P E R S O N A L D ATA

(Please Use CAPITAL Letters)

Page 1 of 4

PT Mercedes-Benz Indonesia
PT Mercedes-Benz Distribution Indonesia
PT Star Engines Indonesia Photograph

The position being applied for AFTER SALES MARKETING COMMUNICATION

BASIC PERSONAL DATA

Name ADAM NURBANI HAREFAH Form of Address : Mr Mrs Miss

Place of Birth TANGERANG Date of Birth : 6-Apr-91

Address JL. PENGADILAN RAYA D6 NO.4 RT/RW 09/08

SUKASARI TANGERANG Postal Code 15118
E-Mail Adamharefah@Gmail.Com
Phone 82122504920 Mobile Phone 82122504920

Religion ISLAM
Nationality INDONESIA
Marital Status Single Married Widowed Divorced No. of Children:

Foreign Language INDONESIA

Bank Account BCA 6044 008 780 A.N. ADAM NURBANI HAREFAH
EDUCATION ESTABLISHMENT
Type of Duration Diploma/Certificate
No Education Name of Institution and City Branch of
Study
Not Certifica
From To Certified Certified te N/A
SD TAN MALAKA
1. SD
1997 2003 X


2. SMP
MTSN GN. PANGILUN PDG 2003 2006 X


3. SMA
SMAN 1 PADANG IPA 2006 2009 X


4. UNIV / ACAD /
UNDERGRAD. BINUS UNIVERSITY DKV 2011 2015


5. TERTIARY /

POSTGRADUATE

JOB-RELATED TRA ININGS
Title Institution Duration Diploma / Certificate
No
Not Certifica
From To Certified Certified te N/A

1.



2.


3.


4.


5.

Personal Data /conversion/tmp/scratch/364985860.doc-Yonny OIM 11 March 98

 Page 2 of 4

FAMILY BACKGROUND (Siblings: Including yourself. Siblings/children more than 3,

write on the back side).
No. Member Name Date of Birth Place of Birth Occupation
1. Father SUHARTO SISAR 06-03-1967 TANGERANG PNS
2. Mother DEDEH HUDAEFAH 03-05-1967 TANGERANG PNS
3. Sibling 1 ADAM N. HAREFAH 04-04-1991 TANGERANG PEGAWAI SWASTA
4. Sibling 2 SARAH HAREFAH S. 22-07-1995 PADANG MAHASISWI
5. Sibling 3 DIMAS N. HAREFAH 31-10-2000 PADANG PELAJAR
6. Spouse

7. Father in Law

8. Mother in Law

9. Child 1

10. Child 2

11. Child 3

Name of Person/s we have to contact if kind of emergency happened

No. Name Address & Telp. Relationship

1. SUHARTO SISAR JL. PENGADILAN RAYA D6 NO.4 FATHER 0816 3250 246
2. DEDEH HUDAEFAH JL PENGADILAN RAYA D6 N0.4 MOTHER 0853 652 95 365
3.

EMPLOYMENT HISTORY (Please start with the last employment)

1 Employer / Company PT OLDTOWN INDONESIA
KOMP MULTIGUNA BLOK A7
Address JL RAYA SERPONG KM7

Position Held 1. DESIGN & PROMOTION COOR From 2015

2. From

Last Salary Rp. 6500000

Main Responsibilities 1.

2.

3.

4.

5.

6.

Reason for Resignation

Personal Data /conversion/tmp/scratch/364985860.doc April 10, 2013

 Page 3 of 4

2 Employer / Company PT. ROUNDBOX COMM

JL KEMANG RAYA
Address KAMANG POINT BUILDING

Position Held 1. INTRN GRAPHIC DESIGN From 2013

2. GRAPHIC DESIGN From 2014

Last Salary Rp.

Main Responsibilities 1.

2.

3.

4.

5.

6.

Reason for Resignation

3 Employer / Company DND PRODUCTION

Address JL LAPANGAN NO 57 CONDET BATU AMPAR

Position Held 1. GRAPHIC DESIGNER From 2012

2. From

Last Salary Rp.

Main Responsibilities 1.

2.

3.

4.

5.

6.

Reason for Resignation

CAREER PLANNING
Describe briefly the career planning you wish to follow

SALARY AND BENEFITS EXPECTED

Write here the amount of salary and types of benefits you expect

Personal Data /conversion/tmp/scratch/364985860.doc April 10, 2013

 Page 4 of 4

INTERESTS AND ACTIVITIES

A. Organizations / Activities (Social, Political, Professional, etc )
Year
No. Name of Organization /Social Activities (from to) Position held

1.
KOMUNITAS PANTANG 2013 NOW HUMAS/DESIGN

2.
KARANG TARUNA RW13 2015 NOW HUMAS/DESIGN


3.
B. Hobbies

REFERENCES
Please Provide two references. Family members (relatives) should not be considered as reference

1. Name

Position

Address

Phone

2. Name

Position

Address

Phone

Please indicate your relatives or friends currently working for Mercedes-Benz Indonesia
No. Name Relationship Department
(Friend or Family)

1.

2.

Please write the date you can start joining this Company:

Please indicate your consent should you agree for Yes

Mercedes-Benz Indonesia to keep your data in 1 (one) year
time and could be use for reference in other open position No
in the company:
Applicants Signature

Name & Date

Personal Data /conversion/tmp/scratch/364985860.doc April 10, 2013