Formulir Skp 2013.xlsx

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FORMULIR SASARAN KERJA PEGAWAI NEGERI SIPIL* NO I. PEJABAT PENILAI 1 Nama 2 NIP Pangkat/Gol.Ru 3 ang 4 Jabatan 5 Unit Kerja

NO 1 2 3 4 5

NO

AK

III. KEGIATAN TUGAS JABATAN

II. PEGAWAI NEGERI SIPIL Y Nama NIP Pangkat/Gol .Ruang Jabatan Unit Kerja TARGET KUANTITAS/ KUALITAS/ OUTPUT MUTU

1 2 3 4 5 6 7 8 9 10

Pejabat Penilai,

______________________________ NIP. _______________________ Catatan : * AK Bagi PNS yang memangku jabatan fungsional tertentu

Bantul, ____ Janu Pegawai Negeri Sip

__________________ NIP. _____________

R SASARAN KERJA WAI NEGERI SIPIL* II. PEGAWAI NEGERI SIPIL YANG DINILAI

TARGET WAKTU

BIAYA

Bantul, ____ Januari 20…… Pegawai Negeri Sipil Yang Dinilai

______________________________ NIP. _______________________

PENILAIAN CAPAIAN SASARAN KERJA PEGAWAI NEGERI SIPIL* Jangka Waktu Penilaian …. Januari s.d. 31 Desember 20….. NO

I. Kegiatan Tugas Jabatan

AK

1

2

3

TARGET

AK

Kuant/ Output

Kual/Mutu

Waktu

Biaya

4

5

6

7

8

REALISASI Kuant/ Output

Kual/Mutu

Waktu

9

10

11

1

0

0

0

0

0

0

0

0

0

0

0

2

0

0

0

0

0

0

0

0

0

0

0

3

0

0

0

0

0

0

0

0

0

0

0

4

0

0

0

0

0

0

0

0

0

0

0

5

0

0

0

0

0

0

0

0

0

0

0

6

0

0

0

0

0

0

0

0

0

0

0

7

0

0

0

0

0

0

0

0

0

0

0

8

0

0

0

0

0

0

0

0

0

0

0

9

0

0

0

0

0

0

0

0

0

0

0

10

0

0

0

0

0

0

0

0

0

0

0

II. TUGAS TAMBAHAN DAN KREATIVITAS/UNSUR PENUNJANG :

1

(tugas tambahan) (tugas tambahan)

2

(kreatifitas) (kreatifitas)

Nilai Capaian SKP

…….., 31 Peja

____________ NIP. _______

ASARAN KERJA RI SIPIL* REALISASI Biaya 12

PENGHITUNGAN 13

NILAI CAPAIAN SKP 14

-

#DIV/0!

#DIV/0!

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#DIV/0!

#DIV/0!

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#DIV/0!

#DIV/0!

-

#DIV/0!

#DIV/0!

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#DIV/0!

#DIV/0!

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#DIV/0!

#DIV/0!

-

#DIV/0!

#DIV/0!

-

#DIV/0!

#DIV/0!

-

#DIV/0!

#DIV/0!

-

#DIV/0!

#DIV/0!

#DIV/0! #DIV/0!

…….., 31 Desember 20….. Pejabat Penilai, ______________________________ NIP. _______________________

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