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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 Jacklin Saleste Singal Administrasi
2 M. Arif Billah Helper
3 Moch. Lathiful Fahmi Helper
4 Achmad Zainal Maghribi Helper
5 Moh. Faisyal Amin Helper
6 Muhammad Habibulloh Helper
7 Moh. Fatikh Junaidi Helper
8 Vicki Budi Syahputra Helper
9 Muhammad Faisal Helper
10 Andik Rusman Helper
11 Angga Pratama Putra Helper
12 Akhmad Shodaq Helper
13 M Fattahul Ulum Helper
14 Slamet Ardianto Helper
15 Ahmad Hambali Helper
16 Muji Rohman Helper
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Competence Certificate Contractor Name
Sertifikat Kompetensi Masa Berlaku Sertifikat Company Subcontractor
PT. SAS
PT. SAS
PT. SAS
PT. SAS
PT. SAS
PT. SAS
PT. SAS
PT. SAS
PT. SAS
PT. SAS
PT. SAS
PT. SAS
PT. SAS
PT. SAS
PT. SAS
PT. SAS
MMR ID Employee Alamat Email Personal Phone Number Induction Date P
Tanggal Induksi Tanggal MCU
MMR-PTP-02153 7-Feb-24
MMR-PTP-02200 9-Feb-24
MMR-PTP-02201 9-Feb-24
MMR-PTP-02202 9-Feb-24
MMR-PTP-02203 9-Feb-24
MMR-PTP-02204 9-Feb-24
MMR-PTP-02246 15-Feb-24
MMR-PTP-02247 15-Feb-24
MMR-PTP-02248 15-Feb-24
MMR-PTP-02249 15-Feb-24
MMR-PTP-02250 15-Feb-24
MMR-PTP-02308 19-Feb-24
MMR-PTP-02309 19-Feb-24
MMR-PTP-02334 21-Feb-24
MMR-PTP-02335 21-Feb-24
MMR-PTP-02336 21-Feb-24
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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