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No.

Completed name based on identity card (KTP/KITAS) Position


Nama lengkap sesuai KTP/KITAS Jabatan Jabatan untuk keperluan grafik
1 Dwi Wahyu G.R Sr. Technician
2 Hendro Eko .P Jr. Technician
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Competence Certificate Contractor Name
Sertifikat Kompetensi Masa Berlaku Sertifikat Company Subcontractor
PT Tigenco Graha Persada
PT Tigenco Graha Persada
MMR ID Employee Alamat Email Personal Phone Number Induction Date P
Tanggal Induksi Tanggal MCU
MMR-PTP-00874 13-Sep-23
MMR-PTP-00875 13-Sep-23
SKS
Type of
Expired
MCU
Duration
(MCU/SK Pre-Employment MCU Renewal MCU
(remaini
S-Surat Status MCU Keterangan SKS Validity Status MCU Keterangan
ng days
Keterang
to be
an
updated
Sehat)
to MCU)
Place of Birth Date of Birth Age Identity Number (KTP/KITAS) BPJS Ketenagakerjaan
Tempat Lahir Tanggal Lahir Umur Nomor KTP/KITAS
Other
Health
BPJS Kesehatan Address Place Origin
Insuranc
e (if any) Alamat Tinggal Kewarganegaraan Provinsi Kabupaten/Kota
Kualifikasi POO Kualifikasi Ring Sex Emergency Contac
Kecamatan Desa Jenis Kelamin Nomor Tlp Hubungan
Blood Type Vaccination (Date and Brand) Accomodation Facility
Dosis 1 Dosis 2 Brand Vaksin Dosis 3 Brand Vaksin Fasilitas Akomodasi
Work
Duration
Recruitment Category Employee Status
Active/ from
Kategori Penerimaan Direct/Indirect Inactive/ Inactive Date Remarks Joining
Support until
finished
day

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