Form Pinjam File.docx

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FORM PINJAM FILE

FORM PINJAM FILE

Nama

: ................................................................

Nama

: ................................................................

NIK

: ................................................................

NIK

: ................................................................

Unit Kerja

: ................................................................

Unit Kerja

: ................................................................

Kode File

: ................................................................

Kode File

: ................................................................

Tanggal File

: ................................................................

Tanggal File

: ................................................................

Tanggal Pinjam

: ................................................................

Tanggal Pinjam

: ................................................................

Tanggal Kembali : ................................................................

Tanggal Kembali : ................................................................

Tanda Tangan

Tanda Tangan

Tanda Tangan

Tanda Tangan

Peminjam

Petugas

Peminjam

Petugas

FORM PINJAM FILE

FORM PINJAM FILE

Nama

: ................................................................

Nama

: ................................................................

NIK

: ................................................................

NIK

: ................................................................

Unit Kerja

: ................................................................

Unit Kerja

: ................................................................

Kode File

: ................................................................

Kode File

: ................................................................

Tanggal File

: ................................................................

Tanggal File

: ................................................................

Tanggal Pinjam

: ................................................................

Tanggal Pinjam

: ................................................................

Tanggal Kembali : ................................................................

Tanggal Kembali : ................................................................

Tanda Tangan

Tanda Tangan

Tanda Tangan

Tanda Tangan

Peminjam

Petugas

Peminjam

Petugas

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