LAMPIRAN PENGUMUMAN PMU EXPERT

ANNEX A - FORM I - LETTER OF APPLICATION
Date:
Name of Individual Consultant
Address
Telephone/Fax/Email
To

: ............................................................
: ............................................................
: ............................................................

: Project Manager c.q Bid Committee
Project Management Unit (PMU) Office
Gedung Rektorat –PMU,Jl. Prof. Hamka. Air Tawar, Padang ,Indonesia

I would like to apply for the PMU expert advertised in website reg: ............ dated 2012. I hereby
apply to be qualified as of for the works: Individual Consultancy for The Reconstruction
and Upgrading of State University of Padang Project (UNP).
I enclose my curriculum vitae together with copies of my experience data and
certificates/testimonial.
I declare that the statements made and the information provided in duly completed application are

complete, true and correct in every detail

Respectfully,
Signature & Materai Rp. 6000,Applicant

ANNEX B - FORM II – CURRICULUM VITAE
CURRICULUM VITAE FORM
FOR PROCUREMENT AND TECHNICAL EXPERT SPECIALIST
Proposed position
:
1. Contact Email or Phone :
Email :
Phone :
Mobile :
2. Full Name with Address
Name
Address

:
:

:

3. Date of Birth

:

4. Citizenship

:

5. Educational Qualifications :
[Summarize college/university and others specialized education, giving name of schools, dates attended and
degrees obtained]
Qualificatio
Institutio
Year

6. Membership of Professional Associations :
Status


Name of Associations

Registered

7. Others Training and/or Professional Qualification (s)
8. Country of Work Experience
9. Languages
Language

:

:
Speaking

Reading

10. Employment Recording since
Graduation:
[Starting with present position, list in reverse order every employment held]
From

to
Employer
:
Position Held :
Duties
:

From
to
Employer
:
Position Held
:
Duties
:

Writing

11. Detailed Tasks
[1]

Name of assignment or Project:
Year
:
Location
:
Client
:
Main of Project features :

Position
Activities performed

:
:

[2]
Name of assignment or Project:
Year
:
Location

:
Client
:
Main of Project features :

Position
Activities performed

:
:

If in the future, the information provided is not true and correct, we are willing to take all the
consequences due to the rejection from the selection process.
Respectfully,
Signature & Materai Rp. 6000,Name of Applicant

ANNEX C - FORM III – COPIED OF EXPERIENCED DATA & CERTIFICATED
CHECK LIST DATA
No.
DOCUME

Remark
1. Graduated Certificated
Number:
Dated:
2. ..etc