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PT.

SWADAYA INDO PRATAMA


Rukan Citta Graha Blok 3F , Jl. Panjang Raya Kedoya
Selatan ,
Kebon Jeruk - Jakarta Barat
Website : www.swadayaindopratama.id

Formulir Permohonan Izin / Cuti


Leave Application Form

Nama Pemohon Tanggal


FEBRI KIRANA 22 NOVEMBER 2021
Applicant Name Date

Perusahaan Divisi
PT . SWADAYA INDO PRATAMA CA
Company Division

Jabatan
CREDIT ANALYSIS
Position

Kontak saat izin


082110747505
Contact during leave

Rekan kerjapengganti Kontak Rekan


Substitute Co-worker Co-worker Contact

Tipe Izin Izin Sakit lebih dari 1hari IzinMelahirkan IzinNikah Lainnya
Type of Leave More than 1 day Sick Leave Maternity Leave Marriage Leave Other

Alasan Izin
ACARA KELUARGA
Reason of Leave

Tanggal Mulai JamMulai


TANGGAL 4 DAN 5 DESEMBER 2021
Start Date StartTime

Tanggal Selesai Jam Selesai


TANGGAL 6 DESEMBER 2021
End Date End Time

Jumlah Hari Izin


2 HARI
Leave Amount

Informasi Lain
Other information

Minimal Izin adalah 0.5 hari. The minimum leave is 0.5 day.
Izin sakit dan melahirkan atau pendamping melahirkan harus melampirkan surat keterangan terkait.

Catatan Sick leave and maternity or maternity accompany has to attach related medical certificate.
Remarks
Izin nikah harus melampirkan akta nikah.

Marriage leave has to attach Marriage Certificate.

Lampiran
Attachment
PT. SWADAYA INDO PRATAMA
Rukan Citta Graha Blok 3F , Jl. Panjang Raya Kedoya
Selatan ,
Kebon Jeruk - Jakarta Barat
Website : www.swadayaindopratama.id
Tanda tangan Pemohon
Applicant Signature

Persetujuan Tim
Team Approval

Persetujuan Divisi
Division Approval

Persetujuan HR
HR Approval

Persetujuan CountryManager

Country Manager Approval

Persetujuan CEO
CEO Approval

Status

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