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No. Dokumen / Revisi No. Dokumen / Revisi

No .: SK- 15 / DIR / 2015 No .: SK- 15 / DIR / 2015

ABSENCE - REPORT ABSENCE - REPORT

Department SMS Department SMS

Name / Code Ade Buandra / 37703006
Date 21, 24, 31 December 2018
1. Special annual leave
Request for 2. Annual Leave
3. Additional annual leave
1. Special leaves
2. Sick
3. Absence
Report for
4. Late attendance
5. Leaving work early
6. Leaving work between
Reason
( by Employee )
Note
( by Manager /
Junior Manager )
Name / Code Ade Buandra / 37703006
Date 24 & 31 December 2018
: 1. Special annual leave :
: 3 (three) Days Request for 2. Annual Leave : 2 (two) Days
: 3. Additional annual leave :
: 1. Special leaves :
: 2. Sick :
: 3. Absence :
Report for
: 4. Late attendance :
: 5. Leaving work early :
: to : 6. Leaving work between : to :
Reason
( by Employee )
Note
( by Manager /
Junior Manager )

Sect./Dept. (SMS ) Date : Nov 13, 2018 Sect./Dept. ( SMS ) Date : Nov 13, 2018
Staff JM M DGM/GM Dir/Dirut Staff JM M DGM/GM Dir/Dirut

Signature : Signature :
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No. Dokumen / Revisi

No .: SK- 15 / DIR / 2015

ABSENCE - REPORT

Department SMS /SMH

Name / Code Agustinus B / 37706009
Date May 26, 2017
1. Special annual leave :
Request for 2. Annual Leave : 1 (one) day
3. Additional annual leave :
1. Special leaves :
2. Sick :
3. Absence :
Report for
4. Late attendance :
5. Leaving work early :
6. Leaving work between : to :
Reason
Family Matter
( by Employee )
Note
( by Manager /
Junior Manager )

Sect./Dept. (SSS/SMS ) Date : 25 May 2017

Staff JM M DGM/GM Dir/Dirut

Signature :
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No. Dokumen / Revisi No. Dokumen / Revisi

No .: SK- 15 / DIR / 2015 No .: SK- 15 / DIR / 2015

ABSENCE - REPORT ABSENCE - REPORT

Department SMS / SSS Department SMS /SSS

Name / Code Jevi Amri / 37203027 Name / Code Muhammad Arif Hidayat / 39414233
Date December 7, 2018 Date September 17, 2018
1. Special annual leave : 1. Special annual leave :
Request for 2. Annual Leave : 1 (one) Day Request for 2. Annual Leave :
3. Additional annual leave : 3. Additional annual leave :
1. Special leaves : 1. Special leaves :
2. Sick : 2. Sick :
3. Absence : 3. Absence :
Report for Report for
4. Late attendance : 4. Late attendance : 12.00 WIB
5. Leaving work early : 5. Leaving work early :
6. Leaving work between : to : 6. Leaving work between : to :
Reason Reason
Family Matter Izin membuat SIM di Polres Batu Bara - Lima Puluh
( by Employee ) ( by Employee )
Note Note
( by Manager / ( by Manager /
Junior Manager ) Junior Manager )

Sect./Dept. (SSS/SMS ) Date : Dec 04, 2018 Sect./Dept. ( SSS / SMS ) Date : 14 Sept 2018
Staff JM M DGM/GM Dir/Dirut Staff JM M DGM/GM Dir/Dirut

Signature : Signature :
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No. Dokumen / Revisi

No .: SK- 15 / DIR / 2015 / 0

PERMOHONAN KOMPENSASI TAMBAHAN CUTI TAHUNAN

Application for Compensation of Additional Annual Leave (A.A.L)

Nama No. Karyawan

: :
Name Name Code

Dept. / Seksi
:
Dep. / Section

Sisa Tambahan Cuti Tahunan hari

:
No. of remaining A.A.L. day (s)

Rumus Perhitungan Sisa Tambahan Cuti Tahunan *

:
Calculation of remaining A.A.L

=
X Rp.
/ 12

= Rp.

Catatan
:
Remarks

* Perhitungan akan diisi oleh SAW (The calculation is made by SAW)

Catatan : Karyawan wajib melampirkan kartu cuti asli

Note The original leave card shall be attached

Kuala Tanjung ,
Pemohon / Requester

Name & Signature

Disetujui oleh / Approved by Personnel ( SAW )

M DGM/GM Dir Person In Charge JM/M
Nama/Name
Jabatan/Position
T.Tangan/Sign
Tanggal/Date
 1 4,826,111 0 216,904
22.250