A PT. Thriveni Group, Indonesia LEAVE APPLICATION FORM / FORM PENGAJUAN CUTI ae ee ‘aployes Nein] Nava Karpov Eaglove BT | Grete] Basianaton7 Deparment” Saino Nugrono- Aomin Por ORatton Tomenorweawr [23 [2 [a( [AR es ‘Tobe Fledin by Ofer n-Chorge Only/ Did lo Kept HRD P ‘ntlement) | _Avelled/ ‘Hak | Peogendon Eat & Py 8 S Ee & pet | el reper for dun (Date of Ey) on ay Comoe telephone manbers ding the cbore leave pelo ore (Mot) eee neeee eee cd Lneh/ aye San Begs bento lang! Mona) ~~~ Nonar Washoe yong dopo! dnl toma mye dol Sano) bone rn Ceara Ean Exoloyes Sgneie/ Tends Tengen Keryoven_| NOTE: Your Vacation Travel Schedule Form already submited fo HR Department Is valid only if an approved Leave Application Form forthe ‘doles ofthe schedule I produced before the departure fo the vacction. Nom-Submission of Leave Application may lead to concellton ofthe tickets with cost debited to your count. CATATAN : Frm Cu anda yong sadoh dierahkon ke Deporien! Hf berlau jk frm cut yong sod deta untuk tenggel sebelom pelzencon ct. Pengojvn cl lonpe pemberihvon sabelumya akon menyebehtn pembotcion tke! dengan Baye okon dibebonkon kepede koryowen. ‘Sopra Recorimandaton Remar] Keteranga Taman Sprit | HOD Approval Reais] Kalrogmn Poi da Kapaa Doparenes Hondover job responses to/Seah Trio Pleo Keds = Seroe Sener Teen Spee Sees edege tee Deane | Dow Toe Ts Wate Do ogo Tl Wott ‘FIDL 2 Das ves eployee avn morn 2 Coy whan amgoys ioe moa 2 Dos when fay men emaye et 2O0y wien mays egl we ‘ar doy thovcmloyewc en Copa er rmennd) FESL= Sat wt pra trove, tar ht pans ok ary? ha a eres Stig lyo Fhe tS hry avai 7 har oa enon / mmo oa ror 1A Form Version 1.1 roe