MINISTRY OF PUBLIC WORKS AND HOUSING PT Surveyor Indonesia

DIRECTORATE GENERAL OF HUMAN SETTLEMENTS Cabang Surabaya

DIRECTORATE OF WATER SUPPLY DEVELOPMENT Jl. Comal No.7-9, Surabaya, Jawa Timur 60265
Jl. Pattimura No. 20, Kebayoran Baru - Jakarta 12110 Jawa Timur 60265

Project Name : Regional Oversight Management Services (ROMS) - 8

Name : Retno Safitri
Position : FM.CD
Periode : Maret 2018

Mar-18 TOTAL
ACTIVITIES SIGNATURE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DAYS

1. Office

2. Field Trips

Note : D = Duty Trip ; A = Absent

Acknowledge by : Acknowledge by : Approved by : Approved by : Approved by : Proposed by:

Provincial Coordinator FAS Verificator Chief of DPMU, District Coordinator, Senior Fasilitator Fasilitator CD
PT Virama Karya Kab. Sragen Kab. Sragen Kab.Sragen

Susilo Tri Budiyono, MM Heidar ILHAM KURNIAWAN, ST.MM Munti Saromah, ST Hartanto, ST Retno Safitri
Provincial Coordinator Nip : 19791118 200312 1 007
 MINISTRY OF PUBLIC WORKS AND HOUSING PT Surveyor Indonesia
DIRECTORATE GENERAL OF HUMAN SETTLEMENTS Cabang Surabaya
DIRECTORATE OF WATER SUPPLY DEVELOPMENT Jl. Comal No.7-9, Surabaya, Jawa Timur 60265
Jl. Pattimura No. 20, Kebayoran Baru - Jakarta 12110 Jawa Timur 60265

Project Name : Regional Oversight Management Services (ROMS) - 8

Name : Wibowo, ST
Position : FM.WSS
Periode : Mei 2018

May-18 TOTAL
ACTIVITIES SIGNATURE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DAYS

1. Office

2. Field Trips

Note : D = Duty Trip ; A = Absent

Acknowledge by : Acknowledge by : Approved by : Approved by : Approved by : Proposed by:

Provincial Coordinator FAS Verificator Chief of DPMU, District Coordinator, Senior Fasilitator Fasilitator WSS
PT Virama Karya Kab. Sragen Kab. Sragen Kab.Sragen

Susilo Tri Budiyono, MM Heidar ILHAM KURNIAWAN, ST.MM Munti Saromah, ST Hartanto, ST Wibowo, ST
Provincial Coordinator Nip : 19791118 200312 1 007
 MINISTRY OF PUBLIC WORKS AND HOUSING PT Surveyor Indonesia
DIRECTORATE GENERAL OF HUMAN SETTLEMENTS Cabang Surabaya
DIRECTORATE OF WATER SUPPLY DEVELOPMENT Jl. Comal No.7-9, Surabaya, Jawa Timur 60265
Jl. Pattimura No. 20, Kebayoran Baru - Jakarta 12110 Jawa Timur 60265

Project Name : Regional Oversight Management Services (ROMS) - 8

Name : Wibowo, ST
Position : FM.WSS
Periode : Januari 2018

Jan-18 TOTAL
ACTIVITIES SIGNATURE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DAYS

1. Office

2. Field Trips

Note : D = Duty Trip ; A = Absent

Libur Cuti Bersama
Hari Libur

Acknowledge by : Acknowledge by : Approved by : Approved by : Approved by : Proposed by:

Provincial Coordinator FAS Verificator Chief of DPMU, District Coordinator, Senior Fasilitator Fasilitator WSS
PT Virama Karya Kab. Sragen Kab. Sragen Kab.Sragen

