How will your ideas make the world work better?

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1 How will your ideas make the world work better? Begin your exceptional EY experience now! EY is a leading global organization with more than 212,000 employees all over the world. There is no better time than now to join us in building a better working world and get your exceptional EY experience. Our service lines in Indonesia are growing very rapidly and we are looking for: Junior Auditor Junior Tax Consultant Requirements: Bachelor s degree in Accounting Minimum CGPA of 3.0 out of 4.0 Excellent communication, presentation and interpersonal skills with ability to deal with people at all professional levels Strong persuasive communication skill in both written and oral in Bahasa Indonesia and English Strong logical and analytical thinking and problem solving skills Strong execution focus and proven ability to get things done Ability to work effectively under pressure and meet the established goals and objectives within Proactive, highly motivated and able to work effectively in a team We invite you to join us for campus hiring as per below details: Date/Day : Tuesday, 22 March 2016 Time : 11:00 17:00 Venue : Audiovisual lantai 6, FEB - Universitas Gadjah Mada, Bulak Sumur, Yogyakarta Agenda : Get to know EY Preliminary Assessment Registration: Register yourself at ey.com/id/careers under Campus Hiring Universitas Gadjah Mada by 18 March 2016 at the latest PT Ernst & Young Indonesia. All Rights Reserved. FY16_HRD_Campus Hiring_ Chosen.indd 5 2/24/ :43:28 AM

2 APPLICATION FORM Please answer in your own handwriting Employee#: Division: Position: Fill by Human Resource Department Name: Date Status: (First Name) (Middle Name) (Last Name) Current Address City Postal Code Country Telephone No. : Office Home Cellphone Address Permanent Address City Postal Code Country Telephone No. : Where do you live? own home rented house boarding house with parent Others (specify) Identification Card No. (KTP/Pasport* ) * ) applied for expatriate employee Sex Age Years Date of Birth Citizenship Place of Birth Religion Civil Status : Single Married Widowed Separated No. of Children No. of Dependents EDUCATION RECORD : Education Name of School City Inclusive Date From To Degree, if any Major Course or Subject Honors/ Rank GPA/ IPK (in scale of 4) Senior High School (SMA) Academy University Postgraduate / Advance Studies Others Courses Computer skills English skills Low Medium Good Excellent Other language Low Medium Good Excellent Where did you hear about our job vacancy? EY Career Website EY Hiring Campaign Photo Job Advertisement If so, please specify Others If so, please specify Application Form - EY Recruitment - 08/15 B.2.1

3 PROFESIONAL MEMBERSHIP QUALIFICATION (CPA, CIA, CISA, Brevet etc.) Name Profesional Association/ Organization Dates/ Year Certification Title of Certificate RECORD OF EMPLOYMENT Present Employer Past Employer 1 Past Employer 2 Past Employer 3 Company Name Address Nature of Business Immediate Supervisor (name and position) Your position/title Period of Employment (Start - End) Starting monthly Salary (gross) Present salary/ salary Upon leaving (gross) Reason for Leaving Have you ever been dissmissed or suspended by your previous employers (s)? If so, State date, by which company and the case FAMILY BACKGROUND: Give names and addresses of your family background Father Mother Name Address / Telephone Occupation and Empl oyer Si bl i ngs R E F E R E N C E S: Give names and addresses of person/ contact number, preferably those in business or profession, who have known you for at least three years. (Do not give names of relatives.) Name Address / Telephone Occupation and Empl oyer Number of Years of Acquaintance Are you related to any partner or employee of this Firm? if so, to whom? Name referral in our employ Application Form - EY Recruitment - 08/15 B.2.1

4 Were you involved in any administrative, civil or criminal case? if so, please specify Have you ever been involved in previous or ongoing Civil Litigation? If yes, please explain Are you in a good health? Do you have any physical defects? if not, please explain if yes, please explain Are you in pregnancy What serious illnesses, operations or accidents have you had? * ) Have you applied to us before? * ) If so, when Position Have you taken our entrance test before? * ) If so, when For what position are you appplying? When can you start? Minimum monthly salary acceptable (Gross) : Rp. *) if so, please indicated date/year. Explain briefly below your reason (s) for applying with us and state why you believe you are qualified for the position you are applying: I certify that the statements made in this application form are true and complete. I understand that any misrepresentation will be considered sufficient reason for withdrawal of an employment offer or subsequent dismissal if already been employed Signature of Applicant Date: Application Form - EY Recruitment - 08/15 B.2.1

