Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.A. Identitas Data Diri- Sebelum mengisi pastikan telah menyiapkan dokumen dibawah ini. - Dokumen Lampiran wajib dijadikan 1 File dengan Format PDF maximal 10MB. - Upload File yang telah disiapkan pada bagian akhir pengisian dibawah. 1. Pas foto warna 3x4 2. Fotocopy KTP 3. CV (Portofolio) 4. Fotocopy Ijazah terakhir 5. Surat Keterangan Pengalaman Kerja Min 1 Tahun 6. Sertifikat Pelatihan dari Lembaga Pelatihan kerja yang terakreditasi Syarat diatas wajib dicetak dan dibawa saat Uji Kompetensi di laksanakan Nama *FirstLastNo KTP *Alamat *Address Line 1CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryLayoutTanggal LahirJenis Kelamin---- Pilih Jenis Kelamin ----Laki - LakiPerempuanNo. Handphone *Email *Agama---- Pilih Agama ----IslamKristenKatolikHinduBudhaStatus---- Pilih Status Pernikahan ----MenikahBelum MenikahPendidikan *---- Pilih Pendidikan Terakhir ----MagisterStrata 1SMA / SMKSMPSDJurusanB. Jadwal AssesmentLayoutPilih Tanggal AssesmentLokasi TUK---- Pilih Lokasi TUK ----PT. Kampuh Welding IndonesiaPT. Teknik Tadakara SumberkaryaPPNS SurabayaPusdiklat PALPilihan Skema *Welder Pertama SMAW PerkapalanWelder Muda SMAW PerkapalanWelder Madya SMAW PerkapalanWelder Utama Kombinasi SMAW + GTAW PerkapalanWelder Pertama FCAW PerkapalanWelder Muda FCAW PerkapalanWelder Madya FCAW PerkapalanWelder Utama Kombinasi FCAW + GTAW PerkapalanWelder Pertama GMAW PerkapalanWelder Muda GMAW PerkapalanWelder Madya GMAW PerkapalanWelder Utama Kombinasi GMAW + GTAW PerkapalanWelder Pertama GTAW PerkapalanWelder Muda GTAW PerkapalanWelder Madya GTAW PerkapalanOperator Welder Pertama SAW PerkapalanOperator Welder Muda SAW PerkapalanOperator Welder Madya SAW PerkapalanOperator Welder Utama SAW Kombinasi PerkapalanWelding Supervisor PerkapalanWelding Inspektor Muda PerkapalanWelding Inspektor Madya PerkapalanWelding Inspektor Utama PerkapalanWelding Engineering PerkapalanOperator Fabrikasi MadyaOperator Fabrikasi SeniorPlate Fitter Assembly MadyaPlate Fitter Assembly SeniorFitter Hull Outfitting MadyaFitter Hull Outfitting SeniorPipe Fitter MadyaPipe Fitter SeniorPlate Fitter Dock (Erection) MadyaPlate Fitter Dock (Erection) SeniorOperator Mesin Outfitting (MO) MadyaOperator Mesin Outfitting (MO) SeniorShip Electrician Outfitting (EO) MadyaShip Electrician Outfitting (EO) SeniorInspektur Mutu Hull Construction MadyaInspektur Mutu Hull Construction Senior*) Pilihlah sesuai dengan Kompetensi yang akan di UjiFile Upload Click or drag a file to this area to upload. 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