SURAT PERNYATAAN PERTANGGUNG-JAWABAN / STATEMENT OF ACCOUNTABILITY

To:
PT Krista Aulia Cakrawala
Graha Krista Aulia, Jl Andara raya No : 20 Pangkalan jati baru, Cinere, Depok

U.p.: Division [*]

*[Diisi sesuai wilayah kerja]

Subject: SURAT PERNYATAAN PERTANGGUNG-JAWABAN ATAS ASET PERUSAHAAN / STATEMENT

OF ACCOUNTABILITY FOR COMPANY’S ASSET

Saya, yang bertanda tangan di bawah ini

I, the undersign below

Nama/Name :
NIK/Id no. :
Area/Region :
Alamat/Address :
Detail Aset/Asset details :

Menyatakan bahwa, wajib untuk mengembalikan asset berupa modal agent dan asset lainnya. jika dikemudian
hari terbukti dengan sengaja maupun tidak sengaja membawa asset ini secara pribadi dan/atau untuk
kepentingan pribadi, maka saya bersedia di perkarakan ke pihak berwajib jika terbukti melakukan tindakan
pengambilan asset ini.
Stating that, it is mandatory to return assets in the form of agent capital and other assets. if in the future it is
proven that it was intentionally or unintentionally taking this asset personally and/or for personal needs, then I’m
willing to be sued by the authorities if it is proven to have taken this asset.

Jika saya gagal/lalai dalam kewajiban saya di atas, saya bersedia dan setuju untuk diproses sesuai dengan
kebiijakan perusahaan dan hukum di negara yang berlaku.
The failure to comply will result in the Company taking actions based on the terms of regulations and policies
stated in the Damaged & Loss/Theft of Company Assets. Legal actions may also be taken against the individual
based on the laws and regulations of the respective country the employee is employed under.

Surat pernyataan ini saya buat secara sadar tanpa paksaan dari pihak mana pun dan berkekuatan hukum
mengikat.
I made this statement consciously without coercion from any party and this letter has binding legal force.

……………….., …../…../…….
lokasi/location, tanggal/date

________________________
[Nama Karyawan / Name & Signature of employee]