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CLEARANCE CHECKLIST

PT. SATRIA RAKSA BUMINUSA

Nama : Posisi :

Payroll : Dept. :

Status Pekerja : Tgl. Akhir Kontrak :

Pengunduran Diri Pensiun Habis Kontrak Lainnya

Lama Tanggal &


No Properti/Item Perusahaan Div. Penanggung Jawab Keterangan
Pengembalian Tanda Tangan
1 Advance Settlement Finance (M. Irhadi)
Personal Komputer Business Support
2
(Laptop/Notebook) (Roland Anugrah PR)
3 Aksesoris dan Software :
Mouse, Headset, Ext DVD, Business Support
Hard Disk, Modem (Roland Anugrah PR)
Password Document & File Business Support
Laptop/Notebook (Roland Anugrah PR)
Domain User Account, BPM Business Support
User Account (Roland Anugrah PR)
Business Support
4 ID Card Perusahaan
(Roland Anugrah PR)
Business Support
5 Member/Kartu Parkir
(Roland Anugrah PR)
Business Support
6 Kunci Laci Meja
(Roland Anugrah PR)
Kunci Laci Lemari/Filling Business Support
7
Cabinet (Roland Anugrah PR)
Seragam Kerja ( Baju, Business Support
8
Sepatu, Rompi ) (Roland Anugrah PR)

Email Personal Pekerja :

Contact Number :

Jakarta, …………………………

Pekerja

Division/Dept. Head (N1) ( )

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