Susilo Tri Budiyono, MM Heidar ILHAM KURNIAWAN, ST.MM Munti Saromah, ST Hartanto, ST Wibowo, ST
Provincial Coordinator Nip : 19791118 200312 1 007
 MINISTRY OF PUBLIC WORKS AND HOUSING PT Surveyor Indonesia
DIRECTORATE GENERAL OF HUMAN SETTLEMENTS Cabang Surabaya
DIRECTORATE OF WATER SUPPLY DEVELOPMENT Jl. Comal No.7-9, Surabaya, Jawa Timur 60265
Jl. Pattimura No. 20, Kebayoran Baru - Jakarta 12110 Jawa Timur 60265

Project Name : Regional Oversight Management Services (ROMS) - 8

Name : Wibowo, ST
Position : FM.WSS
Periode : Desember 2018

Dec-18 TOTAL
ACTIVITIES SIGNATURE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DAYS

1. Office

2. Field Trips

Note : D = Duty Trip ; A = Absent

Libur Cuti Bersama
Hari Libur

Acknowledge by : Acknowledge by : Approved by : Approved by : Approved by : Proposed by:

Provincial Coordinator FAS Verificator Chief of DPMU, District Coordinator, Senior Fasilitator Fasilitator WSS
PT Virama Karya Kab. Sragen Kab. Sragen Kab.Sragen

Susilo Tri Budiyono, MM Heidar ILHAM KURNIAWAN, ST.MM Munti Saromah, ST Hartanto, ST Wibowo, ST
Provincial Coordinator Nip : 19791118 200312 1 007
 MINISTRY OF PUBLIC WORKS AND HOUSING PT Surveyor Indonesia
DIRECTORATE GENERAL OF HUMAN SETTLEMENTS Cabang Surabaya
DIRECTORATE OF WATER SUPPLY DEVELOPMENT Jl. Comal No.7-9, Surabaya, Jawa Timur 60265
Jl. Pattimura No. 20, Kebayoran Baru - Jakarta 12110 Jawa Timur 60265

Project Name : Regional Oversight Management Services (ROMS) - 8

Name : Wibowo, ST
Position : FM.WSS
Periode : September 2018

Sep-18 TOTAL
ACTIVITIES SIGNATURE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 DAYS

1. Office

2. Field Trips

Note : D = Duty Trip ; A = Absent

Acknowledge by : Acknowledge by : Approved by : Approved by : Approved by : Proposed by:

Provincial Coordinator FAS Verificator Chief of DPMU, District Coordinator, Senior Fasilitator Fasilitator WSS
PT Virama Karya Kab. Sragen Kab. Sragen Kab.Sragen

Susilo Tri Budiyono, MM Heidar ILHAM KURNIAWAN, ST.MM Munti Saromah, ST Hartanto, ST Wibowo, ST
Provincial Coordinator Nip : 19791118 200312 1 007
 MINISTRY OF PUBLIC WORKS AND HOUSING PT Surveyor Indonesia
DIRECTORATE GENERAL OF HUMAN SETTLEMENTS Cabang Surabaya
DIRECTORATE OF WATER SUPPLY DEVELOPMENT Jl. Comal No.7-9, Surabaya, Jawa Timur 60265
Jl. Pattimura No. 20, Kebayoran Baru - Jakarta 12110 Jawa Timur 60265

Project Name : Regional Oversight Management Services (ROMS) - 8

Name : Wibowo, ST
Position : FM.WSS
Periode : Agustus 2018

Aug-18 TOTAL
ACTIVITIES SIGNATURE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DAYS

1. Office

2. Field Trips

Note : D = Duty Trip ; A = Absent

Acknowledge by : Acknowledge by : Approved by : Approved by : Approved by : Proposed by:

Provincial Coordinator FAS Verificator Chief of DPMU, District Coordinator, Senior Fasilitator Fasilitator WSS
PT Virama Karya Kab. Sragen Kab. Sragen Kab.Sragen

