FORM CUTI

LEAVE REQUEST FORM

Diisi oleh Pegawai / Employee Submit
Nama MUSRIFIN RAJA MANU Mulai Tanggal : 4 November 2019
:
Name Start date
Jabatan COLLECTION LEGAL OFFICER Sampai Tanggal : 7 November 2019
:
Position Until date
Departemen COLLECTION Jumlah Hari : 4 Hari
:
Department Total Days
No. HP 081237520317 Sisa Cuti :
:
Phone Number Balance Leave
Alasan Cuti Tanda Tangan
Reason for leave : Acara keluarga ( acara adat Sign:
menjelengan pernikahan adik perempuan )
Tanggal
Date :
PIC BACKUP Selama Cuti / PIC BACKUP during Leave
PIC Backup 1 PIC Backup 2
Nama Nama
: :
Name Name
Jabatan Jabatan
: :
Position Position
Tanda Tangan : Tanda Tangan :
Sign Sign

Pekerjaan yang di backup Pekerjaan yang di backup

Work to be backed up: Work to be backed up:

Kepala Departemen / Department Head (MANAGER & PRESIDENT DIRECTOR)

Approval Leave / Cuti disetujui

Cuti hanya diberikan / Leave is only granted ____ Hari Kerja / weekday, dari / from ________________ sampai / until ________________

CATATAN DISETUJUI OLEH / APPROVED BY :

NOTES:

___________________ ___________________
Manager President Director
HRD
CATATAN Tanda Tangan
NOTES: Sign:

Catatan / Notes :
- Surat ini berlaku bila sudah di tandatangani oleh HRD / This letter valid after signed by HRD.
- Original : HRD Copy1: Supervisor / Manager Copy2: Employee

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