Escolar Documentos
Profissional Documentos
Cultura Documentos
NO: _______________________
The following information will help us to assess your employment opportunity with ASTON INN MATARAM under Archipelago
International (hereinafter called the “Employer”). All portions of this application pertaining to you must be completed. We
appreciate the time you spend completing this application form.
PERSONAL DATA
Full Name : Date of Birth :
Address :
LANGUAGE PROFICIENCY
Language Skill ( Language, Spoken)
Language Speaking Reading Writing
English Poor Good Excellent Poor Good Excellent Poor Good Excellent
Mandarin Poor Good Excellent Poor Good Excellent Poor Good Excellent
Others Poor Good Excellent Poor Good Excellent Poor Good Excellent
FAMILY RECORD
Father’s Name : Age : Occupation :
GENERAL INFORMATION
Have you any objection to our contacting your previous employers ? _________ Yes ______ No ______√______________
Have you had any serious illnesses, injuries or operations within the last (5) years? If so, please describe (No)
Do you have any immediate family members, i.e. husband, wife, parents, child, brother, sister, working within the company ?
Yes ___ No _√__
If yes, who ?
(1) __________________________________________________________________________________________
(2) __________________________________________________________________________________________
(3) __________________________________________________________________________________________
DECLARATION
I certify that all statements made on this application are true and complete to the best of my knowledge. I understand
that misrepresentation or omission when discovered, will subject me to discharge and I hereby authorize any
investigation relating to my work experience, education or reputation for the purpose of my application for employment.
Interviewer’s Name
Date
Overall Comment
REFERENCE CHECKING
1. Name / Company : ___________________________ Date : _______ Comment : __________________