PT. CATUR EKA MANDIRI CLARIFICATION FORM/ FORMULIR KLARIFIKAS! prio. IO oF. 2020. 04.00 chap SeT Hereby | undersigned / Dengan ini saya yong bertande tongan Musto Youd WAG We ‘To propose permit for work as reason / Dengan ini mengajukan iin untuk bekerja dengan olasan A= Date / Tonggal “Time in / Jom Mosuk Time Out /Jem Keluar Name / Noma Employee 1D No. /No. Koryawon Departement / Departemen 1 Fingerprint machine err, nger problem, et Aesoaton mesin skort, mosola a, [A Forget to finger in/out Lupo finger masuk/kaluer~ 1 new empioyee Koryawon baru [CJ office duty outside (Place Tugas kantor di uae (Tempat) oO am wiling to follow the regulation / Soya bersedia mengikut aturan yang berlaku fh Diperiksa oleh Diketahui oleh Ae CEN HRD-027, Rev. PT. CATUR EKA MANDIRI EXIT PERMIT FORM/ FORMULIR IZIN KELUAR Be A a mei Kip N9 nen MAF Re rn OAs Sar [rvPe oF PERMIT PERIOD TA Poker Working venticoyoae Soak, LB. FUL 22. Eo Teak Kembat /Eary Deperure [1 Persona Pract Wattu time 09.00 4 |%-60 (ser Temporary (O weciar sat pm Warikig with. LED Other (Speciyy bee Vit « Yrlon | w Permit Approved / Not Approved le {General Manager / Director T Acknonledged by, HR Coordnatr ce eathaae sDPT. CATUR EKA MANDIRI (Als Bay 6p EXIT PERMIT FORM/ FORMULIR IZIN KELUAR ee renee Yrs luer Yodo aie WUE snr DLS Lr Cbens [vee oF Penn PERIOD LI Peteiean Horna vuereroovone = Sohogn WY. POC D2 | Lyrae renat co oowane AT Persona Prbedt haat OG O09. 09. (Gementaga Temporary 1 Wetear sant rasovionon — RePe-Wwa—_Pibad TE ote onan Permit Approved / Not Approved te It Spor : i \ om /1a0 \ soon, Hn cortratr Fenn 024, Rv. 0 PT. CATUR EKA MANDIRI CEM) EXIT PERMIT FORM/ FORMULIR IZIN KELUAR romans Kofhss y dulo rorinn Wate snare Adlai. Sabon [rvPe oF PERMIT PERIOD [E) Pekeriaan’ Werking HadToUOeyDate: We Dab. 26 (uk27 [Ly Teak Kembatis Zany Departure 1 Ferra Pres waitin 0100 wi AG 0 11 Senha renpomy 1 otver eee Permit Approved / Not Approved Date Immediate Superior GGenoral Manager / Director Acknouledged by HR coordinate Foet-4R0-024 Rev. 0PT. CATUR EKA MANDIRI EXIT PERMIT FORM/ FORMULIR IZIN KELUAR rmanane USAR? — seen MUA senearsen AA ncn Goer [rvPe oF PERMIT PERIOD TJ Pexeraen Woring HavTgiDayDate De. (AID | Lyrae ema ny copie LEP Pesonay Pred ‘Wearriee to 09.20 [Ey Semany Temporeny_ Line cnet aera gaia omer (sree Permit Approved / Not Approved bate Immediate Superior om /Mo Ackaonledged by Fen n0-028, Rev. 0