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APPLICATION FORM FOR POSITION : SOCIOLOGY TEACHER
DATA PRIBADI / PERSONAL DATA
Foto Profil / Profile Picture
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Nama Lengkap
Full Name
Jenis Kelamin
Gender
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PRIA/MALE
WANITA/FEMALE
Nama Panggilan
Nickname
Tempat Lahir
Place of Birth
Tanggal Lahir
Date of Birth
No.KTP
Residence ID Card Number
No. SIM
Driving License Number
No. Paspor
Passport Number
Alamat Sekarang
Recent Address
Alamat sesuai KTP
Address in ID Card
No. Telephone /
Phone Number
E-mail
Skype
Status Perkawinan
Marital Status
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MENIKAH/MARIED
LAJANG/SINGLE
JANDA/WIDOW
DUDA/WIDOWER
Agama
Religion
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KRISTEN/CHRISTIAN
KATOLIK/CATHOLIC
ISLAM/MOSLEM
HINDU
BUDHA/BUDDHIST
KONHUCU/CONFUCIAN
Sekarang bergereja di
Currently attends church at
Kosongkan bila non kristiani / Leave blank if non christian
Golongan Darah
Blood Type
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A
B
AB
O
KONDISI KESEHATAN FISIK / PHYSICAL HEALTH CONDITION
Penglihatan
Vision
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BAIK/GOOD
BURUK/POOR
Jika buruk, tentukan
If poor, identify
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MINUS
PLUS
CYLINDER
Masalah Kesehatan
Health Problem
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DULU/PAST
SEKARANG/CURRENT
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TUBERKULOSIS / TUBERCULOSIS
DIABETES / DIABETES
HIPERTENSI / HYPERTENSSION
HEPATITIS / HEPATITIS
SAKIT JANTUNG / CARDIAC ARREST
LAINNYA / OTHERS
Masalah kesehatan lainnya
Other health problem
Alergi
Allergies
DATA KELUARGA / FAMILY DATA
Nama Pasangan
Name Of Spouse
Umur
Age
Telp.
Alamat
Address
DATA ANAK / CHILDREN DATA
Nama
Name
Umur
Age
Jenis Kelamin
Gender
Tanggal Lahir
Date of birth
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PRIA/MALE
WANITA/FEMALE
DATA ORANG TUA / PARENTS DATA
Status
Nama
Name
Alamat
Address
Telp.
Pekerjaan
Occupation
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AYAH/FATHER
IBU/MOTHER
DATA SAUDARA KANDUNG / SIBLINGS DATA
Nama
Name
Umur
Age
Gender
Pekerjaan
Occupation
Tempat Kerja
Place of Work
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PRIA/MALE
WANITA/FEMALE
LATAR BELAKANG PENDIDIKAN / EDUCATION BACKGROUND
PENDIDIKAN FORMAL / FORMAL EDUCATION
Nama Lembaga
Name of Institution
Tingkat Pendidikan
Level Degree Earned
Program Studi
Study Program
Tahun Lulus
Year of Completion
Sertifikat
Certificate
Transkrip
Transcript
+
PENDIDIKAN NON-FORMAL / NON-FORMAL EDUCATION
Nama Lembaga
Name of Institution
Tingkat Pendidikan
Level Degree Earned
Tahun Lulus
Year of Completion
Sertifikat
Certificate
Transkrip
Transcript
+
PENGALAMAN KERJA / WORKING EXPERIENCE
Nama Lembaga
Name of Institution
Posisi
Position
Lama Bekerja (Tahun) / Service Period (Year)
Surat Referensi
Certificate of Employment
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PENGALAMAN BERORGANISASI / ORGANIZATIONAL EXPERIENCE
Nama Organisasi
Name of Organization
Alamat
Address
Posisi / Position
Tahun
Year
Durasi (Tahun)
Duration (Year)
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KEAHLIAN BAHASA / LANGUAGE SKILL
Bahasa
Language
Berbicara
Oral
Menulis / Written
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AKTIF/ACTIVE
PASIF/PASSIVE
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AKTIF/ACTIVE
PASIF/PASSIVE
PELAYANAN DI GEREJA / MINISTRIES IN CHURCH
Pelayanan / Ministries
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Perkenalan Diri / Self Introduction
Perkenalan Diri / Self Introduction
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