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FORM SERAH TERIMA

Nama :......................................................................................................................................................................................
Jabatan :......................................................................................................................................................................................
Departemen :......................................................................................................................................................................................
Tgl. Berakhir :......................................................................................................................................................................................

No. Nama Barang Ada Tidak dikembalikan Keterangan Paraf Hrd


1 Laptop & Charger Lengkap

2 Password Laptop

3 Password HP

4 Password Tablet

5 Uang Petty Cash

6 Tablet & Charger Lengkap

7 Mobil / Motor & Fasilitasnya

8 Alat-alat tulis kantor

9 Handphone & Charger Lengkap

10 Flashdisk/ Hardisk

11 Baju Seragam

12 Lain-lain............................

KARYAWAN ATASAN LANGSUNG

(…...…………….) (…………………….)
Date : Date :
Alamat yang dapat dihubungi :

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