BSMS - Input Data Diri

Negara Tujuan (Country of Destination)*

1. Informasi Pribadi (Personal Information)

Nama Lengkap (Full Name)*

Negara Lahir (Nationality)*

Kota Kelahiran (City of Birth)*

Tanggal Lahir (Date of Birth)*

Umur (Age)*

Jenis Kelamin (Gender)*

Laki - laki (Male)

Perempuan (Female)

Agama (Religion)*

Status Kawin (Marital Status)*

Pendidikan Terakhir (Education)*

Nama Suami (Husband Name)*

Telp Suami (Husband's Number)*

Alamat Lengkap Tinggal Saat Ini (Address)*

Kota Tinggal Saat Ini*
(City)*

Kecamatan Tinggal Saat Ini*
(Subdisctrict)*

Kelurahan / Desa Tinggal Saat Ini*
(Ward / Village District)*

Kode Pos Tinggal Saat Ini*
(Postal Code)*

Telepon 1 (Mobile Phone)

Telepon 2 (Phone Number)

Tinggi Badan (Cm) (Height)

Berat Badan (Kg) (Weight)

Komentar / Keterangan (Remark)*

2. Keluarga (Family)

Nama Ayah (Father)

Nama Ibu (Mother)

Pekerjaan Orang Tua(Parent's Occupation)

Telepon Orang Tua (Parent's Phone Number)

Alamat Orang Tua (Parent's Address)

3. Pendidikan (Educational Background)

Pendidikan Formal (Formal Education)	Nama Sekolah (School Name)*	Tahun Kelulusan (Years of Graduation)*	Action

4. Pengalaman Kerja (Working Experience)

Negara (Country)*	Perusahaan (Company)*	Posisi (Position)*	Alasan Keluar (Reason of Leaving)*	Waktu (Period)*	Paspor (Passport)	Action

5. Unggah Dokumen (Upload Documents)

Nomor KTP (KTP Number)

Foto Ktp (Image of Family Registration Number)

Nomor Kartu Keluarga (Family Card Number)

Foto Kartu Keluarga (Image of Family Card Number)

Foto Ijazah (Image of Diploma)

Foto Surat Nikah (Image of Marriage Certificate)

Foto Paspor (Image of Passport)

Foto 3x4 (Profile Picture)

PT. BERKAT SUKSES MAKMUR SEJAHTERA

1. Informasi Pribadi (Personal Information)

2. Keluarga (Family)

3. Pendidikan (Educational Background)

4. Pengalaman Kerja (Working Experience)

5. Unggah Dokumen (Upload Documents)