SURAT EDARAN
KEPALA BADAN ADMINISTRASI
KEPEGAWAIAN NEGARA
NOMOR
: 08/SE/1983
TANGGAL
: 26 APRIL 1983
Kepada:
Yth. BAPAK BUPATI PELALAWAN
Cq. KEPALA BADAN KEPEGAWAIAN
DAERAH KAB. PELALAWAN
di PANGKALAN KERINCI
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: ....................................................................................
:
:
:
:
:
:
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Hormat Saya,
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NIP.
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NIP.
LAMPIRAN XXVI
SURAT EDARAN
KEPALA BADAN ADMINISTRASI
KEPEGAWAIAN NEGARA
NOMOR
: 08/SE/1983
TANGGAL
: 26 APRIL 1983
TANGGAL
TANGGAL
LAHIR
PERKAWINAN
NAMA
2
ALAMAT
TANDA
TANGAN
KET
SUAMI/ISTERI
5
B. ANAK
NO
NAMA
JENIS
TANGGAL
NAMA
KELAMIN
LAHIR
IBU / AYAH
KET
Hormat Saya,
...................................................
NIP.
..............................................................
NIP.