5 PERNYATAAN KESEHATAN HEALTH STATEMENT Nama Lengkap:... Full Name Jenis Kelamin: Sex Tanggal Lahir: Date of Birth Status: Marital Status 1. Pria/Male 2. Wanita/Female..... Umur/Age: Tahun/Year 1. Belum kawin/single 2. Menikah/Married 3. Cerai/Widow/er Data kesehatan (Bila ya, mohon dijelaskan) Medical Data (If yes, please Explain) 1. Tinggi badan: cm, Berat badan:... kg Height Weight 2. Dalam dua bulan terakhir, apakah Anda pernah sakit atau kecelakaan? In the last two months, have you ever been sickness or gotten an accident? 3. Apakah anda dalam keadaan sehat, dan tidak dalam keadaan cacat atau sakit jiwa? Are you in a good health, and not having a physical disability or mental disorder? 4. Apakah anda dan/atau anggota keluarga dekat*) anda sudah pernah atau pernah dirawat disebabkan karena salah satu penyakit atau problem dari kesehatan yang tercantum di bawah ini? Have you and/or immediate members of your family*) ever had or been treated for in any of the following diseases or health problem? a. Kelainan pada sistem peredaran darah (Tekanan darah tinggi, serangan jantung, dll)? Circulatory System Disorder (Hypertension, Heart Attack, etc.)? b. Kelainan pada sistem pernafasan (TBC, Asma, Pneumonia, etc)? Respiratory System Disorder (TBC, Asthma, Pneumonia, etc.)? c. Kelainan pada sistem saluran kencing? (batu ginjal, penyakit kelamin, dll)? Urinary System Disorder (Kidney Stone, Venereal Disease, etc.)? d. Kelainan pada sistem pencernaan (Hati, kandung kemih, usus halus, dll)? Digestitive System Disorder (Liver, Gall Bladder, Intestine, etc.)? e. Kelainan pada sistem syaraf (epilepsi, kelainan mental/gangguan cemas, etc.)? Nervous System Disorder (Epilepsy, Mental Illnes/Nervous Disorder, etc.)? Health Statement Recruitment 08/13 B.2.6

6 f. Kencing manis, kanker, tumor, atau luka berat? Diabetes, Cancer, Tumor, or Severe Bodily Injury? g. Kelainan pada kulit, kurang gizi, infeksi kronis, atau saran untuk menjalankan test HIV? Skin Disorder, Weight Loss, Chronicle Infection, or Advised to Undergo an HIV Test? h. Penyakit-penyakit lain yang tidak disebutkan di atas? Other Diseases Not Mentioned Above? 5. Apakah anda pernah atau dianjurkan untuk menjalani operasi, diperiksa oleh dokter, atau sudah pernah menjalankan pemeriksaan kesehatan (Test darah, pemeriksaan sinar X, Electrokardiopgram, dll) selama dua tahun terakhir ini? Have you had or been advised to have an operation, been treated by a doctor, or had a Medical Check Up (Blood Test, X-ray, ECG, etc.) in the last two years? 6. Khusus untuk Wanita: Apakah Anda sedang hamil sekarang? Bila Ya, dalam keadaan hamil... bulan For females: Are you pregnant now? If yes, stage of pregnancy is...months PERNYATAAN DAN PEMBERIAN KUASA: STATEMENT AND AUTHORIZATION: Dengan ini saya menyatakan bahwa pernyataan saya ini semua benar, dan saya mengerti apabila pernyataan saya ini tidak benar, Perusahaan dapat membatalkan pemekerjaan sejak awal perjanjian dibuat, dan tidak berkewajiban untuk membayar apapun. Dengan Pernyataan ini, saya memberi kuasa kepada semua dokter di rumah sakit, klinik, perusahaan asuransi, atau perusahaan/lembaga, atau yayasan, atau perorangan, untuk membuat dan mengirim laporan/ pernyataan ke Perusahaan mengenai kesehatan saya. Fotocopy dari pemberian kuasa atas pernyataan ini akan dianggap sah berdasarkan hukum, seperti document aslinya I hereby declare all statements made herein to be true, and understand that if any statement herein is found to be false that the Firm is entitled to cancel the employment from it s beginning, and shall not be obligated to pay any payments. With this statement I also authorize any doctor in any hospital, clinic, Insurance Company, or company/institution, or foundation, or any other person, to prepare and submit a report/statement to the Firm concerning my state of health. Any copy of this statement of this statement of authorization is to be considered as legally binding as the original document. (Nama, Tandatangan) Name, Signature *) Yang dimaksud dengan anggota keluarga dekat adalah orang tua, kakak/adik, pasangan, dan anak (Immediate members of the family mean your parents, brothers/sisters, spouse and children). Health Statement Recruitment 08/ B.2.5

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