Form Ijin Pulang Kampung Ao
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LEAVE APPLICATION FORM Addresed to Administration Departement
1. Date
: 10-Oct-09
2. Name
: WIDODO SAPUTRA
ID Number :
3. Departement
: PRODUCTION
Position
4. Leave Type
: Annual
Sick
Maternity
Special
: SUPERVISOR Not Paid Leave
Emergency
5. Periode of leave dd/mm/yy
dd/mm/yy
From Date 11/21/2009
Until Date
###
- SEMARANG -
MCT
Number of days
21 DAYS
Others/Remark
6. Reporting back from leave 7. Travel Sector
(Route)
MCT
Applicant 's Signature,
Taking over Task by,
Approved by,
Name : Widodo Saputra
Name : Pris F
Manager : Heri Atmoko
Comments
:
Administration Form - Name : Widodo Saputra - Leave per
:
- Schedule
:
Part 1-Plan '- Actual Part 2-Plan '- Actual Part 3-Plan '- Actual - Last Joining
- Number From
Until
8/29/2009
9/16/2009
Days 18
8/29/2009 10/11/2009
14
9/30/2009 10/16/2009
16
9/30/2009 10/16/2009 ###
12/11/2009
16 21 21
###
12/11/2009
21
:
- Last Working Day : - Present request : Prepared by,
- Hire Date
months up to
days - Number : Date Approved by,
Days
Moch. Khoirudin HRD Departement
Ahmad Ghazali Administration Mgr.
Heri Atmoko General Manager
LEAVE APPLICATION FORM Addresed to Administration Departement
1. Date
:
2. Name
:
ID Number :
3. Departement
:
Position
4. Leave Type
: Annual
Sick
Maternity
Special
: Not Paid Leave
Emergency
5. Periode of leave dd/mm/yy
dd/mm/yy
From Date
Number of days
Until Date
Others/Remark
6. Reporting back from leave 7. Travel Sector
(Route)
MCT
MCT
-
Applicant 's Signature,
Taking over Task by,
Approved by,
Name :
Name :
Manager :
Comments
:
Administration Form - Name : - Leave per
:
- Schedule
:
- Hire Date - Number From
Until
Days
Part 1-Plan '- Actual Part 2-Plan '- Actual Part 3-Plan '- Actual - Last Joining
:
- Last Working Day : - Present request : Prepared by,
months up to
days - Number : Date Approved by,
Days
Moch. Khoirudin HRD Departement
Ahmad Ghazali Administration Mgr.
Heri Atmoko General Manager
Sampai di oman Oktober
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
November 1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### Desember 1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### Januari Februari
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### Cuti Pertama actual 20 hari 1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
Maret
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
April
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
Mei
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
Juni Juli
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### Cuti ke 2 actual 12 hari 1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
Agustus
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
September 1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### Oktober
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### Cuti ke 3 planning 14 hari November 1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### Desember 1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
### 2007 ### ###
###
###
2008 ### ###
###
###
1. Date
: 10-Oct-09
2. Name
: WIDODO SAPUTRA
ID Number :
3. Departement
: PRODUCTION
Position
4. Leave Type
: Annual
Sick
Maternity
Special
: SUPERVISOR Not Paid Leave
Emergency
5. Periode of leave dd/mm/yy
dd/mm/yy
From Date 11/21/2009
Until Date
###
- SEMARANG -
MCT
Number of days
21 DAYS
Others/Remark
6. Reporting back from leave 7. Travel Sector
(Route)
MCT
Applicant 's Signature,
Taking over Task by,
Approved by,
Name : Widodo Saputra
Name : Pris F
Manager : Heri Atmoko
Comments
:
Administration Form - Name : Widodo Saputra - Leave per
:
- Schedule
:
Part 1-Plan '- Actual Part 2-Plan '- Actual Part 3-Plan '- Actual - Last Joining
- Number From
Until
8/29/2009
9/16/2009
Days 18
8/29/2009 10/11/2009
14
9/30/2009 10/16/2009
16
9/30/2009 10/16/2009 ###
12/11/2009
16 21 21
###
12/11/2009
21
:
- Last Working Day : - Present request : Prepared by,
- Hire Date
months up to
days - Number : Date Approved by,
Days
Moch. Khoirudin HRD Departement
Ahmad Ghazali Administration Mgr.
Heri Atmoko General Manager
LEAVE APPLICATION FORM Addresed to Administration Departement
1. Date
:
2. Name
:
ID Number :
3. Departement
:
Position
4. Leave Type
: Annual
Sick
Maternity
Special
: Not Paid Leave
Emergency
5. Periode of leave dd/mm/yy
dd/mm/yy
From Date
Number of days
Until Date
Others/Remark
6. Reporting back from leave 7. Travel Sector
(Route)
MCT
MCT
-
Applicant 's Signature,
Taking over Task by,
Approved by,
Name :
Name :
Manager :
Comments
:
Administration Form - Name : - Leave per
:
- Schedule
:
- Hire Date - Number From
Until
Days
Part 1-Plan '- Actual Part 2-Plan '- Actual Part 3-Plan '- Actual - Last Joining
:
- Last Working Day : - Present request : Prepared by,
months up to
days - Number : Date Approved by,
Days
Moch. Khoirudin HRD Departement
Ahmad Ghazali Administration Mgr.
Heri Atmoko General Manager
Sampai di oman Oktober
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
November 1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### Desember 1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### Januari Februari
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### Cuti Pertama actual 20 hari 1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
Maret
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
April
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
Mei
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
Juni Juli
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### Cuti ke 2 actual 12 hari 1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
Agustus
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
September 1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### Oktober
1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### Cuti ke 3 planning 14 hari November 1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### Desember 1 2 3 4 5 6 7 8 ### 9 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ###
### 2007 ### ###
###
###
2008 ### ###
###
###
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