TIRTA MEDICAL CENTER JAKARTA

MS SITE-BASED STAFF TIMESHEET

Attn : Ita (MS Operation)

Fax : +62 21 30066507
Email : ekonour.puspita@tirta.co.id
Employee Name dr. Bernie Piet
Position Doctor site

Period : Oktober 2015

Description
Day Total
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31
2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
Site : wayang Windu

Days on X 1
Travel to Site: 0
Travel from Site: 0
Days off 0
Other: 0
1
Note : Use an "X" to mark the row that applies to the day where worked, travelling, days off or other
Note : For Other : this applies to special assignment, sick or special leave days

Employee Signature ___________________ TMC Confirmation by Client Site Confirmation by ___________________

TMC Person Name TMC Person Name Client Person Name

Date Date Date ___________________

____________

________________
 TIRTA MEDICAL CENTER JAKARTA
MS SITE-BASED STAFF TIMESHEET

Attn : Ita (MS Operation)

Fax : +62 21 30066507
Email : ekonour.puspita@tirta.co.id
Employee Name dr. Rudy Susanto
Position Doctor site

Period : Agustus 2015

Description
Day Total
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31
2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
Site : Star Energy - KAKAP

Days on x x x x x x x x x x x x x 13
Travel to Site: X 1
Travel from Site: X 1
Days off 0
Other: 0
15
Note : Use an "X" to mark the row that applies to the day where worked, travelling, days off or other
Note : For Other : this applies to special assignment, sick or special leave days

Employee Signature ___________________ TMC Confirmation by Client Site Confirmation by ___________________

TMC Person Name TMC Person Name Client Person Name

Date Date Date ___________________

____________

________________