Please provide the following contact information:

First name
Last name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Phone
FAX
E-mail
URL

Please describe yourself:

Date of birth (dd/mm/yyyy)
Sex	Male Female
Height
Weight

What is your ideal wage?

------------------- 500,000 - 700,000 Rls 700,000 - 1000,000 Rls 1,000,000 - 1,400,000 Rls 1,400,000 - 1,700,000 Rls 1,700,000 - 2,000,000 Rls 2,000,000 - 2,400,000 Rls 2,400,000 - 2,800,000 Rls 2,800,000 - 3,200,000 Rls More than 3,200,000

Enter your experiences in the space provided below.

How would you rate your English?

poor average fair good

How would you rate your computer knowledge?

poor average fair good

What is your curriculum degree?

----------- Diploma Bachelor Degree Master Degree Doctoral PHD

Enter your major in the space provided below.

Enter your curriculum vitae (CV) in the space provided below:

What is your favorite position?