application letter

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Department, Hangar IV Calibration Budiarto Airport, Jl Raya PLP Curug 5 Legok Tan Phone.+6221-5462203-08 Fax.+6221-5474499 Website: ani.co.id APPLICATION FOR EMPLOYMENT The application should be completed in English Position applied for Technician to Engine Team Date : June 16, 2015 How were you reffered to us? Newspaper Ad School On my own X ANI emp Recruitment/Manpower agency Other: Lazarus Crishtofel Koilher (name of referral source) PERSONAL DETAILS Full Name: Kustiawan Saputra Blood Type: O Nick Name: Kusti Weight: 65 kg Mothers Name: Popon Height: 168 cm Gender: Male Marital Status: Single Birth Place: SUKABUMI Status Date: - (if married Date of Birth: 6/23/1991 ( dd.mm.yyyy ) Religion: Moslem Nationality: Indonesia IDENTITY CARD DETAILS KTP Number: 3202272306910000 Jamsotek Number: - KTP Expired: 6/23/2018 ( dd.mm.yyyy ) Member Date: - ( SIM A Number: 910613260161 NPWP Number: - SIM A Expired: 6/23/2015 ( dd.mm.yyyy ) Member Date: - ( SIM C Number: 910613260057 SIM C Expired: 6/23/2018 ( dd.mm.yyyy ) CONTACT DETAILS Current Address Address on KTP: Address: Sarijadi blok 2 no.110 Address: Jl. Pelda km 12 03/03 Sir Gunungguruh Subdistrict City: Bandung City: Sukabumi Postal Code: - Postal Code: 43157 Phone: - Phone: 6285624161739 Mobile Phone: 6285624161739 Email: [email protected] PT. AERO NUSANTARA INDONESIA

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Page 1: application letter

HR Department, Hangar IV Calibration Budiarto Airport, Jl Raya PLP Curug 5 Legok Tangerang - 15820

Phone.+6221-5462203-08 Fax.+6221-5474499 Website: ani.co.id

APPLICATION FOR EMPLOYMENT

The application should be completed in English

Position applied for : Technician to Engine Team Date : June 16, 2015

How were you reffered to us?

Newspaper Ad School On my own X ANI employee

Recruitment/Manpower agency Other: Lazarus Crishtofel Koilher

(name of referral source)

PERSONAL DETAILS

Full Name: Kustiawan Saputra Blood Type: O

Nick Name: Kusti Weight: 65 kg

Mothers Name: Popon Height: 168 cm

Gender: Male Marital Status: Single

Birth Place: SUKABUMI Status Date: - (if married - dd.mm.yyyy)

Date of Birth: 6/23/1991 ( dd.mm.yyyy )

Religion: Moslem

Nationality: Indonesia

IDENTITY CARD DETAILS

KTP Number: 3202272306910000 Jamsotek Number: -

KTP Expired: 6/23/2018 ( dd.mm.yyyy ) Member Date: - ( dd.mm.yyyy )

SIM A Number: 910613260161 NPWP Number: -

SIM A Expired: 6/23/2015 ( dd.mm.yyyy ) Member Date: - ( dd.mm.yyyy )

SIM C Number: 910613260057

SIM C Expired: 6/23/2018 ( dd.mm.yyyy )

CONTACT DETAILS

Current Address Address on KTP:

Address: Sarijadi blok 2 no.110 Address: Jl. Pelda km 12 03/03 Sirnaresmi village

Gunungguruh Subdistrict

City: Bandung City: Sukabumi

Postal Code: - Postal Code: 43157

Phone: - Phone: 6285624161739

Mobile Phone: 6285624161739

Email: [email protected]

PT. AERO NUSANTARA INDONESIA

Page 2: application letter

HR Department, Hangar IV Calibration Budiarto Airport, Jl Raya PLP Curug 5 Legok Tangerang - 15820

