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LIST OF EMPLOYEE

No. Name Age Position MCU BPJS No. Induction


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Note : Lampirkan fotokopi atau bukti kepesertaan BPJS Ketenagakerjaan dan Rekap Rincian Pembayaran BPJS Serta slip Pembayaran BPJS
dari Bank untuk 2(dua) bulan terakhir (Regular)

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Prepared by Approved by

Name : Name :
Designation : Designation :
*Should be signed by Top Management and Company Stamp

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