Susilo Tri Budiyono, MM Heidar ILHAM KURNIAWAN, ST.MM Munti Saromah, ST Hartanto, ST Wibowo, ST
Provincial Coordinator Nip : 19791118 200312 1 007
 MINISTRY OF PUBLIC WORKS AND HOUSING PT Surveyor Indonesia
DIRECTORATE GENERAL OF HUMAN SETTLEMENTS Cabang Surabaya
DIRECTORATE OF WATER SUPPLY DEVELOPMENT Jl. Comal No.7-9, Surabaya, Jawa Timur 60265
Jl. Pattimura No. 20, Kebayoran Baru - Jakarta 12110 Jawa Timur 60265

Project Name : Regional Oversight Management Services (ROMS) - 8

Name : Wibowo, ST
Position : FM.WSS
Periode : Maret 2019

Mar-19 TOTAL
ACTIVITIES SIGNATURE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DAYS

1. Office

2. Field Trips

Note : D = Duty Trip ; A = Absent

Libur Cuti Bersama
Hari Libur

Acknowledge by : Acknowledge by : Approved by : Approved by : Approved by : Proposed by:

Provincial Coordinator FAS Verificator Chief of DPMU, District Coordinator, Senior Fasilitator Fasilitator WSS
PT Virama Karya Kab. Sragen Kab. Sragen Kab.Sragen

Susilo Tri Budiyono, MM Heidar ILHAM KURNIAWAN, ST.MM Munti Saromah, ST Hartanto, ST Wibowo, ST
Provincial Coordinator Nip : 19791118 200312 1 007
 MINISTRY OF PUBLIC WORKS AND HOUSING PT Surveyor Indonesia
DIRECTORATE GENERAL OF HUMAN SETTLEMENTS Cabang Surabaya
DIRECTORATE OF WATER SUPPLY DEVELOPMENT Jl. Comal No.7-9, Surabaya, Jawa Timur 60265
Jl. Pattimura No. 20, Kebayoran Baru - Jakarta 12110 Jawa Timur 60265

Project Name : Regional Oversight Management Services (ROMS) - 8

Name : Wibowo, ST
Position : FM.WSS
Periode : Februari 2019

Feb-19 TOTAL
ACTIVITIES SIGNATURE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 DAYS

1. Office

2. Field Trips

Note : D = Duty Trip ; A = Absent

Libur Cuti Bersama

Hari Libur

Acknowledge by : Acknowledge by : Approved by : Approved by : Approved by : Proposed by:

Provincial Coordinator FAS Verificator Chief of DPMU, District Coordinator, Senior Fasilitator Fasilitator WSS
PT Virama Karya Kab. Sragen Kab. Sragen Kab.Sragen

Susilo Tri Budiyono, MM Heidar ILHAM KURNIAWAN, ST.MM Munti Saromah, ST Hartanto, ST Wibowo, ST
Provincial Coordinator Nip : 19791118 200312 1 007
 MINISTRY OF PUBLIC WORKS AND HOUSING PT Surveyor Indonesia
DIRECTORATE GENERAL OF HUMAN SETTLEMENTS Cabang Surabaya
DIRECTORATE OF WATER SUPPLY DEVELOPMENT Jl. Comal No.7-9, Surabaya, Jawa Timur 60265
Jl. Pattimura No. 20, Kebayoran Baru - Jakarta 12110 Jawa Timur 60265

Project Name : Regional Oversight Management Services (ROMS) - 8

Name : Wibowo, ST
Position : FM.WSS
Periode : Juni 2018

Jun-18 TOTAL
ACTIVITIES SIGNATURE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 DAYS

1. Office

2. Field Trips

Note : D = Duty Trip ; A = Absent

Acknowledge by : Acknowledge by : Approved by : Approved by : Approved by : Proposed by:

Provincial Coordinator FAS Verificator Chief of DPMU, District Coordinator, Senior Fasilitator Fasilitator WSS
PT Virama Karya Kab. Sragen Kab. Sragen Kab.Sragen

Susilo Tri Budiyono, MM Heidar ILHAM KURNIAWAN, ST.MM Munti Saromah, ST Hartanto, ST Wibowo, ST
Provincial Coordinator Nip : 19791118 200312 1 007