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permohonan bayaran SPK16

permohonan bayaran SPK16

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Published by perkhidmatanppdpu

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Published by: perkhidmatanppdpu on Jul 02, 2012
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01/14/2014

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SENARAISEMAKBAUCERBAYARANSPK16/1994
PERMOHONANKELULUSANBAYARANPERPINDAHANDANPERTUKARANBAGIKES-KESPERTUKARANATASPERMOHONANSENDIRI
LAMPIRANA(SPK16/1994)
D
.
(BORANGPERMOHONANBAYARANPERPINDAHANDANPERTUKARANBAGIKES-KESPERTUKARANATASPERMOHONANSENDIRI)
2.
SALINANKADPENGENALANPEMOHON
D
3.
SALINANSURATPERTUKARAN
D
4.
SALINANSURATNIKAH/CERAI
D
5.
SALINANKADPENGENALANSUAMI/ISTERI
D
6.
SALINANSURATPERTUKARANSUAMI/ISTERI
D
7.
SALINANSURATBERANAK/KADPENGENALANANAK(21TAHUNKEBAWAH)
D
8.
SAUNANKADPENGENALAN/PERMITORANGGAJI
D
9.
LAMPIRANB
D
PENGESAHANSUAMI/ISTERITIDAKMENUNTUT)SILAHANTARPERMOHONANKELULUSANBAYARANPERPINDAHANDANPERTUKARANBAGIKES-KESPERTUKARANATASPERMOHONANSENDIRIKE
UNITPERKHIDMATAN
PERINGATAN:
DAPATKANTANDATANGANPENGESAHANDOKUMENSOKONGANDARIPADAKETUAJABATAN
 
LampiranA(SPI<16/1994)BorangPermohonanBayaranPerpindahandanPertukaranBagiKes-KesPertukaranAtasPermohonanSendiri.Bahagian1(No.
F/P)
---------------------------------------
.
Nama
2.
Jantina4.No.KadPengenalan
5.
Jawatan
6.
SkimPerkhidmatan
7.
TempohPerkhidmatandisekolahterakhirdari
3.
TarafPerkahwinanhingga
---------------------------
--------------------
L-__
---JITahun
8.
Tempatbertugassebelumbertukardanalamatnya:-
L..-__
---JIBulan
9.
Tempatbertugasselepasbertukardanalamatnya:-
10.
JarakIbuPejabatsebelumbertukardenganIbuPejabatselepasbertukar(Bagipertukarandalamnegerisahaja)11.No.Rujukansuratarahanpertukaran(sesalinansurathendaklahdisertakan)12.Sayamemohonpertukaranataskadar(Nyatakanberkeluarga/bujang)13.Butir-butirkeluarga:-a)Namasuami/isterib)Pekerjaansuami/isteri:c)Alamatbertugas(suami/isteri)km.d)Tarikhmulabertugas(suami/isteri)e}Bilangananakdalamtanggungan
f)
Tarikhsuami/isteribertugasditempatbaru:
-----------------------------------------
g}Adakahsuami/isterimembuatpermohonanbayaranperpindahandanpertukaranya/tidak(Jikayasertakandokumen-dokumenberkaitan)
\3
 
14.Berapakalipernahbertukardalamtempohperkhidmata.Nyatakantarikhdantempatpertukaran:-
D
ali14.1
-------
14.2
-------
14.3
-------
14.4
----_--
14.5TarikhTempat15.Sebab-sebabpertukaran:
DDD
D
D
Keranamengikutisuami/isteriyangtelahbertukarterlebihdahulu.Tarikhpertukaransuami/isteri:(Kepilkansuratarahanpertukaran)Telahlamaberkhidmatdikawasanhidupsusahdanmenerimabayaraninsentifpendalaman.(Pek.Perkhi
au
1/91)Sebab-sebabkesihatanpegawai/ahlikeluarga{anakdanisteri/suami}(KepilkansuratpengesahandarlpegawaiPerubatanKerajaan)Menjagaibu/bapayangsakitdanuzursertamemerlukanpenjagaanrapi.(kepilkansuratpengesahandariPegawaiPerubatanKerajaan)Menuntutkadarkeluargakerana16.Sebab-sebabpertukaranselaindariparadiatas.(Silagunakanlampiranberasinganjikatidakmencukupi)

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