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  • Form Permohonan Cuti 2

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    5 views1 page

    Form Permohonan Cuti 2

    Uploaded by

    heni
    PPP

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    FORM PERMOHONAN CUTI

    Nama Karyawan : ……………………………………………………………………..


    N.I.K : …………………………………………………………………..…
    Tgl/Bln/Tahun Mulai Bekerja : ………….………………………………………………………....
    Bagian : ……………………………………………………………………...
    Pangkat / Jabatan : ……………………………………………………………………...
    Tanggal Pengajuan : ………………….…………………………………………………..
    Alamat Karyawan : …………………………………………………………………..….
    ………………………………………………………..…………….
    Lama Cuti :( ………………) Hari Kerja
    Mulai Tanggal : …………………………………………………………..………….
    Sampai Tanggal : ………………………………………………………………………
    Alasan Cuti / Keperluan : ……………………………………………………………….…….
    …………………………………………….……………………….
    Catatan Atasan Langsung : ……………………………………………………………………..
    ……………………………………………………………………..
    Keterangan Tahun …………. Sisa cuti Tahunan…..
    1. Cuti Tahunan (7 Hari Kerja)
    2. Cuti Khusus ( N/H/K/M)
    3. Cuti Besar

    Ka. Ruang Ka. Kepegawaian Yang Bersangkutan

    ( ) ( ) ( )

    Mengetahui

    Direktur RSU ANANDA

    ( Dr. Bramantya Surya P, MMRS )

    Catatan :

    1. Data Harus Diisi Semua


    2. Permohonan cuti sebaiknya diajukan ke atasan Langsung minimal 7 (hari) sebelum
    pelaksanaan cuti.
    3. Pada saat mulai bekerja karyawan melapor ke bagian Kepegawaian / Atasan Langsung.

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