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    Yovita Gracia Calvien
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    This document appears to be a form for evaluating the work targets and performance of civil servants in Indonesia. It includes sections for identifying the evaluator and the civil servant being evaluated, listing key activities and targets for output and quality, timelines and budgets. There are also sections to assess achievement of targets, additional duties, creativity, behavioral attributes, and an area for the evaluator's feedback on any objections raised. The purpose is to document goal setting and performance reviews for civil servants.

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    370755991-FORM-SKP-xls

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    This document appears to be a form for evaluating the work targets and performance of civil servants in Indonesia. It includes sections for identifying the evaluator and the civil servant being evaluated, listing key activities and targets for output and quality, timelines and budgets. There are also sections to assess achievement of targets, additional duties, creativity, behavioral attributes, and an area for the evaluator's feedback on any objections raised. The purpose is to document goal setting and performance reviews for civil servants.

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    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
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    13 views6 pages

    Form SKP

    Uploaded by

    Yovita Gracia Calvien
    This document appears to be a form for evaluating the work targets and performance of civil servants in Indonesia. It includes sections for identifying the evaluator and the civil servant being evaluated, listing key activities and targets for output and quality, timelines and budgets. There are also sections to assess achievement of targets, additional duties, creativity, behavioral attributes, and an area for the evaluator's feedback on any objections raised. The purpose is to document goal setting and performance reviews for civil servants.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
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    of 6

    FORMULIR SASARAN KERJA

    PEGAWAI NEGERI SIPIL*


    NO I. PEJABAT PENILAI NO II. PEGAWAI NEGERI SIPIL YANG DINILAI
    1 Nama 1 Nama
    2 NIP 2 NIP
    3 Pangkat/Gol.Ruang 3 Pangkat/Gol.Ruang
    4 Jabatan 4 Jabatan
    5 Unit Kerja 5 Unit Kerja
    TARGET
    NO III. KEGIATAN TUGAS JABATAN AK
    KUANT/OUTPUT KUAL/MUTU WAKTU BIAYA

    4
    5
    6

    8
    9
    10
    Jakarta, Januari 2013
    Pejabat Penilai, Pegawai Negeri Sipil Yang Dinilai

    0 0
    0 0

    Catatan :
    * AK Bagi PNS yang memangku jabatan fungsional tertentu
    PENILAIAN CAPAIAN SASARAN KERJA
    PEGAWAI NEGERI SIPIL*
    Jangka Waktu Penilaian …. Januari s.d. 31 Desember 20…..
    TARGET REALISASI NILAI
    NO I. Kegiatan Tugas Jabatan AK AK PENGHITUNGAN CAPAIAN
    Kuant/ Output Kual/Mutu Waktu Biaya Kuant/ Output Kual/Mutu Waktu Biaya
    1 2 3 4 5 6 7 8 9 10 11 12 13
    SKP
    14

    0
    1 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0!

    2 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0!
    0
    3 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0!

    0
    4 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0!

    5 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0!
    6 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0!
    0
    7 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0!

    8 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0!

    II. TUGAS TAMBAHAN DAN


    KREATIVITAS/UNSUR PENUNJANG :

    1 (tugas tambahan)
    (tugas tambahan)

    2 (kreatifitas)
    (kreatifitas)

    #DIV/0!
    Nilai Capaian SKP #DIV/0!

    …….., 31 Desember 20…..


    Pejabat Penilai,

    0
    0
    persen waktu persen biaya kuantitas kualitas waktu biaya RW<24 RW>24 RB<24

    0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!


    #DIV/0!
    0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
    0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

    0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!


    #DIV/0!
    0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
    0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
    0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
    0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
    0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
    0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

    (1.76*G8-N8)/G8)*100)
    (1.76*I8-P8)/I8)*100)

    #DIV/0!

    0
    RB>24

    #DIV/0! #DIV/0! #DIV/0! #DIV/0!


    #DIV/0! #DIV/0! #DIV/0!
    #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

    #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

    #DIV/0! #DIV/0! #DIV/0! #DIV/0!


    #DIV/0! #DIV/0! #DIV/0!
    #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
    #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

    #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!


    #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
    #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
    #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

    (76-((((1.76*G8-N8)/G8)*100)-100))
    (76-((((1.76*I8-P8)/I8)*100)-100))
    UNSUR YANG DINILAI Jumlah
    4. 6. TANGGAPAN PEJABAT PENILAI
    a. Sasaran Kerja Pegawai (SKP) ATAS KEBERATAN
    #DIV/0! x 60% #DIV/0!

    1. Orientasi Pelayanan (Buruk)

    2. Integritas (Buruk)

    3. Komitmen (Buruk)

    4. Disiplin (Buruk)

    b. Perilaku Kerja 5. Kerjasama (Buruk)

    6. Kepemimpinan (Buruk)
    Tanggal, ………………….
    7. Jumlah 0

    8. Nilai rata – rata 0.00 (Buruk)


    7. KEPUTUSAN ATASAN PEJABAT
    PENILAI ATAS KEBERATAN
    9. Nilai Perilaku Kerja 0.00 x 40% 0.00

    #DIV/0!

    NILAI PRESTASI KERJA #DIV/0!

    5. KEBERATAN DARI PEGAWAI NEGERI


    SIPIL YANG DINILAI (APABILA ADA)

    Tanggal, …………………. Tanggal, ………………….


    8. REKOMENDASI

    PENILAIAN PRESTASI KERJA


    PEGAWAI NEGERI SIPIL

    KEMENTERIAN PEKERJAAN UMUM JANGKA WAKTU PENILAIAN


    DIREKTORAT JENDERAL BINA MARGA BULAN : Januari s/d 31 Desember 20....
    1.
    YANG DINILAI

    a.      N a m a 0

    b.      N I P 0
    9. DIBUAT TANGGAL, …………..
    PEJABAT PENILAI
    c.      Pangkat, Golongan ruang, TMT 0

    d.      Jabatan/Pekerjaan 0

    e.      Unit Organisasi 0


    0
    0 2.
    PEJABAT PENILAI

    a.      N a m a 0
    10. DITERIMA TANGGAL, …………
    PEGAWAI NEGERI SIPIL YANG DINILAI b.      N I P 0

    c.      Pangkat, Golongan ruang, TMT 0

    d.      Jabatan/Pekerjaan 0
    0
    0 e.      Unit Organisasi 0

    3.
    ATASAN PEJABAT PENILAI
    11.DITERIMA TANGGAL, ....................
    ATASAN PEJABAT PENILAI a.      N a m a

    b.      N I P

    c.      Pangkat, Golongan ruang, TMT


    0
    0
    d.      Jabatan/Pekerjaan

    e.      Unit Organisasi

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