Seklist Box Kepegawaian.docx
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UPT. PUSKESMAS MANGKUPALAS CHEK LIST DOKUMEN KEPEGAWAIAN
NAMA : NO
JENIS DOKUMEN
ADA
TIDAK ADA
KETERANGAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SK CPNS DIKLAT PRAJABATAN SK PNS SK BERJENJANG (S/D PANGKAT TERAKHIR) SK NIP BARU KARPEG KARIS/KARSU KGB (S/D KGB TERAKHIR) SPMT PAK TASPEN IJAZAH KK,KTP (SUAMI/ISTRI) SURAT NIKAH BPJS NPWP SIP/STR/SIK AKTE KELAHIRAN SK SUMPAH PNS SURAT CUTI NB : BERI TANDA “✔” DI KOLOM YANG TERSEDIA Samarinda, Pemeriksa,
NAMA : NO
JENIS DOKUMEN
ADA
TIDAK ADA
KETERANGAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SK CPNS DIKLAT PRAJABATAN SK PNS SK BERJENJANG (S/D PANGKAT TERAKHIR) SK NIP BARU KARPEG KARIS/KARSU KGB (S/D KGB TERAKHIR) SPMT PAK TASPEN IJAZAH KK,KTP (SUAMI/ISTRI) SURAT NIKAH BPJS NPWP SIP/STR/SIK AKTE KELAHIRAN SK SUMPAH PNS SURAT CUTI NB : BERI TANDA “✔” DI KOLOM YANG TERSEDIA Samarinda, Pemeriksa,
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