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
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