001-a Application Form V2 2015 for Unit

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Employee Application Form

The following information will help us to assess your employment opportunity with 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.

Position applied : _
Recent
Second position applied :
Salary Range Expectation : ___
Photo
Notice Period : ___

PERSONAL DATA
Full Name : Date of Birth :

Address :

City : Post Code :

Telephone (H) :

Telephone (M) :

Skype ID :

Email Address :

Facebook / :
Twitter
Linkedin :

I.D Card Number : Date of Expiry :

Marital Status : Religion :

Height / Weight : Blood Group :

EDUCATION AND TRAINING

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Employee Application Form
Name and address of
Major Course Decree
school, University or From Date To Date
or Study of
other training institution
Certificat
e

RECORD OF PREVIOUS EMPLOYMENTS


1. Company Name :
Position :
Period : From to
Address :
Telephone :
Nature of Business :
Supervisor’s Name : __
Duties :
Last salary : Rp
Reason for leaving : _

2. Company Name :
Position : _
Period : From to
Address :
Telephone :
Nature of Business :
Supervisor’s Name :
Duties :
Last salary : Rp
Reason for leaving : __

3. Company Name :
Position : _
Period : From to
Address :
Telephone :
Nature of Business :
Supervisor’s Name :
Duties :
Last salary : Rp
Reason for leaving : __

REFERENCES (Non – Relatives)


1. Name : Mobile Number :
Occupation : Years known :
Address / Email :

2. Name : Mobile Number :


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Employee Application Form
Occupation : Years known :
Address / Email :

3. Name : Mobile Number :


Occupation : Years known :
Address / Email :

4. Name : Mobile Number :


Occupation : Years known :
Address / Email :

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Employee Application Form
LANGUAGE PROFICIENCY (Language Spoken)
Speakin Readin Writin
Language g g g
Poor Good Excellen Poor Good Excellen Poor Good Excellen
t t t
English
Mandarin
…..
…..

FAMILY RECORD
Father’s Name : Age: Occupation :
Mother’s Name : Age: Occupation :
Permanent Address : City:
Telephone :
Husband / Wife’s Name : Date of Birth: Occupation:
Children:
1. Name : Date of Birth : Male Female ___
2. Name : Date of Birth : Male Female ___
3. Name : Date of Birth : Male Female

GENERAL INFORMATION
Are you presently employed? Yes No
Have you ever been discharged from employment? If yes, Please explain
Can we contact your present employer for
a reference? Yes No

Have you ever suffered from any of the following illnesses


ILLNESSES Yes No ILLNESSES Yes No
Tuberculosis Hepatitis
Heart Disease HIV / AIDS
Hypertension Venereal Disease
Diabetes Serious Illnesses
Epilepsy Injuries or Operations in last 5
Years

Do you have any immediate family members (i.e. husband, wife, parents, child, brother,
sister) working with any of Archipelago Hotels? Yes No __ If yes, who and which unit?
(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.

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Employee Application Form
Applicant’s Signature Date

(……………………………..)

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Employee Application Form
INTERVIEW ASSESSMENT

CODE: 1.Poor 2. Average 3. Good 4. Excellent

Subjec 1st Comment 2nd Comment 3rd Comment


Intervie Intervie Intervie
t w w w
Appearance / Grooming /
Punctuality
(Does he/she dress well, arrive in time, etc)
Energy / Enthusiasm
(Body language, eye contact, Shake hand,
etc)
Technical Skills / Job Knowledge
(Basic skills, base on CV experience,
Knowledge)
Attention to Detail
(Clarify a things, bad habit, stress stressor,
etc)
Speech / Language Skills
(Fluent, slurred speech, Systematic etc)
Problem Solving
(Case study, give situation, simulation, etc)
Leadership Experience
(Check CV to see Positions held)

Interviewer
’s Name
Date

Overall
Comme
nt

For Human Resources Department Only


Name :
Position :
Starting Date :
Level :
 Basic Salary :
 Transportation Allowance :
 Housing Allowance :
 Others :
 Gross Salary :

REFERENCE CHECKING
1. Name / Company : Date : Comment :
2. Name / Company : Date : Comment :
3. Name / Company : Date : Comment :
4. Name / Company : Date : Comment :

APPROVED FOR HIRE


Department Head : Date:
HR : Date:

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Employee Application Form
Finance : Date:
GM : Date:

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