PT.

Hashmicro Solusi Indonesia

www.hashmicro.com
career.id@hashmicro.com
Neo Soho Podomoro City unit 3710
Jl. S. Parman Kav. 28, West Jakarta
Indonesia

Job Application Form

Applicant Information
Full name Teuku Muhammad Iqbal Anwar

Gender ☐Male ☐ Female Religion Islam

Place, Date of Birth Jakarta, 31 Agustus 1996 Marital Status ☐Single ☐ Married ☐Divorced

KTP/National ID No. 3174043108960002 Nationality Indonesia

Mobile No. 087788900997 Telephone No.

Full Address Jalan Angsana Raya No.7 RT 010/ RW 005 Pejaten Timur Pasar Minggu Jakarta Selatan

Postcode 12510

Email Address tmiaiqbal@gmail.com

Job Information
What position are you applying for? How did you hear about the position?
Business Development Jobstreet

When is your availability? Are you currently on any employment with other employer? If
November 2021 yes, please specify.

not working with other

Expected Salary (in Rupiah, Gross) Last Drawn Salary (in Rupiah, All-in Package)
4.500.000 4.000.000

What is your motivation to apply for this job? Why are you looking for a new job? (not applicable for fresh
graduates)
I am interested in this job because it offers many opportunities.
I'm looking for a company where I can use my skills to explore
my skill and givre contribution

Why do you think this job suits you best? What is your commitment level?
because i have job experience and education background i commitment for this job
suitable for this job

What is your view towards working overtime when required to meet Do you have any condition that may interfere with your ability
important deadline? to perform?
I think working overtime is not a problem because we have
no
responsibility for the work we do
 SKILLS (please attach if any certificate support these skills)
Mastering Level
Language Skills Remarks
(Very Good/Good/Fair/Poor)
English Good

Mastering Level
Computer Skills Remarks
(Very Good/Good/Fair/Poor)
Microsoft Office Good

Mastering Level
Other Skills relavant to Job Remarks
(Very Good/Good/Fair/Poor)

EDUCATION BACKGROUND (starting from the highest education)

Month/Year University/College/School/Course Major Degree/Diploma/Certificate
To Kalbis Institute Management Master Degree

To Binus University International Relation Bachelor Degree

To

To

RELEVANT WORKING EXPERIENCE (starting from the most recent job)

Reason for Leaving Salary Company
Month/Year Company Name Position
Telphone No.
July August
To Admin Crisis Center base contract 3.000.000
2021 2021 Dompet Dhuafa
Dec March Ipro Solusi Canggih
To Account Executive Covid-19 4.000.000
2019 2020
To

To

To

Other Information
Do you have any relatives, partner in relationship, friends who are ☐ Yes ☐ No
working in ERP and E-commerce Industry ? If Yes, Please state Name, Relationship, Working Company
___________________________________________________________________
Have you been involved in any criminal activities or being ☐ Yes ☐ No
sentenced by the court of law for any criminal/civil case? If Yes, Please state detail of the event
___________________________________________________________________

Have you been, or are you suffering from any physical impairment ☐ Yes ☐ No
or ilness? If Yes, Please state detail of illness
___________________________________________________________________

Have you been committed in any errors and omissions during your ☐ Yes ☐ No
tenure in your previous companies? If Yes, Please state detail of the event
___________________________________________________________________

FAMILY BACKGROUND (Family, Spouse, Chidren, Partner in Relationship)

Date of Occupation Company Position Contact
Name Relationship
Birth Name Number

Teuku Anwar Daud Father 01/04/1957 not working 082114652221

Cholilah Husen Mother 05/09/1962 housewife 081317900362

Cut Nurmala Hayati Sister 11/11/1986 BUMD Bank DKi Relationship Manager 081382311170

Teuku Abdul Hafizd Brother 17/02/1990 Businessman Owner 082113025491

Teuku.M. Iqbal.A Little Brother 31/08/1996 Staff Dompet Dhuiafa Admin Crisis Center 087788900997

REFERENCES (It can be previous employer, manager, lecturer, and colleagues. Friends & family members are not qualified)
Name Address Occupation Company Name Relationship Contact Number

Disclaimer- By signing, I hereby certify that the above Name & Signature Date (DD/MM/YYYY)
information, to the best of my knowledge is correct. I understand 28/10/2021
that falsification of this information may prevent me from being
hired or lead to my dismissal if hired with immediate effect and
without compensation from PT. Hashmicro Solusi Indonesia. I Teuku Muhammad Iqbal Anwar
also provide consent for former employers and references to be
contacted regarding work and performance records.