010.002-1 Form Permohonan Kendaraan

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No. Form : CI/F/SMLK3/010.002.001 PT. CONBLOC INFRATECNO Intercon Plaza Blok C20 - C21 Jakarta 11620 Telp. 021-5841860 PERMOHONAN PEMAKAIAN KENDARAAN

NO. …………………/…………………/…………………/ ………………… Nama

:

……………………………………………………….

Disetujui dengan kendaraan :

Dept.

:

……………………………………………………….

No.Pol

:

…………………………………………...

Hari

:

……………………………………………………….

Driver

:

…………………………………………...

Waktu

:

……………………………………………………….

Keperluan

:

……………………………………………………….

Menyetujui

Nama & tanda tangan

Mengetahui

Nama & tanda tangan

Prioritas : 1. Direksi, 2.Tamu Perusahaan, 3.Dept.Tidak ada kend, 4.Dept.ada kend.

Pemohon

Nama & tanda tangan

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