Application Data Form Experience ALI
Application Data Form Experience ALI
I. IDENTITY
Full Name : ZULFRIDEN SIREGAR Nickname :FRIDEN
Place & Date of Birth : BESITANG
Sex : Male Female
3. Foreign Language
Oral Written
No Language
Poor Fair Good Poor Fair Good
1 English
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3
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III. FAMILY STATUS
1. Marital Status : S S Single Engaged since ................ Married since Des 2021
2. Immediate Families
Name M/F Place & date og birth Education
Wife KRISTINA SINAMBELA F BALIGE, 22/01/1991 D III - KEBIDANAN
1st Child
2nd Child
3rd Child
4. Transportation
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4. Describe the biggest problem you faced. How did you handle them ?
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5. Please explain an example of good decision you have made in the last six month ? What were the alternatives ?
Why you choose that decision ?
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6. What do you like most about your present job / position ? (Condition, tasks, or assignment) Why ?
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7. What do you like least about your present job / position ? (Condition, tasks, or assignment) Why ?
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9. Please give some example of experiences in your job that were satisfied & unsatisfied
Satisfied experience Unsatisfied experience
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1. What are your career goals for the next five years ? What have already you done to accomplish them ?
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1. Sport : _____________________________________________________________________________________________
Hobbies : _____________________________________________________________________________________________
2. Organization :
No Organization Place Position Period
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3
3. References
Name Address & Phone No. Relationship
VII. O T H E R S
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I certify that the information contained in this personal data form is true and accurate.
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Signature
( _____________________________ )
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