FORMULIR
PERSETUJUAN PEJABAT PEMBINA KEPEGAWAIAN /
PEJABAT YANG DIBERI DELEGASI WEWENANG DI BIDANG KEPEGAWAIAN
NAMA : ...................................................................................................
NIP : ...................................................................................................
PANGKAT/GOL : ...................................................................................................
JABATAN : ...................................................................................................
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INSTANSI : ...................................................................................................
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..., ...........................2017
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NIP