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  • Surat Ijin

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    Charles Haekase
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    Feblyanti Y. Serly Tse, a nurse at the Binaus Community Health Center in Mollo Tengah Subdistrict, Timor Tengah Selatan Regency, is requesting 3 days of leave from April 14-16, 2021 to care for her sick parents who have a probable case of COVID-19. She provides her address and phone number during the leave period. The head of the Binaus Community Health Center acknowledges the leave request.

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    Feblyanti Y. Serly Tse, a nurse at the Binaus Community Health Center in Mollo Tengah Subdistrict, Timor Tengah Selatan Regency, is requesting 3 days of leave from April 14-16, 2021 to care for her sick parents who have a probable case of COVID-19. She provides her address and phone number during the leave period. The head of the Binaus Community Health Center acknowledges the leave request.

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    6 views3 pages

    Surat Ijin

    Uploaded by

    Charles Haekase
    Feblyanti Y. Serly Tse, a nurse at the Binaus Community Health Center in Mollo Tengah Subdistrict, Timor Tengah Selatan Regency, is requesting 3 days of leave from April 14-16, 2021 to care for her sick parents who have a probable case of COVID-19. She provides her address and phone number during the leave period. The head of the Binaus Community Health Center acknowledges the leave request.

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    © All Rights Reserved
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    of 3

    PUSAT KESEHATAN MASYARAKAT BINAUS

    KECAMATAN MOLLO TENGAH


    KABUPATEN TIMOR TENGAH SELATAN

    Nomor :- Kepada
    Lampiran : - Yth. Kepala Dinas Kesehatan Kab. TTS
    Hal : Permohonan ijin Di
    SoE
    Yang bertanda tangan di bawah ini :
    Nama : Feblyanti Y.Serly Tse,Amd.Kep
    NIP : 19880212 201001 2 026
    Pangkat / Golongan : Penata Muda Tk.1/ III B
    Jabatan : Perawat Mahir
    Unit Kerja : Puskesmas Binaus
    Instansi : Dinas Kesehatan Kab. TTS
    Dengan ini mengajukan permohonan ijin selama 3 (Tiga) hari kerja yakni tanggal 14 s/d 16
    April 2021 dengan alasan Merawat Orang Tua yang sakit (Kasus Probable covid19)
    Adapun alamat saya selama menjalankan ijin di SoE dan Nomor hp 081218632216
    Demikian permohonan saya dan atas perkenanan Ibu disampaikan terimakasih.

    Mengetahui,
    Kepala Puskesmas Binaus Pemohon,

    SEMIRODIA S.HENUKH,SKM Feblyanti Y.Serly Tse,Amd.Kep


    NIP : 19790901 200112 2 004 NIP : 19880212 201001 2 026

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