RECRUITMENT - Application Form - 2017
RECRUITMENT - Application Form - 2017
RECRUITMENT - Application Form - 2017
Applied Position : Transaction Advisory Service Senior Consultant When can you start? 15/07/2019
Full Name
Where do you live ? own house rented house boarding house with parents others
EDUCATION RECORD :
Major
Inclusive Date Course Honors/
Education Name of School City Degree GPA Certificate No.
From To or Subject Rank
Senior High School SMA Negeri 4 Padangsidimpua 2007 2010
(SMU)
Academy
University Trisakti University West Jakarta 2010 2014 Bachelor Accounting 3.10 0591/FE/S1/AK/
X/2014
Postgraduate / Advance StudiesTrisakti University West Jakarta 2019 Now Postgrad Management
uate
Computer skills Microsoft Excel, Word, Power Point, MFAPPL, Confins, ACA
pHOTO Ph
English skills Low Medium Good Excellent
Other language
Title of Certificate Name Professional Association/Organization No of Certificate Issued by (City, Country) Dates/Year Certification
RECORD OF EMPLOYMENT
Nature of Business
Financing Audit, Tax, Business Consultantts
Have you ever been dissmissed or suspended by your previous employersNever If so, state date
FAMILY BACKGROUND:
Give names and addresses of your family background
Occupation and
Name Address / Telephone
Employer
Father Ahmad Buchori Siregar 082294833257 Civil Servant
Mother Maulina Sari Lubis 082168869878 Entrepreneur
Aidina Rizki Machari Siregar 081397963112 Entrepreneur
Siblings Indah Awan Hanifah 085275564596 Doctor
Abbas Pahlawan Siregar 081289214709 Student
Spouse
Child
REFERENCES:
Give names and addresses of person/ contact number, preferably those in business or profession, who have known you for at least three years.
(Do not give names of relatives)
Number of
Occupation and
Name Address / Telephone Email Years of
Employer
Acquaintance
Fauzan Jl. Permata, Grogol / 085375577777 fauzan@dipostar.com Internal auditor 7
Are you related to any partner or employee of this Firm ? No, I am not if so, to whom?
Were you involved in any administrative, civil or criminal case? No, I wasn't if so, please specify
Have you taken our entrance test before? Yes, I have If so, when 2014 date/year
I certify that the printed information on this form or any supplements, and supported documents to support this form is complete and accurate.
I hereby authorize EY entities to perform employment reference checks on my previous employment, verify academic checking, and conduct full background
checks including personal references. This is not limited to overseas inquiries if necessary and, I authorize to release my personal data outside of Indonesia in
the course of processing.
I consent to release my personal data to a third parties for background check purpose. I also consent the recipients of such enquiries to provide the data requested.
I understand that my offer is that I may withhold my permission and that in such a case, no investigation will be done and my application for employment will
not be processed further.
____________________________________
Signature
____________________________________
Name
____________________________________
Date