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FORM VISIT REPORT

DIVISI HR & GA
BINTARO TRADE CENTRE
JL. JENDRAL SUDIRMAN KAV.NIAGA SEKTOR 7 BLOK B2 NO.14 –
TANGERANG SELATAN INDONESIA 15244
TELP. (021) 7457755 FAX. (021) 7455005

KBAT-HRD-01.F.01-REV.00 01 – JUNI - 2013

VR - 00001
HOSPITAL/CLINIC/ (OTHER)

ADDRESS VISIT
(Alamat Kunjungan)
TIME VISIT VISITING HOURS
dd/mm/year (Jam Kunjungan)
(Waktu Kunjungan)
STATUS VISIT Direct Visit Appointment Site Project
TYPE OF VISIT Introduction / Presentation Presentation Inspection
VISIT PERSON
(Pihak yang ikunjungi)
Owner / Director Technical Manager Staff Officer

NAME OF OFFICIAL
JOB TITLE

DIVISION OF DUTY ( Divisi yang bertugas )


NAME AND TITLE ( Nama dan Jabatan )
PHONE / MOBILE NUMBER
Email / Pin BB / Etc

VISIT NOTES ( Catatan Kunjungan )

FOLLOW UP (Meeting Dates / Details)

TIME FOLLOW UP (dd/mm/year)


Representative PT. K-BAT Signature Customer Signature
Name : Stamp Company Name :

(Form ini hanya bersifat Catatan Sementara sebagai Dasar Tindakan atau Kesepakatan selanjutnya)
(This Form is just as Basic Note While further Action or Agreement)

SOP HRD |KBAT 2013 © PT Kiat Barkah Anugrah Tijarah. - All Rights Reserved

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