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2x1000 MW CFSPP, Central Java Project

Pemalang 500kV Switching Station and Transmission Lines


FIELD LEAVE FORM

Name : ……………………………...……………………….

Batch No/ID : ……………………………...……………………….

Department : ……………………………...……………………….

Previously Return Date : ……………………………...………………

Total Days at Site : …………… Days

Reason of Leave : ……………………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………..

Departure Date : ……………………………………………. Departure From : ………………………………………..

Return Date : ……………………………………………. Return From : ………………………………………..

Total Leave Days : …………… Days

Duty / Responsibility : ……………………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………..

To Be Handed Over to : …………………………………………….

Employee Handed Over To; Acknowledge; Spv/Dept.Head

Name
Sign Date
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