Nama _________________________________
: Nama _________________________________
:
NIK _________________________________
: NIK _________________________________
:
Departemen _________________________________
: Departemen _________________________________
:
Posisi _________________________________
: Posisi _________________________________
:
Tanggal _________________________________
: Tanggal _________________________________
:
Mulai Jam _________________________________
: Mulai Jam _________________________________
:
Sampai Jam _________________________________
: Sampai Jam _________________________________
:
Alasan _________________________________
: Alasan _________________________________
:
_________________________________ _________________________________
Jakarta,___________________ Jakarta,___________________
Menyetujui, Menyetujui,
Nama _________________________________
: Nama _________________________________
:
NIK _________________________________
: NIK _________________________________
:
Departemen _________________________________
: Departemen _________________________________
:
Posisi _________________________________
: Posisi _________________________________
:
Tanggal _________________________________
: Tanggal _________________________________
:
Mulai Jam _________________________________
: Mulai Jam _________________________________
:
Sampai Jam _________________________________
: Sampai Jam _________________________________
:
Alasan _________________________________
: Alasan _________________________________
:
_________________________________ _________________________________
Jakarta,___________________ Jakarta,___________________
Menyetujui, Menyetujui,