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BUSINESS TRIP AUTHORIZATION FORM

(Surat Persetujuan Perjalanan Dinas)

Request No : 0126/DSLNG/BTAF/12/2022
Status : Approved
Name : BAMBANG YANU PURWANTO
ID : 2022120678
Organization : President Director Office/QHSE
Position : Industrial Hygiene Specialist
Travel Type : ROTATION
Purpose : Rotation 28:28 with adjustment schedule

Destination

Start Date End Date From Destination Overseas Remark


10 Jan 2023 10 Jan 2023 Luwuk Makassar N BATIK AIR / ID 8293 (B)

Luwuk Airport (LUW) -


Tuesday, 10 Jan 2023
12:15 (UTC+8)
Soekarno Hatta (CGK) -
Tuesday, 10 Jan 2023
17:05 (UTC+7)
Transportation : AIR
Transportation Class : Economy Transportation Class Remark : -
Accomodation Class : None Accomodation Class Remark : -
Room Type : None Room Type Remark :-
10 Jan 2023 10 Jan 2023 Makassar Jakarta N BATIK AIR / ID 8293 (B)
Luwuk Airport (LUW) -
Tuesday, 10 Jan 2023
12:15 (UTC+8)
Soekarno Hatta (CGK) -
Tuesday, 10 Jan 2023
17:05 (UTC+7)
Transportation : AIR
Transportation Class : Economy Transportation Class Remark : -
Accomodation Class : None Accomodation Class Remark : -
Room Type : None Room Type Remark :-
11 Jan 2023 06 Feb 2023 Jakarta Jakarta N OFF DUTY
Transportation : LAND
Transportation Class : None Transportation Class Remark : NONE
Accomodation Class : None Accomodation Class Remark : -
Room Type : None Room Type Remark :-
07 Feb 2023 07 Feb 2023 Jakarta Makassar N BATIK AIR / ID 6292 (Y)

Soekarno Hatta (CGK) -


Tuesday, 07 Feb 2023
08:30 (UTC+7)
Luwuk Airport (LUW) -
Tuesday, 07 Feb 2023
13:50 (UTC+8)
Transportation : AIR
Transportation Class : Economy Transportation Class Remark : -
Accomodation Class : None Accomodation Class Remark : -
Room Type : None Room Type Remark :-
07 Feb 2023 07 Feb 2023 Makassar Luwuk N BATIK AIR / ID 6292 (Y)

Soekarno Hatta (CGK) -


Tuesday, 07 Feb 2023
08:30 (UTC+7)
Luwuk Airport (LUW) -
Tuesday, 07 Feb 2023
13:50 (UTC+8)
0126/DSLNG/BTAF/12/2022 - Page 1 of 2
BUSINESS TRIP AUTHORIZATION FORM
(Surat Persetujuan Perjalanan Dinas)

Transportation : AIR
Transportation Class : Economy Transportation Class Remark : -
Accomodation Class : None Accomodation Class Remark : -
Room Type : None Room Type Remark :-

Daily Allowance

Start Date End Date Days CurrID Nominal Amount *


10 Jan 2023 10 Jan 2023 1 IDR 300,000.00
10 Jan 2023 10 Jan 2023 - 0.00
11 Jan 2023 06 Feb 2023 - 0.00
07 Feb 2023 07 Feb 2023 1 IDR 300,000.00
07 Feb 2023 07 Feb 2023 - 0.00

Requested by Acknowledged by Verified by Verified by Approved by

SUBMITTED ACKNOWLEDGED VERIFIED VERIFIED APPROVED

02 Jan 2023 02 Jan 2023 04 Jan 2023 04 Jan 2023 05 Jan 2023

BAMBANG YANU MARCELLA INGGRID


BOY HIDAYAT SULFIATI MUHAMMAD HAERUL
PURWANTO SALFISCHBERGER

Industrial Hygiene QHSE Deputy Senior


Chief Medical Officer HR Support Officer HR Operations Manager
Specialist Manager

0126/DSLNG/BTAF/12/2022 - Page 2 of 2

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