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PATERNITY LEAVE FORM PATERNITY LEAVE FORM

Name :
Name :
Request Date :
Request Date :
Department :
Department :
From : to: No of days :
From : to: No of days :

Tangerang, __________________ 2017


Tangerang, __________________ 2017
Request by, Approved by, Acknowledge by,
Request by, Approved by, Acknowledge by,

(____________________) (____________________) ( )
(____________________) (____________________) ( )
Dept/Div. Head Human Resources
Dept/Div. Head Human Resources

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