
3175032104771001
No
Expire Date
Bank Name & Account No (for disbursement of
salary)
NPWP Number 77.457.970.0-002.000

2.

02168859263

Zen2000id@yahoo,com

Nationalit
y:
Race/Ethni
c Group
Religion

INDONESIA

PADANG
ISLAM

FAMILY DETAILS: Particulars of spouse, children, parents, brothers & sisters


(*indicate person to contact in case of emergency)

S/N
1.

Name
NURCHASIYAH

Age
33

Relationship
WIFE

Occupation
ACCOUNTANT

2.

AULIA RAIHAN PRADISYAH

SON

STUDENT

3.

AURA A.ALYAKEISYAH

SON

STUDENT

4.

H.DARLEN

73

FATHER

UNEMPLOYEE

5.

HJ.MASNIAR

68

MOTHER

HOUSE WIFE

6.

MASWIR

42

BIG BROTHER

SALES

7.

HERIYANTO

38

BIG BROTHER

Electrical contractor

8.

HENNY GUSNITA

32

LITTLE SISTER

HOUSE WIFE

9.
10.
Application for Employment August 2013

Page 1 of 5

3.

QUALIFICATIONS

S/N

Education

Institution Location

Subjects Taken

Years

Grade

1.

UPI-YAI

JAKARTA

ACOUNTING

1994

1999

2.

SMUN 77

JAKARTA

IPS

1991

1994

3.

SMP-MUH III

JAKARTA

1988

1991

4.
5.
6.
7.
8.

4.

SKILLS

Languages (Indicate fluency, both written &


spoken)
INDONESIA
ENGLISH
ARABIC

Others

5.

Computers (Indicate software / programs


you are familiar with)
ACCURATE
MYOB

Experience with maintaining office budget

TELLS US ABOUT YOURSELF

Please give us a candid account of your personal qualities, other strengths and weaknesses.
Im an accounting
Ive been working five years as a Finance and Accounting
Ive Excellent analytical skills
Im Able to work independently

6.

EXTRA CURRICULAR ACTIVITIES

State your ECA in school / college / university / community / workplace giving level of participation and
office held.
Organisasi remaja ISLAM

7.

EMPLOYMENT HISTORY

Application for Employment August 2013

Page 2 of 5

Current
Employer
PT.QMI

From
2009

Previous
Employers

From

To
2013

To

Current
Position
SPV

Position

Present
Salary

Bonus /
AWS /
Benefits

5.000.000

Last Drawn
Salary

Reason for Leaving


MASA KONTARAK

Bonus /
AWS /
Benefits

Reason for Leaving

KAP

2006

2008

AUDITOR

2.500.000

INGIN MENAMBAH
PENGALAMAN

PT.MAJU

2004

2006

SPV ACC

1.000.000

INGIN MENAMBAH
PENGALAMAN

Please give details of your duties in your CURRENT and or / LAST organisation (where
applicable) and state any significant contributions you have made)

Performs Inventory accounting and valuation, including assisting in development and


maintenance of cost accounting systems.
Prepares Balance Sheets, Profit and Loss Statements, and other Financial Reports. Makes
adjustments to reporting to meet local, business unit and global management requirements.
Analyzes Revenue, COGS, Gross Margin, and Inventory to ensure accuracy of financial
statements. Reviews Product Line Profitability with Business Partners and Management to ensure
informed decision making.
Provides specialized analysis and support for New Product Pricing, Cost Accounting, Inventory
Accounting, General Accounting, etc.
Generates customer billings and follows up on outstanding balances as necessary.
Devises and implements process improvements to Inventory Accounting and Financial Reporting
and other finance operations as needed.

Previous Work or Sales Experience


(where applicable)
How do you think your current or last
employer would rate you on a scale of 1
(one) to 5 (five) with 5 being the highest
on the following:
Honesty
Punctuality

What did you sell

Initiative

Dependability

What do you enjoy about working with people?

Customer Service

Leadership

Do you have cash register experience?

How do you rate yourself as a sales person?

What are your career objectives?


(You may like to discuss the type of organisation and the sort of work you are looking for
and the levels you hope to obtain)
To gain a position as a finnace bringing my acounting skills, strong attention to detail
and personal attributes of enthusiasm and willingness to learn in SAP is a MUST into the organisation.
Do you have any concerns regarding this positions?

What was it about my qualifications that most appealed to you for this role?
If I was starting in this position today, what would you advise me to learn first and
Application for Employment August 2013

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do first?
What opportunities do you make available for professional development and
training?
Can we refer to your :
a.

Present Employer

Yes

No

b.

Previous Employer

Yes

No

If successful, how soon can


you join us?
5-12-2013

Salary Expected?
ID
R

8.000.000
NEGOTIABLE

Per
month

Reference
Name
1 BUDIYANSAH
CARTIC.co
2
3
4
9
OTHER RELEVANT INFORMATION
.
If yes, please state
class
X
No

Mobile Phone / Office


Number

Company

Country of
Issues

Do you have any relative who is working in this Company? If yes, please write the name and the position
below:
___________ NO _____________________________________________________________________________________
9
DECLARATIONS
.
Please answer the following questions by deleting "YES" or "NO" in the boxes provided. If
"Yes", give details in the right hand margin.
1. Have you ever been charged or convicted of any Yes No NO
criminal offence by any Court or detained by the
authorities under the provisions of any law in
any country?
(Please give full details even if you were
eventually acquitted)
2. Has any bankruptcy action ever been taken Yes No NO
against you or any Court judgement / order ever
been made against you ordering you to pay a
debt to someone?
3.

Have you ever been suspended or dismissed


from the services of any employer?

Yes

No

NO

4.

Have you ever been hospitalised or suffered


from any mental illness / disease / disability for
which you have received medical treatment?
(e.g. diabetes, tuberculosis, AIDs, epilepsy etc)

Yes

No

NO

ATTENTION APPLICANT: Please review carefully all the information given in your application form
BEFORE SIGNING.
I hereby declare that the information contained in this form is true and correct to the best of my knowledge and
that I have not withheld any relevant particulars. In the event of employment, this declaration shall be part of
my Contract of Service.
I understand that false or misleading information given in my application or interview (s) shall render me liable
for dismissal without notice and without assigning any reason.

2 DESENBER 2013
Date
Application for Employment August 2013

MULYADI
Signature of Applicant
Page 4 of 5

INTERVIEW EVALUATION

FOR HRD USE


Interviewed HR

Date

Value Remarks - Scale 1 (poor) to 5 (very good)


Keep it simple
Straight forward and open minded
Entrepreneurial spirit
Constant Improvement
Cost-Conscious
We are one team
We believe in People

Remarks

Result of
Interview

Suitable

Selected

KIV

Not

FOR USER USE


Interviewed User

Date

Skills Remarks - Scale 1 (poor) to 5 (very good)

Remarks

Result of
Interview

Suitable

Selected

KIV

Not

Approved by Manager

Head of Department

HR Manager

Signature & Date

Signature & Date

Signature & Date

APPOINTMENT
Designation

Level

Department

Company

Date of Appointment

Starting Salary

Allowances

Probation

Application for Employment August 2013

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