N.I.K : ………………………………….……
NAMA KARYAWAN : …………………………………….…
DEPT./ DIV. : …………………………………….…
TANGGAL : ……………………………………….
(.........................................) (.........................................)
HRD
__________________________________________________________
N.I.K : ………………………………….……
NAMA KARYAWAN : …………………………………….…
DEPT./ DIV. : …………………………………….…
TANGGAL : ……………………………………….
(.........................................) (.........................................)
Atasan Ybs HRD