001-a Application Form V2 2015 for Unit
001-a Application Form V2 2015 for Unit
001-a Application Form V2 2015 for Unit
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 :
Telephone (H) :
Telephone (M) :
Skype ID :
Email Address :
Facebook / :
Twitter
Linkedin :
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 : __
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
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.
(……………………………..)
Interviewer
’s Name
Date
Overall
Comme
nt
REFERENCE CHECKING
1. Name / Company : Date : Comment :
2. Name / Company : Date : Comment :
3. Name / Company : Date : Comment :
4. Name / Company : Date : Comment :