EMPLOYMENT APPLICATION

POSITION APPLIED: INDONESIAN CABIN CREW

A FULL NAME
IN BLOCK
LETTERS
(Underline Surname/
family name
Name
RESMA PUSPA YUNITA
Alias (if any)
IRES
B A!!RESS AN!
CONTACT
NUMBER
Residenial Add!ess
PONDO" TIMUR INDA# II $L% &ALA'I ( BLO" & NO:()*
RT ++,-RW ++. "EL% MUSTI"ASARI "EC% BANTAR&EBAN&/
BE"ASI (.((*
#0me Tel N0%
+,(% 1,*,*)2
P0sal Add!ess (if diffe!en f!0m a304e) M03ile P50ne N0%
+1*6%(**%+6+,
+171%.,2*%22(2
E8mail Add!ess (C"m#ul$"ry
!esma*62,9:mail%;0m
Offi;e Tel N0%
+,(% 127)*+)
C NATIONALITY%
RACE% MARITAL
STATUS% BIRT&
AN! &EI'&T
Dae 0f Bi!5
+*
5
$UNE (22,
A:e
,(
5
Ma!ial Sa<s
SIN&LE
N0% 0f ;5ild!en (if any)
8
Nai0naliy
INDONESIA
Ra;e
ASIA
#ei:5 (in me!es)
(66
! &I'&EST
(UALIFICATION

Name 0f Uni4e!siy
SE"OLA# TIN&&I ILMU ADMINISTRASI MANDALA INDONESIA (STIAMI)
De:!ee O3ained- 0 3e
03ained
UNDER&RADUATE
Ma=0!
BUSINESS ADMINISTRATION
&!ad<ai0n
&!ad<aed in (m0n5-yea!): 8 -T0 :!ad<ae in (m0n5-yea!): ,+(* - APRIL
>0!ei:n Lan:<a:es
(Please s?e;ify @!ien
0! s?0Aen)
EN&LIS# : 8 &OOD IN WRITTIN&
8 &OOD IN SPEA"IN&
E !ETAILS OF
PRESENT )
PRE*IOUS
EMPLOYERS
(+&ERE
APPLICABLE
Name 0f C0m?any C<!!en
P0sii0n
Pe!i0d @i5 C0m?any P!esen Sala!y Reas0n f0! lea4in:
>!0m
M0n5-Yea!
T0
M0n5-Yea! Basi; All0@an;es
PT% MENARA
TERUS
MA"MUR
ADMIN O>
INDUSTRIAL
RELATIONS#IP
(#RD)
A&USTUS
,+(,
NOW R?%
,%1()%6++
R?%
)7,%+++
8
Please aa;5 a !e;en
f<ll8len:5 ?500:!a?5
0f y0<!self and s<3mi
i @i5 5is a??li;ai0n

Name 0f C0m?any P0sii0ns #eld Pe!i0d @i5 C0m?any P!esen Sala!y Reas0n f0! lea4in:
>!0m
M0n5-Yea!
T0
M0n5-Yea! Basi; All0@an;es
PT% DEN"O
WA#ANA
INDUSTIES
SECRETARY O>
MANA&ER
MAR"ETIN&
APRIL ,+(, $UNI ,+(, R?%
(%*++%+++
R?%
)++%+++
BAD ATTITUDE
>ROM MY BOSS
TOWARDS ME
F A*AILABILITY
Please sae n0i;e ?e!i0d !eB<i!ed
' ANS+ER T&E FOLLO+IN' (UESTIONS BY IN!ICATIN' (x) IN T&E APPROPRIATE BO,- IF .YES/ 'I*E !ETAILS IN T&E RI'&T &AN!
COLUMN
Yes N0
(% #a4e y0< e4e! 3een ;5a!:ed @i5 any 0ffen;e 0! ;0n4i;ed 3y any C0<! 0! deained 3y 5e a<50!iies
<nde! 5e ?!04isi0ns 0f any la@ in any ;0<n!yC (Im#"r0an01 Please n0e y0< m<s :i4e f<ll deails 0f
any ;5a!:es made a:ains y0< e4en if 5e C0<! e4en<ally a;B<ied y0<)%
2
,% #as any 3anA!<?;y a;i0n e4e! 3een aAen a:ains y0<C
2
EN&A&ED IN
INDEPENDENT
>INANCIAL SADIN&S
AND LOAN%
7% #as any C0<! =<d:emen 0! 0!de! e4e! 3een made a:ains y0< 0!de!in: y0< 0 ?ay a de3 0 s0me0neC
2
)% #a4e y0< si:ned a ?!0miss0!y n0e 0! an a;An0@led:emen 0f inde3edness f0! @5i;5 5e am0<n
?led:ed 5as n0 al!eady 3een f<lly !e?aidC
2
*% #a4e y0< e4e! 3een em?l0yed in any ;a?a;iy @i5 SIA/ is ?!ede;ess0!s 0! is s<3sidia!iesC &i4e
desi:nai0n/ ?e!i0d 0f em?l0ymen and !eas0n f0! lea4in:%
2
6% #a4e y0< a??lied 0n any ?!e4i0<s 0;;asi0ns f0! em?l0ymen in any ;a?a;iy @i5 SIAC &i4e dae
and ?0sii0n a??lied f0!%
,
.% #a4e y0< any !elai4e in SIAC If yes/ ?lease :i4e desi:nai0n/ name and !elai0ns5i?%
2
1% #a4e y0< any 4isi3le s;a!s/ 3i!5ma!As and-0! ?i:men s?0s 0n y0<! fa;e/ ne;A/ 5ands and l0@e! a!msC
2
2% #a4e y0< s<ffe!ed f!0m any menal illness 0! any ?5ysi;al illness 0! disa3iliy f0! @5i;5 y0< 5a4e
!e;ei4ed medi;al !eamenC (e%:% dia3ees/ <3e!;<l0sis/ e?ile?sy/ as5ma/ e;%)
2
(+a% A!e y0< a3le 0 s@imC If n0/ ?lease ?!0;eed 0 B<esi0n (+3%
2
I LIKE SWIMMING, I
LIKE SPORT.
3% A!e y0< ;0nfiden in @ae!C
2
YES. I AM.
& &O+ !I! YOU 'ET TO KNO+ ABOUT OUR RECRUITMENT E,ERCISE3 (Please ;i!;le y0<! ans@e!)
a% $03sDB 3% P!in Ad4e!isemen ;% Cam?<s $03 >ai!s d% P0se! e% SIA - SE Cen!e We3sie f% O5e!s (COMMUNITY IN SOCIAL
NETWOR"IN&)
I !ECLARATION
I de;la!e 5a 5e inf0!mai0n :i4en 3y me in 5is a??li;ai0n f0! em?l0ymen is !<e 0 5e 3es 0f my An0@led:e and 5a I 5a4e n0 @i55eld any
!ele4an ?a!i;<la!s% I 5a4e dis;l0sed all 5e inf0!mai0n !eB<i!ed 0 3e :i4en in 5is a??li;ai0n% T5is de;la!ai0n s5all/ if I am em?l0yed 3y 5e
C0m?any/ 3e ?a! 0f my ;0n!a; 0f se!4i;e% I a;;e? 5a if any 0f 5e inf0!mai0n :i4en 3y me in 5is a??li;ai0n f0! em?l0ymen is in any @ay false/
0! in;0!!e;/ 5e C0m?any s5all 5a4e 5e !i:5 0 dismiss me @i50< n0i;e and @i50< assi:nin: any !eas0n%
Si:na<!e: 88888888888888888888888888888888888888888888888888888 Dae: 88888888888888888888888888888888888888888