FORM PERMOHONAN CUTI

Nama : ...................................................................
NPP : ...................................................................
Jabatan : ...................................................................
Lokasi DC / Toko : ...................................................................

Dengan ini mengajukan cuti selama ...... hari, mulai tanggal ............................. s/d..........................
dan mulai kembali bertugas tanggal...................................
Keterangan :
.....................................................................................................................................................
Alasan cuti
.....................................................................................................................................................

Alamat dan Nomor Telepon/HP yang dapat dihubungi selama cuti :

- Alamat : ...................................................................................................
- No. Tlp/HP : ...................................................................................................

Yang mengajukan Supervisor KDC / PJ

( ) ( ) ( )
___________________________________________________________________________________

Diisi oleh HRD

Sisa cuti tahun berjalan : ........................... hari
Pengambilan cuti sekarang : ........................... hari
Sisa cuti tahun ini : ........................... hari

Mengetahui,
PT. Paragita Tunas Inspira

(Septi Asmita)
Human Capital