PROJECT SUPPORT STAFF

---

Full Name *

Nick Name *

Gender *

Male Female

Place of Birth *

Date of Birth *

Religion * Select Religion Moslem Catholic Christian Budha Hindu Kong Hu Cu Others

You are the *

number only

child of *

number only

siblings in your family

Hobby

Blood Type *

A B AB O

Marital Status *

Single Married

Nationality *

Indonesian Others

No. of Children and/or No. of Other Dependents

---

Email *

Phone Number *

Post Code *

Full Address *

---

ID Card No. (KTP) *

NPWP

Jamsostek No.

---

What Foreign Languages Do You Speak, Read or Write Fluently?

Add Language

Language	Speak	Read	Write
Add Language

---

Education Please Record Your Education Below *

High School
Name of School	City, State/Country	Length Of Study	Major	GPA
		to	Select Major Science Social Literature/Language Department Vocational High School (Accounting) Vocational High School (Office Administration) Other

College/Univ
Name of School	City, State/Country	Length Of Study	Major	GPA
		to	Select Major Accounting Taxation Finance Fiscal Administration English Literature Psychology Human Resources Management Information Technology (IT) Library Management Business Studies/Administration/Management Communications Development Economics Secretarial Other

Post Graduate
Name of School	City, State/Country	Length Of Study	Major	GPA
		to	Select Major Accounting Taxation Finance Fiscal Administration English Literature Psychology Human Resources Management Information Technology (IT) Library Management Business Studies/Administration/Management Communications Development Economics Secretarial Other

---

Do you have any experience?

Yes No

Previous Employment & References Give in Chronological Order Beginning With Most Recent Position

	Present or Last Employer	Previously Employed by	Previously Employed by
Name Of The Firm
Nature Of Business
Address
Position
Employment Period	to	to	to
Monthly Salary (Gross/Net)	Gross Net	Gross Net	Gross Net
Benefit Enjoyed
Reason For Leaving
Discharged/Asked To Resign
May We Contact Employer

---

Courses / Trainings If Any

Name of Courses / Trainings
Add Courses / Trainings

---

Achievements If Any

Name of Achievement
Add Achievement

---

Upload your CV and photograph here

Allowed File Type : pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png
Photo * (max 2Mb) Allowed file type: .jpg, .jpeg, .png
CV and other documents * (please attach into 1 file max 2Mb) Your file : Allowed file type: .pdf, .doc, .docx

1st References Please give the name and address of your family relation, if should there be any emergency situation

Name *

Phone Home *

Phone Office

Address *

---

2nd References Please give the name and address by whom you have been employed.

Name

Phone Home

Phone Office

Address

---

Who recommends you to us? *

Summarize special skills and qualifications acquired from employment or other experience

---

Family Tree

Parents
Name *	Relation *	M/F *	Place of Birth *	Date of Birth *	Company Name *	Position *	Business Sector *
	Father	M
	Mother	F

Brothers or Sisters
Name *	Relation *	M/F *	Place of Birth *	Date of Birth *	Company Name *	Position *	Business Sector *
Add Brother or Sisters

Wife or Husband
Name *	Relation *	M/F *	Place of Birth *	Date of Birth *	Company Name *	Position *	Business Sector *
		M F

Children
Name *	Relation *	M/F *	Place of Birth *	Date of Birth *	Company Name *	Position *	Business Sector *
Add Children

Do you have any family members or relatives who are currently employed by:

• A company operating in the same industry as the Company;
• A government institution or regulatory body related to the Company's business activities; or
• A company that has a business relationship with the Company.

Yes No

Family Members / Relatives Currently Employed
Name	Relation	M/F	Company Name	Position	Business Sector
Add Row

---

If we accept you as a staff, when is the estimated date you can join us? *

If our offering is the same or slightly lower than your current salary, would you consider to continue the recruitment process? *

What is your expected salary range? *

to

(For Consultant position) PB Taxand has 2 (two) division - Tax Advisory (Individual div & Corporate div) and Transfer Pricing. Do you agree to be proceed in both division? *

Do you agree to be put in our candidates database when we currently cannot proceed your recruitment yet? If yes, for how long do you still consider it? *

If PB Taxand cannot proceed with your recruitment further, would you agree to be referred to our affiliation firm that gives services in audit/accounting service? *

Do you have any history of illness, been hospitalized, or experienced any accidents?

Yes No

Provide details informations

Do you have any relatives or friends working in PB Taxand?

Yes No

 

Name *	Department *	Relationship *
Add Friend

---

• I certify that answers given herein are true and complete to the best of my knowledge.
• I authorize PB Taxand to make such investigations and inquiries of my personal and employment history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools or persons from all liability in responding to inquiries in connection with my application.
• In the event of employment, I understand that false or misleading information given in my application or interview (s) may result in discharge. I understand, also, I am required to abide by all rules and regulations of the Company.

I Agree