APPLICATION FORM

Position applied: JUNIOR .NET PROGRAMER

PT. Wisesa Consulting Indonesia

STC Senayan Building 5th No. 8-9 Jl Asia Afrika Gate-9 Jakarta 10270

Date applied:

16-11-2011

PERSONAL INFORMATION
Full Name: Gender/Sex: Place/Date of Birth: Marital Status: Address: Status of Residence: Telephone #: Mobile #: Religion: Email Address: Messenger ID: ID/Passport #: NPWP #: Height/Weight: Blood Type: Tian Andrianto Laki-laki JAKARTA, 23 MARCH 1989 Belum menikah D.A Baitul Jannah No. 93 RT 003/005 Mekarsari Cimanggis Depok 16952 kos 08988241580 Islam tian.obot@gmail.com 160/48(cm/kg) {insert your photo here}

Own Vehicle: Interests/Hobbies : Degree / Level D3

Pemrograman

Incase of emergency, please contact: - Name: Novan Ade Andrian - Address: D.A Baitul Jannah No. 93 RT 003/005 Mekarsari Cima nggi s Depok 16952 - Tel/Mobile 089653276555 #: Adik Relationship: Major Komputerisasi Akuntansi GPA 3,63

EDUCATIONAL BACKGROUNDS
Period 2008-2011 Name of School / University Bina Sarana Informatika

LANGUAGES
Please nominate your language capability from 1-5 (* 1 =Poor 2=Fair 3=Good 4=Very Good 5=Excellent)

Language(s) Inggris

Spoken * 2

Written * 3

Listening * 3

Reading * 4

LIST OF CERTIFICATION
Training / Seminar / Course Description Location Year Attained Institution / College

SKILLSET & TECHNICAL KNOWLEDGE

Please nominate your computing skills & capabilities from 1-5 (* 1 =Poor 2=Fair 3=Good 4=Very Good 5=Excellent)

Skills / Knowledge Programming: - EJB - Java Servlet - JSP - Java Swing Java Script Java Applet XML / XLS VB.NET ASP.NET C#.NET C++ Delphi Visual Basic ASP PHP PL/SQL PowerBuilder Other:

No of Years used

Proficienc y Level

Skills / Knowledge Development Tools: - Oracle JDeveloper - Oracle Designer - Oracle Form Developer - Oracle Report Developer - IntellJDEA - JBuilder - Eclipse - Rational Rose - PL/SQL Developer - Crystal Report - Star UML - Other: Design & Multimedia: - Web Design - Macromedia Flash - Adobe Photoshop - 3D Studio Max - DreamWeaver - Premiere - Fireworks - Other: Concept & Methodology: - SDLC - UML / RUP - OOP / OOD - MVC / Struts - DFD / ERD - SCM - CRM - ERP - Business Intelligent - Project Management - Work-flow - Telco knowledge - Banking knowledge

No of Years used

Proficien cy Level

2 2 1 1

3 3 2 1

Database: - MS Access - MS SQL Server: - Oracle: - IBM DB2 - mySQL - Sybase - PostGreSQL Operating System: - Ms. Windows: - OS/2 - Sun Solaris - Linux: - Unix: - MAC O/S - IBM AS/400 - other:

2 2

3 3

EMPLOYMENT HISTORY
1. Company Name: Job Title/Position: Reporting to:

Please describe your work experiences starting from the most currently one:

Period: No. of Employees: Current Salary

Private & Confidential

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(IDR): Job Description: Reason of Leaving: Please describe the organization structure of your company that show your current/last position:

2.

Company Name: Job Title/Position: Reporting to: Job Description:

Period: No. of Employees: Last Salary (IDR): Period: No. of Employees: Last Salary (IDR):

3.

Company Name: Job Title/Position: Reporting to: Job Description:

PROJECT PORTFOLIO
Please deescribe your top-3 project portfolios developed during your study or works:

1.

Project Name: Project Description: Responsibilities: Client Name: Environments:

Aplikasi Rental dengan VB .Net Membuat aplikasi penyewaan pada rental buku sebagai tugas akhir Programmer Rental DIBI Programming: VB.Net

Period: Industry: Role in Project: No. of Team: Tool:

2011 MS. Access, VB 2010, Crystal Report, DevExpress, NET Framework 4.0, HTML HELP Workshop, MS. Access 2010 2010 5 VB 6.0,MDA

2.

Project Name: Project Description: Responsibilities: Client Name: Environments:

Application Server: Aplikasi Penjualan dengan VB 6.0 Sebagai nilai tugas Programer Programming: VB

Database: Period: Industry: Role in Project: No. of Team: Tool:

Private & Confidential

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3.

Project Name: Project Description: Responsibilities: Client Name: Environments:

Application Server: Aplikasi Database Visual Foxpro Sebagai tugas kelompok Programer Programming: Application Server: VF 9.0

Database: Period: Industry: Role in Project: No. of Team: Tool: Database:

MS. Access 2010 VF 9.0 VF 9.0

SELF ASSESSMENT
Personality:

Please checklist on following lists that best suites your character/personalities:

active & dynamic adventurous aggressive always thinking

choosy & always wants the best clever & knowledgeable can easily follow rules & instructions

careful, cautious & organized

good memory

good physical

hardworking & productive has a lot of ideas hates restrictions honest, loyal & helpful takes high pride in oneself think quickly & fast learning Work in a team Office facilities Personal Development Occupation WNI WNI

ambitious
approachable bad tempered business minded

determined to reach goals

What is important for you:

dislike being at home friendly & fun to be with good sense of humor Easy and routine works Work for a large company Work for a financially stable company Place/Date of Birth Jogjakarta, Banyumas,

current salary future salary career challenging work &

Family Father: Mother: Spouse: Children: Brother(s): Sister(s): 2. 1. 2.

FAMILY & RELATIVES INFORMATION

Full Name Bambang Suharno Wartini 1. 2. 1. Novan Ade A.

Education SMP SMA

Depok, 25 November 1990

SMK

WNI

REFERENCES
Full Name Position Company or Institution Contact Details

Private & Confidential

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ADDITIONAL INFORMATION
Friend/Relatives you know in this Company: Do you currently have any critical illness or have experienced fatal accident? Willingness to Work:

No

Yes, please mention & when .

Availability: Expected Salary (IDR):

ready for contract commitment for min. 2 (two) years ready for overtime work after office-hour/during holiday
immediate

ready for 3 (three) month probation period ready for boothcamp or in house training ready for service for all clients outside Jakarta

.week(s) notice .month(s) notice

1.700.000 or lebih month (gross)

per-

I, the undersigned, hereby certify that to the best of my knowledge and beliefs, the information given above is correctly true and valid. I shall bear disqualification or termination from works without any notification if in the future the information given above is proven untrue or invalid.

_Tian Andrianto__
Full-name, Signature & Date

Interviewers Name & Date

Comments & Notes:

Private & Confidential

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