Phone.+6221-5462203-08 Fax.+6221-5474499 Website: ani.co.id

PT. AERO NUSANTARA INDONESIA

FAMILY DETAILS

Name Relation Gender Birth Place Birth Date Address

EMAN SULAEMAN FATHER MALE SUKABUMI 1/1/1967 Jl. Pelda km 12 RT.03 RW.03 Sir

POPON MATHER FEMALE SUKABUMI 10/23/1975 Jl. Pelda km 12 RT.03 RW.03 Sir

SRI PUTRI HANDAYANI SISTER FEMALE SUKABUMI 2/1/1997 Jl. Pelda km 12 RT.03 RW.03 Sir

SYAMSUL SAPUTRA BROTHER MALE SUKABUMI 6/22/2001 Jl. Pelda km 12 RT.03 RW.03 Sir

EDUCATION & OTHER QUALIFICATIONS

Formal Education

Level School Name City Major

SD SDN GENTRAMASEKDAS SUKABUMI N/A 1999-2005

SMP MTS SAHID BOGOR N/A 2005-2007

SMK BOGOR BANDUNG Teknik Mesin 2007-2010

Diploma III AKTEK AERONAUTIKA SILI BANDUNG Aeronautika 2011-2014

*) SMU, SMK, SMEA, STM, Etc.

**) DI, DII, DIII

Informal Education, Training, Courses, Seminar

Subject/Topic Name of Institution Period (dd.mm.yyyy)

COMPUTER TRAINING (MS.OFFICE) MAESTRO COMPUTER SUKABUMI 3/1/2003 6/27/2003

ENGLISH COURSE HEC ENGLISH VILLAGE (KEDIRI - WEST JAVA) 8/25/2010 11/27/2010

ENGLISH COURSE BEC ENGLISH VILLAGE (KEDIRI - WEST JAVA) 11/27/2010 2/27/2011

CAD/CAM COURSE BBPLKDN (BANDUNG - WEST JAVA) 7/14/2014 8/27/2014

NATIONAL SEMINAR ON AEROSPACE STTA YOGYAKARTA 10/8/2011 10/8/2011

BLOOD DONOR ACTIVITY AND CHARITY SMKN 12 BANDUNG 10/1/2010 10/1/2010

General License

License Code * License Number Participant Number Examination Number Issued Date

*) A1, A2, A3, A4

C1, C2, C3, C4

AME License

AMEL Number: Rating

Holder Address: Category * Rating Type **

Date Issued:

Date Expired:

*) AF : Airframe, AV : Avionics, EL : Elictrical, EN : Engine

GS : GSE Operator, IN Instrument, RD : Radio

**) B732 : Boeing 737-200, B737S : Boeing 737-300/400/500

MD80 : MD 80 Series, JT8DS : JT8D Series

Graduate Date

Page 3: application letter

HR Department, Hangar IV Calibration Budiarto Airport, Jl Raya PLP Curug 5 Legok Tangerang - 15820

Phone.+6221-5462203-08 Fax.+6221-5474499 Website: ani.co.id

PT. AERO NUSANTARA INDONESIA

Page 4: application letter

HR Department, Hangar IV Calibration Budiarto Airport, Jl Raya PLP Curug 5 Legok Tangerang - 15820

Phone.+6221-5462203-08 Fax.+6221-5474499 Website: ani.co.id

PT. AERO NUSANTARA INDONESIA

Foreign Language

Language Spoken Written

English Poor X Fair Fluent Poor X Fair Fluent

Arab Poor X Fair Fluent Poor X Fair Fluent

German X Poor Fair Fluent X Poor Fair Fluent

Computer Skills

What computer programming languages and operation systems are you most proficient in?

