Job Application

All fields are mandatory.
If a field is not applicable, please indicate "N/A".

Applying For Job Title *
Availability *

Personal Particulars Full Name as in ID/Passport *
Street Address *
City * State * Postal Code *
Country *
Home Number * Mobile Number *
Email Address *
ID / Passport Number * Indonesian PR Date Of Issue (DD-MM-YYYY) *
Nationality * Race * Religion *
Date of Birth (DD-MM-YYYY) Place of Birth *
Gender * Male Female
Marital Status *
Possess Vehicle * Yes No Driving License Class * A C None

Family Details: Partner / Spouse / Children

Name	Relationship	Age	Occupation	Company Name (If Any)

In case of emergency, please contact:

Name * Contact Number *

Education Qualification in Chronological Order

School / Institution Attended / Attending	Period (DD-MM-YYYY)	Qualification

Employment History

Company Name	Position Held	Period (DD-MM-YYYY)	Basic Salary	Reason for Leaving

Key Responsibilities:

Key Responsibilities:

Key Responsibilities:

Key Responsibilities:

Expected Salary (IDR) *

Referees

Character referees should preferably be present/past employers or superiors:

Name	Contact Number	Occupation	Company

Friends / Relatives in Caputra

If you have friends/relatives working in Caputra, please provide details:

Name	Relationship	Occupation	Company

Membership of Professional Bodies and Other Societies

Name of Professional Body / Other Societies	Position	Remarks

Languages / Dialects

Spoken and Written *
Spoken Only *

National Service

If applicable, please provide details on period served, last rank held and status:

Other Information

● If you have any physical impairment, disability, disease/illness or any other medical condition, please provide details:

● If you have been dismissed or suspended for a previous job, please provide details:

● If you have been charged or convicted in a court of law in any country, please provide details:

● If you are an undischarged bankrupt, please provide details:

Declaration

I declare that all information given in this application is to the best of my knowledge and belief, true and correct. This declaration shall, if I am employed, constitute an integral part of any contract of service between the Company and myself. I agree and accept that I will be liable for immediate dismissal if I am found to have given false information. Please tick this box to proceed

Résumé (Optional)

Only PDF or Microsoft Word formats are accepted. (File size not larger than 2MB)

You will need to include a passport size photo in your résumé.
(At least 100W by 128H in pixel)

Upload Résumé *

Please enter the verification words as shown in the box below: *

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