APPLICATION FORM

POSITION CODE: MT

* Please fill in the form in English

Full name : Anna Astuti
Place/Date of Birth : Wonosobo/July, 21st 1993
Address : Kejiwan RT.03 RW.05 Wonosobo
Email : cinderellanna@ymail.com
Phone Number : +62821-6755-6705

University Faculty Major Year (From/To) Degree GPA

Yogyakarta State University FMIPA International 2012-2016 S1 3.4
Biology Education

Course/Training Address Course/Training Address

English Course for LPPMP UNY ‘Orang Utan’ UNY
International Class Conservation
Sit In Program Yala Rajabhat University
Thailand

Organization/Extracurricular Address Position Year (From/To)

HIMABIO FMIPA UNY UNY Member 2012-2014
KMW Yogyakarta Member 2012-2014

Language Poor Good Fluent Language Poor Good Fluent

1. English √ 2. Javanese √
Internship Experience:
1. Company Name Position Year (From/To) Salary Reason of Leaving
SMAN 01 Jetis Teacher 2015 - Only one month for practical
work field
Describe your work responsibility:
Teaching Biology in bilingual.

Target: All students reach minimal score for completeness.

Working Experience:
1. Company Name Position Year (From/To) Salary Reason of Leaving
Soul Corporation Talent 2016-2017 Per scene. Looking for a permanent job.
Describe your work responsibility:
Acting on cameras, read and memorize script, live up to a role as a film actor.

Target: success playing role as an actor.

Expected salary : Rp. 4000.000,-

Why do you want to apply for that position? I want to know my self-potential so I can do the best work for the
company.
Are you willing to be assigned outside Jakarta? √ Willing Not willing

Strength : I used to practice English in college both speaking or writing in daily because I’m taking international
class, perfectionist, humble, target oriented, good attitude and I guarantee that I’m a fast learner.
Weakness : Moody sometimes.

I declare that all the information given is true. I am willing to withdraw from the recruitment
process if any of the statement is incorrect.

Wonosobo, April 16th 2017

signed

Anna Astuti