HUTABARAT HALIM & REKAN LAWYERS

PERSONAL DATA

Full Name
Sex
Address (In Jakarta)
Phone Number
Home Address
Residence Phone
Citizenship
ID Card Number
Issued at (City)
Validity
Place & Date of Birth
Religion
Marital Status
Number of Children
Blood Type
Health Condition
Mental Condition
Expected Monthly Gross Salary
I can commence to work (Answer: # of days after confirmation, immediate)
Please treat the above information as
Your Picture

FAMILY DETAILS
(*Answer: If Married: Husband/Wife/Son/Dougther, If Single: Father/Mother/Brother/Sister)

Name	Date of Birth	Occupation	Relationship*

EDUCATION(S) RECORDS
(Formal Education)

School Name - Place (city)	Faculty / Majoring	From (year)	To (year)	IP (GPA) / Rank

(Informal Education)

School Name - Place (city)	Subject	From (mm/yy)	To (mm/yy)	Predicate

(Extra Curricular)

Extra Curricular Subject	Activities	From (mm/yy)	To (mm/yy)	Notes

WORKING EXPERIENCE(S)

Company	Job Title	From (year)	To (year)	Last Salary

WORKING EXPERIENCE(S) (continued - fill per associated item above)

Job Descriptions	Reason To Leave

ENGLISH LANGUAGE

Written English

Reading technical literatures/manuals/brochures/reports etc.
Writing technical proposals/descriptions/reports etc.
Reading business correspondences
Writing business correspondences
My written English in general is

Verbal English

Day to day conversations
Understanding native speakers
Telephone conversations
Presentations or public speaking
In general my verbal English is

PERSONAL COMPUTER APPLICATION(S) KNOWLEDGE AND EXPERIENCE

Type	Program Name / Version	Application / Projects	Period Used

PREFERENCES

I preferably work
I preferably work
I am willing to travel
I am willing to work
In order to achieve the Completion of my work
Do you have computer at home
If yes, will you complete your work at home?

I herewith certify that I honestly answer all questions above, and guarantee that the information are true and correct. I am taking my responsibility if the above are incorrect.