Asian Productivity Organization

Application for Employment

Position applying for

From where did you learn

about this vacancy?

1.Name in Full Yuliar Arif Rahmanto

2.Date of Birth Jul-04-1980

3.Nationality WNI

4.Gender Male

5.Marital Status Single

6.Permanent Home Address Beseran 1 Kalingkrik, Magelang, Jawa Tengah

7.Present Home Address

yar.04.30.id@gmail.com Personal
8.Contact email addresses
Office
085732418797 / 082138590380 Mobile
Home
9.Contact telephone numbers
Office
Others
10.Do you have dependents? No
Information on dependents
Name Relationship Date of Birth

11.Have you previously submitted an application

No
for employment to the APO?
If yes, when and for which position?
Were you shortlisted for any interviews?
Language Read Write Spoken
1 Indonesia Excellent Excellent Excellent
12.Languages: Select as
appropriate. List your 2 Jawa Native Native Native
mother tongue first. 3 Inggris Fair Fair Fair
4
13.Professional
Qualifications, if any
OutoCad,
(e.g. CPA, TOEIC,
TOEFL, etc).
14.IT skills (e.g. Word,
Excel, Database, HTML,

1
 Asian Productivity Organization

etc)
15. Academic qualifications. List in reverse chronological order i.e. starting from the most recent.
A-1.University or Equivalent
Degrees & Academic Name of University or City/Country From To
Distinctions / Major Institution
Field of Study
Civil Engineering Universitas Yogyakarta Sep-2000
Cokroaminoto
Yogyakarta

B-1.Schools or other formal training or eduction from age 14

(e.g. high school, technical school, or apprenticeship)
Certificates or diplomas Name of School or City/Country From To
Institution
Ijazasah SMK Sekolah Menengah Magelang
Kejuruan 1
Magelang

16.List any significant publications you

have written
17.List professional society memberships
and activities in civic, public, or
international affairs
18.Professional Experience. List in reverse chronological order i.e. starting from the most recent.

a Specific title of position Name of employer City/Country From To

Type of business
Description of duties
Number of employees supervised
Reasons for considering leaving

b Specific title of Name of employer City/Country From To

position

Type of business
Description of duties
Number of employees supervised
Reasons for considering leaving

c Specific title of position Name of employer City/Country From To

Type of business
Description of duties
Number of employees supervised
Reasons for considering leaving

d Specific title of Name of employer City/Country From To

position

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 Asian Productivity Organization

Type of business
Description of duties
Number of employees supervised
Reasons for considering leaving

e Specific title of position Name of employer City/Country From To

Type of business
Description of duties
Number of employees supervised
Reasons for considering leaving
19.References. List three persons, not related to you, who are familiar with your character and qualifications.
Name Designation Address Telephone Email

20.Do you suffer from any physical or mental condition or illness that may
No
impair your performance of duties or impact the health of your colleagues?
If yes, please elaborate

21.Have you ever been arrested, indicted, or summoned to court as a

defendant in criminal proceedings, or convicted, fined, or imprisoned for the No
violation of any law (excluding minor traffic violations)?
If yes, please elaborate

22.Other points for consideration, if

applicable
23. Do you certify that the statements made by you in the answers to the above
questions are true, complete, and correct to the best of your knowledge, and that
any misrepresentation or material omission made on this application form or other Yes
document requested by the APO renders this application invalid or may result in
the termination of employment, if already employed by the APO?

Signiture: Date