Application for Employment

Photo 4x6
Applicant’s Name IKA INRIWINATA

Desired Position HRD

Salary Expectation

Date of Application 3 MEI 2016

Personal Details

Full Name (Firstname, Fullname): IKA INRIWINATA

For Married women (State maiden name):

_____________________________________________

Sex: ☐Male
☐Female
Nationality: WNI
Date of Birth: 25 MARET 1990
Place of Birth: KARAWANG
Height: 154cm
Weight: 43kg
Marital status: SINGLE
Number of children: -
Passport Number: -
I.D Number: _________________________________
Tlp no in Case Emergency: 0821.2518.2735
Contact Name: PIALA GULTOM
Religion: CRISTIAN
Permament Adress: ___________________________
Telp No: -
J. RODA PEMBANGUNAN RT004/005 NO.21
Mobile no: 0856.9703.0728
CIBINONG-KAB.BOGOR

Particular about immediate family (Wife, Husband, Parents, siblings,

etc)

Name
Relationship/Age
Occupation
Place of Occupation

PIALA GULTOM
MOTHER
ENTERPRENEUR
BOGOR
FITRI PUTRIYANI
SISTER
STUDENT
BOGOR

Spoken
Written

Language

Excellent
Well
Fair
Excellent
Well
Fair
ENGLISH
Work Experiences (Starting from most recent)

Name & Address of

Peride of

Reason to

Employment

Position

Salary

Employer
leave

From

To
PT. HARAPAN GRAHA
NIAGA

OCT 2015
POTATO HEAD GARAGE

PT. CAKRAWALA
LARAS ADIWARNA
References (Relative do not counts as references)
Name

Address

Phone No.

Occupation
Questions

Answer
Have you ever had any serious illness

or any physical disability?

Have you ever been convicted in

court of law in any country?

Have you ever been dismissed or

suspended by any employer?

Do you have friends/relatives working in this
Hotel? Please provide name(s)

What do you do in you free time?

Sports activities? Hobbies?
What does genuine hospitality mean

to you? Please describe or define

Why are you the right person to work

at MaxOneHotels.com?
I hereby declare that every statement given by me in this form is true, correct and given voluntarily. I have not wilfully
withheld any information relevant to this application. I authorise the Management to submit the said

information to any person or organisation for the purpose of any investigation which the Management may desire to
make. I agree to indemnify the Management from all liabilities, demands, claims, suits, proceeding, cost and expenses of
any nature in connection with the foregoing. I also agree that if any false declaration is made by me, my contract may be
terminated without notice.

Signature of Applicant: __________________________________ Date: __________________________

For Official Use Only

Remarks by Administration & General Departments

Signature: Date:

Remarks by Department user

Signature: Date:
Remarks by Hotel Manager

Signature: Date:

Selected Candidate (For A&G Department)

Name: ___________________________________ Department: ___________________________

Position: _________________________________ Section: _______________________________

Start Date: _______________________________ Salary: ________________________________

Other remarks: ___________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________