FORM PERMOHONAN CUTI

NIK : ....................................................................................
NAMA : ....................................................................................
BAGIAN : ....................................................................................
TGL. MULAI KERJA : ....................................................................................
SISA HAK CUTI TAHUNAN/BESAR …/… : ...............................hari
CUTI YANG DIAMBIL : ...............................hari
SISA CUTI : ...............................hari
CUTI MULAI TANGGAL : ...................................................................................
MASUK BEKERJA LAGI TANGGAL : ...................................................................................
ALASAN CUTI : ...................................................................................
ALAMAT CUTI /NO YG BISA DIHUBUNGI : ....................................................................................
PENGGANTI SELAMA CUTI : ....................................................................................

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