EMBASSY OF SWITZERLAND IN INDONESIA
Applicant Information (2019)
A. Professional
Please attach
recent passport-
1. Job position/applying for: size photograph
here
2. Name:
3. Academic Record (start with highest degree):
Subject
Degree/ Level / major Passing
No. Name of the Institution Grade/GPA
of Year
study
[Add additional row(s), if necessary]
4. Employment Record (start with current job):
No Duration
Name of Organization Designation Reason for leaving
. From To
Mention/elaborate 3-5 of your key responsibilities:
Mention/elaborate 3-5 of your key responsibilities:
Mention/elaborate 3-5 of your key responsibilities:
[Add additional row(s), if necessary]
5. Total length of relevant experience for the job position you are applying for: … years …
month
6. Explain the reason(s) for gap in service (if any and if more than three months):
7. Your current/last drawn gross monthly salary (in IDR):
8. Training(s) Record:
No. Title/Subject of Training Duration Provided by Location
[Add additional row(s), if necessary]
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EMBASSY OF SWITZERLAND IN INDONESIA
Applicant Information (2019)
9. Language skills:
No
Language Writing Speaking
.
Very Averag Very
Average Good Excellent Good Excellent
Good e Good
[Add additional row(s), if necessary]
10. Computer skills: Ms-Word Ms-Excel Ms-PowerPoint Ms-Access SAP
Other, please specify:
11. Any other relevant special skills:
12. List of publication(s)/Report(s), (If any):
13. Any special achievement/distinction:
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EMBASSY OF SWITZERLAND IN INDONESIA
Applicant Information (2019)
B. Personal
1. Full name: 8. Number and age of children:
2. Father’s name: 9. Disability (if applicable):
3. Mother’s name: 10. Home address :
4. Date of birth: 11. E-mail:
5. Sex: 12. Phone number:
6. Nationality: 13. Driver license (if any, please specify):
7. Marital Status: 14. KTP / Passport no.
15. Is your spouse in employment? If yes, please provide details:
16. Have you ever applied for a job with the Embassy of Switzerland? If yes, please give
details:
17. Do you have a family member or are you related to someone who is currently working with
the Embassy of Switzerland? If yes, please specify:
18. In your professional career were you ever terminated on disciplinary ground? If yes, give
details:
19. Were you ever convicted of a criminal offence? If yes, give details:
20. Address (including contact no. & email):
Permanent Address Mailing Address
21. Reference (with full contact details and email). Ideally that would be current and previous
direct supervisor:
Referee 1 Referee 2
22. How did you learn about this job vacancy?
FDFA Website Newspaper LinkedIn Job Posting Site
___________________(which one?)
Others __________________ (please specify)
23. Authentication:
Do you certify with full confidence that the information provided above are authentic and
accurate?
Yes No
Signature: ....................................................................... Date: ...................................
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