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    This document is a performance evaluation form for a civil servant in Banjbaru City, Indonesia for the year 2021. It includes sections for the employee's personal details like name, ID number, rank, job title, and department. There are also sections to record the employee's performance targets, behavior scores, total scores, innovation ideas, performance rating, and credits earned. The form needs to be filled out by both the evaluated employee and evaluating supervisor and submitted by January 3rd, 2022.

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    This document is a performance evaluation form for a civil servant in Banjbaru City, Indonesia for the year 2021. It includes sections for the employee's personal details like name, ID number, rank, job title, and department. There are also sections to record the employee's performance targets, behavior scores, total scores, innovation ideas, performance rating, and credits earned. The form needs to be filled out by both the evaluated employee and evaluating supervisor and submitted by January 3rd, 2022.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views4 pages

    Cover

    Uploaded by

    yuliati
    This document is a performance evaluation form for a civil servant in Banjbaru City, Indonesia for the year 2021. It includes sections for the employee's personal details like name, ID number, rank, job title, and department. There are also sections to record the employee's performance targets, behavior scores, total scores, innovation ideas, performance rating, and credits earned. The form needs to be filled out by both the evaluated employee and evaluating supervisor and submitted by January 3rd, 2022.

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    of 4

    BAC

    MEN
    UTAM
    PENILAIAN KINERJA
    PEGAWAI NEGERI SIPIL

    Jangka Waktu Penilaian


    01 Januari s/d 31 Desember 2021

    Nama Pegawai :
    NIP :
    Pangkat Golongan Ruang :

    Jabatan :

    Unit Kerja :
    PEMERINTAH KOTA BANJARBARU
    TAHUN 2021
    HASIL PENILAIAN KINERJA

    Pemerintah Provinsi NTB Periode Penilaian 1 Juli s/d 31 Desember 2021


    PEGAWAI YANG DINILAI PEJABAT PENILAI KINERJA
    Nama #REF! Nama #REF!
    NIP #REF! NIP #REF!
    Pangkat/Gol
    Pangkat/Gol Ruang #REF!
    Ruang #REF!
    Jabatan #REF! Jabatan #REF!
    Unit Kerja #REF! Unit Kerja #REF!
    Tanggal Penilaian
    31 Desember 2021

    Nilai SKP #REF!


    Nilai Perilaku Kerja #REF!
    Nilai SKP + Perilaku kerja #REF!
    Nilai Ide Baru 0.00
    Nilai Kinerja Pegawai #REF!
    Predikat Kinerja Pegawai #REF!
    Total Angka kredit yang diperoleh -
    REKOMENDASI

    PERMASALAHAN

    Mataram, 3 Januari 2022


    Pegawai yang Dinilai, Pejabat Penilai Kinerja,

    #REF! #REF!
    #REF! #REF!

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