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HR Application Form - Blank (New)

The document is an employment application form for PT HLI Green Power, part of the Hyundai Motor Group and LG Energy Solution joint venture. It requires applicants to provide personal information, educational background, employment history, and character references, along with a declaration of the truthfulness of the provided information. The form emphasizes the company's right to terminate employment if any information is found to be untrue.

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feddy hendriyawan
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8 views4 pages

HR Application Form - Blank (New)

The document is an employment application form for PT HLI Green Power, part of the Hyundai Motor Group and LG Energy Solution joint venture. It requires applicants to provide personal information, educational background, employment history, and character references, along with a declaration of the truthfulness of the provided information. The form emphasizes the company's right to terminate employment if any information is found to be untrue.

Uploaded by

feddy hendriyawan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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HYUNDAI MOTOR GROUP & LG ENERGY SOLUTION JV

PT. HLI GREEN POWER


OFFICE/FACTORY : KNIC (KARAWANG NEW INDUSTRY CIITY) BLOCK C NO1, JL. RAYA TRANS HEKSA KM 7, DESA WANAJAYA KECAMATAN TELUKJAMBE
BARAT KABUPATEN KARAWANG JAWA BARAT 41361

EMPLOYMENT APPLICATION FORM


INSTRUCTIONS
1. This form has been designed to provide us with basic information for easy processing of your application for employment with us. It also
serves as our personnel record should you be employed.
2. All relevant parts of this application form must be completed.
3. PT HLI Green Power reserves the right to terminate the employment of the applicant if any of the information in this application form is
found to be untrue after engagement.

Position Applied For: Date of Application:

1. PERSONAL PARTICULARS

Name, as in Passport/NRIC:

(Title: Dr / Mr / Mrs / Miss / Ms)


Place of Birth: Date of Birth: Sex: Male / Female
Photo

Nationality: Race: Age:

Marital status: Single/ Married / Religion: Ethnic Group:


Divorced / Widowed
Contact information (in Indonesia)
Current Residential address: Residential telephone number:

Email: Office telephone number: Mobile number: Pager number:

Contact information (Overseas, for non-Indonesia citizen or permanent resident)


ID Card address: Contact number(s):

2. SCHOLARSHIPS / AWARDS / BONDS


Year of Value Start Date End Date
Description
Award of Award of Bond of Bond

3. PROFESSIONAL MEMBERSHIPS
From To
Association / Society / Company Position Held
(mm/yy) (mm/yy)
4. COMPUTER LITERACY & OTHER SKILLS
Software applications that you are proficient in:

Shorthand: wpm Typing: wpm

5. LANGUAGE PROFICIENCY
Please indicate Good, Fair or Poor

Language / Dialects Written Spoken

6. HOBBIES / INTERESTS / GAMES

7. EDUCATIONAL AND OTHER PROFESSIONAL QUALIFICATIONS


Please attach your educational certificates/ transcripts if you are short-listed for the interview.

From To Name of Institution / Country Highest Qualifications Attained


(mm/yy) (mm/yy)

8. EMPLOYMENT HISTORY
Please start with your current or most recent employment. Please use additional sheet(s) if space below is insufficient.

Name
& Address of
Employer
Current /Last
Allowance
From To Drawn
& Bonus (if any)
Monthly Salary

Job Title
&
Brief Description
of Duties

Reason(s) for
Leaving

Name
& Address of
Employer
Last Drawn Allowance
From To
Monthly Salary & Bonus (if any)
Job Title
&
Brief Description
of Duties

Reason(s) for
Leaving

Name
& Address of
Employer
Last Drawn Allowance
From To
Monthly Salary & Bonus (if any)

Job Title
&
Brief Description
of Duties

Reason(s) for
Leaving

9. CHARACTER REFERENCES

Occupation Period
Name Address Contact No.
& Name of the Organization Known

10. ADDITIONAL INFORMATION

What is your expected monthly salary?

How soon can you join us?

11. DECLARATION

1. Have you been discharged or dismissed from the service of your previous employers? Yes / No

2. Have you been or are you suffering from any mental disorder or physical impairment? Yes / No
3. Have you been or are you suffering from any disease / illness / major medical condition in the last 6
Yes / No
months?
4. Are you currently under any medication? Yes / No

5. Have you taken 2(two) dose of Vaccination Covid 19? Yes / No


6. Have you been convicted in a court of law in any country or detained under the provisions of any written
Yes / No
law?
7. Are you holding bonding agreement in any company? IF YES, are still on going? Yes / No

8. Do you have any relatives/friends working in PT HLI Green Power and/or its subsidiary? Yes / No

9. Have you applied for any employment in PT HLI Green Power and/or its subsidiary before? Yes / No

If your answer to any of the above is yes, please give details in the space provided or on a separate sheet.
• I declare that all the information given herein is true and correct.

• I understand that a misrepresentation or omission of facts will be sufficient cause for cancellation of consideration for
employment or dismissal from the Company’s service if I have been employed.

• I understand that completing this application is not a promise of employment from the Company or its subsidiaries.

• I authorize PT HLI Green Power and/or its subsidiaries to confirm any of the statements above and also give the
company the right to investigate my background at any time.

• I hereby declare that all information provided in this application and on the attached resume is true, complete and
accurate.

• I understand that the submission of false information or misrepresentation in this application, may result in the immediate
termination of my employment should I be employed by the Company.

Signature of applicant:

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