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Form Add-005-3

RIMP
NIPPON KOEI Co, Ltd.

APPLICATION FOR LEAVE

NAME : Zaki

POSITION : Co Group Leade I-1

COMPANY : Wiratman

DATE : 08 January 2021

REASON : a. Absent Mobilization Number of


Leave
Total Balance
Date leave This Year
b. Sick Leave Previous Present Total

c. Local Leave 1-Sep-20 4 4 1 5 -1

REMARKS :

January 7, 2021
Prepared by,

( Zaki )

Team Leader Group Leader Engineer Office Manager

(Yoshiharu MINOURA) (Shoji MIZUMA) )( ) ( Firda Silalahi )

Consultant's Adm. Form/Form 5-3


05/02/2023

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