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PT.

GARDA CIPTA MANDIRI


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
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(*wajib diisi dan dicatat secara jelas oleh pemohon*)
Jakarta, ………………….
Pemohon, Disetujui Oleh, Diketahui

(……………………..) (…………………………….) (…………………………….) (…………………….)


PT. GARDA CIPTA MANDIRI
Your Security Solution
LOKASI HAMPTON’S PARK APARTMENT

Danru Chief / Asst Admin Support

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