PERSONAL DATA SHEET

FULL NAME

NICKNAME*

PLACE OF BIRTH

HERE

DATE

OF

BIRTH

(mm/dd/yyyy)

FULL ADDRESS*

ADDRESS

PRIMARY EMAIL*

ALTERNATE EMAIL*

PRIMARY
NUMBER*

MOBILE

ALTERNATE
NUMBER*

MOBILE

HOME PHONE NUMBER*

EMERGENCY PHONE
NUMBER*
SOCIAL
MEDIA*
UNIVERSITY

SEX
NAME

OBJECTIVE
PHOTOGRAP

EDUCATIONAL
BACKGROUND
*(Please
completed starting
from the latest
education to
previous)*

:
:

MARITAL STATUS
YEARS
:
(Single/Married/Divorced/Wi

NATIONALITY
MAJOR
RELIGION
DEGREE
BLOOD TYPE

(dd/mm/yyyy)
dow)

IDENTITY NUMBER
NAME
DRIVING LICENSE
YEARS
PRESENT
JOB
(dd/mm/yyyy)

YOUR

:
:

:
:

:
:
:
:
:

LAST
CURRENT:
MAJOR /
SALARY
DEGREE
:
EXPECTED SALARY

AVAILABILITY
NAME
POSITION APPLIED
YEARS

:
:

(dd/mm/yyyy)

MAJOR

DEGREE

HIGH SCHOOL
NAME

PT. JMAX INDONESIA SAMPOERNA STRATEGIC SQUARE SOUTH TOWER LEVEL 18 JL. JEND SUDIRMAN KAV 45-46 JAKARTA 12930

PERSONAL DATA SHEET

YEARS

(dd/mm/yyyy)

MAJOR

DEGREE

COURSES &
TRAININGS

LANGUAGE PROFICIENCY *(Please write one: Beginner, Intermediate, Advanced,

Fluent or Native)*
LANGUAGE

SPOKEN

WRITTEN

CERTIFICATE

INDONESIAN
ENGLISH
JAPANESE

OTHERS
COMPUTER SKILLS

ACHIEVEMENTS

WORKING EXPERIENCE *(Please completed starting from present company to

previous)*
WORKING PERIOD

(mm/yyyy)

COMPANY NAME

LINE OF BUSINESS

COMPANY TYPE*

LOCATION

POSITION

REPORTING TO

PT. JMAX INDONESIA SAMPOERNA STRATEGIC SQUARE SOUTH TOWER LEVEL 18 JL. JEND SUDIRMAN KAV 45-46 JAKARTA 12930

PERSONAL DATA SHEET

SUBORDINATES

SALARY

ALLOWANCES

BENEFITS

EMPLOYMENT STATUS*

REASON FOR LEAVING*

JOB DETAILS

WORKING PERIOD

(mm/yyyy)

COMPANY NAME

LINE OF BUSINESS

COMPANY TYPE*

LOCATION

POSITION

REPORTING TO

SUBORDINATES

SALARY

ALLOWANCES

BENEFITS

EMPLOYMENT STATUS*

REASON FOR LEAVING*

JOB DETAILS

WORKING PERIOD

(mm/yyyy)

COMPANY NAME

LINE OF BUSINESS

COMPANY TYPE*

PT. JMAX INDONESIA SAMPOERNA STRATEGIC SQUARE SOUTH TOWER LEVEL 18 JL. JEND SUDIRMAN KAV 45-46 JAKARTA 12930

PERSONAL DATA SHEET

LOCATION

POSITION

REPORTING TO

SUBORDINATES

SALARY

ALLOWANCES

BENEFITS

EMPLOYMENT STATUS*

REASON FOR LEAVING*

JOB DETAILS

I declare that this Personal Data Sheet has been accomplished by me, and is a true, correct and
complete statement as below details:
a. I have never been convicted of any crime or violation of any law, decree, ordinance or regulation by
any court or tribunal.
b. I have never been formally charged.
c. I have you ever been guilty of any administrative offense.
d. I will inform PT. JMAX INDONESIA after being interviewed and placed in clients.

Jakarta,
Signature

PT. JMAX INDONESIA SAMPOERNA STRATEGIC SQUARE SOUTH TOWER LEVEL 18 JL. JEND SUDIRMAN KAV 45-46 JAKARTA 12930