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ASSIGNMENT TO WORK BEYOND 21.

00 PM FOR NON-SHIFT EMPLOYEES

MANAGER'S NAME DIVISION

COST CENTER GROUP

Below employee(s) is (are) assigned to work over time and is (are) entitled for Transportation Subsidy
amounting IDR 30,000 (net) per-employee if the work completion is beyond 21.00 pm. This policy is not valid
if the employee has received monthly transportation allowance.

ESTIMATE TIME (PM) OF


DATE NAME Employee ID (NIK)
WORK COMPLETION

PURPOSE OF OVERTIME WORK : (Please specify)

PREPARED BY SUPERIOR ACKNOWLEDGED BY APPROVED BY DIV HEAD


( Direct Manager )

NAME
POSITION
DATE
NOTE :
* The approval from Division Head must be obtained PRIOR TO overtime execution.
* Claim of Transportation Subsidy due to this overtime work is done via Expense Report Form.
* This approved form should be attached and submitted to HR along with the claim of Transportation Subsidy.
* Failed to do so, Transportation Subsidy amounting IDR 30,000 (net) is not applicable to be paid by the Company
* Authorized signaturers could not be delegated.

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