Your Security Solution LOKASI HAMPTON’S PARK APARTMENT
SURAT PERMOHONAN IZIN
No : …… / SPI / GCM - HP / / 2021
A. DIISI OLEH ANGGOTA SECURITY (PEMOHON IZIN)
NAMA :………………………………………… PERIODE IZIN : ………………………………….
NIK :………………………………………… JUMLAH HARI : ………………………………….
JABATAN :………………………………………… TANGGAL KERJA : …………………………………. UNIT KERJA :………………………………………… SHIFT / JAM : ………………………………….
B. JENIS DAN KETERANGAN IZIN
Pernikahan Pemohon Izin Kematian Orang Tua Kandung Pernikahan Adik Kandung Kematian Saudara Kandung Pernikahan Saudara Kandung Khinatan / Pembaptisan Kelahiran Anak Kandung Ujian Kesarjanaan Kematian Anak Kandung Lain – Lain C. KETERANGAN .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... (*wajib diisi dan dicatat secara jelas oleh pemohon*) Jakarta, …………………. Pemohon, Disetujui Oleh, Diketahui