JOB APPLİED: HOUSEKEEPING
FORM TURKEY
COUNTRY: INDONESIA
PERSONAL DATA
FULL NAME:
DATE OF BIRTH:
11 JULY 2002
NICK NAME:
PLACE OF BIRTH:
BR. JUNTAL
PASSPORT NO:
RELIGION:
LEGAL
ADRESS
HINDU
PASSPORT
VALIDITY DATE:
March 2022
KNOWLEDGE OF LANGUAGES
LANGUAGES
Grammar
BASE
ENGLISH
AVERAGE
Speech
PERFECT
V
BASE
AVERAGE
Understanding
PERFECT
BASE
V
AVERAGE PERFECT
V
EDUCATION STATUS
THE SCHOOL YOU GRADUATED FROM
DEPARTMENT
DATE OF GRADUATİON
SMK NUSADUA
2020
SMP NEGERI 4 KEDIRI
2017
SD NO 2 KABA-KABA
2014
WORK EXPERIENCE
COMPANY YOU WORK FOR
POSİTİON
HOW MANY MONTH
Villa tebu canggu
Housekeeping
2 years
Balissimo suites seminyak
Housekeeping
6 month
CERTIFICATES
Father’s name : I WAYAN GUSMERTA
Age : 56
Occupation : Wiraswasta
Mother’s name : NI KETUT KINTRI
Age : 54
Occupation : Wiraswasta
City : tabanan
Telephone :
081936369191
Husband/Wife’s name :
Age :
Occupation :
First child :
Age :
 Male
Permanent address : Br. Juntal, Ds, kaba-kaba, Kec, kediri,
Kab. Tabanan, Prov. Bali
 Female
Second child :
Age :
 Male
 Female
Third child :
Age :
 Male
 Female
Contact person in case of emergency : Father
Telephone :081936369191
DECLARATION
I certify that all statements made in this application are true and completed to the best of my
knowledge. I understand that misinterpretation or omission when discovered, will subject me
to be discharged and hereby I authorize any investigation relating to my work experiences,
education, or reputation for the purpose of my application for employment.
Applicant signature
Date