Computer Program Basic Intermediate Advance Others, please specify:

Microsoft Office:

Word V

Excell V

Power Point V

Project

Outlook

________________

________________

________________

*) Place a tick mark (V) on the provided column

Membership of Professuonal, Social, or Political Activities

Name of Organization Type of Organization Period Activities Position

Leisure interest/Sports/Hobbies

Playing Basket ball and Reading a Book

GENERAL

1. Have you been or are you suffering from any serious ailment or physical disability? I never.

2. Have you ever applied for any post with ANI ? I never.

3. Have you previously been employed by this company? I never.

4. Have you any relative*) working with ANI ? I don't have any relative workin

5. Are you willing to work overtime? YES, I am willing to work overt

6. Are you willing to travel? YES, I am willing to travel.

7. Are you willing to relocate? YES, I am willing to relocate.

8. Are you willing to work in office or fields? YES, I am willing to work in offic

*) Relatives are: wife/husband, mother/father, son/daugther, sister/brother, aunt/uncle, niece/nephew, stepchildren, cousin, grandparent/grandchild, I-laws.

Page 5: application letter

HR Department, Hangar IV Calibration Budiarto Airport, Jl Raya PLP Curug 5 Legok Tangerang - 15820

Phone.+6221-5462203-08 Fax.+6221-5474499 Website: ani.co.id

PT. AERO NUSANTARA INDONESIA

Page 6: application letter

HR Department, Hangar IV Calibration Budiarto Airport, Jl Raya PLP Curug 5 Legok Tangerang - 15820

Phone.+6221-5462203-08 Fax.+6221-5474499 Website: ani.co.id

PT. AERO NUSANTARA INDONESIA

EMPLOYMENT HISTORY (start with current job, including temporary work and vocational training)

Employer: How were you reffered to this company?

Nature of business: Employment period:

Address & Phone No.:

Product / Services:

Position on Joining: Employment status:

Position on Leaving: Work schedule:

Monthly salary & benefits: Describe briefly your job & any significant accomplishment:

Supervisor's name/title:

May we contact? Yes

No, please explain: Reason for leaving:

Employer: How were you reffered to this company?

Nature of business: Employment period:

Address & Phone No.:

Product / Services:

Position on Joining: Employment status:

Position on Leaving: Work schedule:

Monthly salary & benefits: Describe briefly your job & any significant accomplishment:

Supervisor's name/title:

May we contact? Yes

No, please explain: Reason for leaving:

Employer: How were you reffered to this company?

Nature of business: Employment period:

Address & Phone No.:

Product / Services:

Position on Joining: Employment status:

Position on Leaving: Work schedule:

Monthly salary & benefits: Describe briefly your job & any significant accomplishment:

Supervisor's name/title:

May we contact? Yes

No, please explain: Reason for leaving:

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Page 7: application letter

HR Department, Hangar IV Calibration Budiarto Airport, Jl Raya PLP Curug 5 Legok Tangerang - 15820

Phone.+6221-5462203-08 Fax.+6221-5474499 Website: ani.co.id

PT. AERO NUSANTARA INDONESIA

Employer: How were you reffered to this company?

Nature of business: Employment period:

Address & Phone No.:

Product / Services:

Position on Joining: Employment status:

Position on Leaving: Work schedule:

Monthly salary & benefits: Describe briefly your job & any significant accomplishment:

Supervisor's name/title:

May we contact? Yes

No, please explain: Reason for leaving:

Employer: How were you reffered to this company?

Nature of business: Employment period:

Address & Phone No.:

Product / Services:

Position on Joining: Employment status:

Position on Leaving: Work schedule:

Monthly salary & benefits: Describe briefly your job & any significant accomplishment:

Supervisor's name/title:

May we contact? Yes

No, please explain: Reason for leaving:

COMMENCEMENT & SALARY EXPECTATION

1. If you are offered employment with us, when can you start working? as soon as possible

2. What is your salary expectation if you are offered employment with us? about 3 million

DECLARATION

I authorize the investigation of all information provided by me in this Application for Employment Form except

those pertaining to my current employment, I understand that as part of recruitment process, ANI will ask me to submit

copies of reference letter of my current and previous employers, copies of relevant certificates, copies of latest salary

slip and check my references. I also understand that a misrepresentation or omission of facts called for herein will be

sufficient cause for cancellation of consideration for employment or dismissal from the ANI's service if I have been

employed.

Date: Signature of Applicant:

You can send by email to [email protected]

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