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  LAMPIRAN II : SURAT EDARAN KEPALA BADAN  ADMINISTRASI KEPEGAWAIAN NEGARA NOMOR : 01/SE/1977 TANGGAL : 25 PEBRUARI 1977 PERMINTAAN CUTI TAHUNAN ................, ………….………………………2016Ke! !#$%. P&'&(!( SKPD '!)&(*+'!)&(* D&M!-#!(* e$!( ! $!(*!( & !!% &(& :N ! ' !:N I P:P!(*!$/G. R3!(*:4!!$!(:S!$3!( O*!(&)!)&: e(*!( &(& 'e(*!3!( e'&($!!( 3$& $!%3(!( 3($3 $!%3( ………………….)e!'! ……………. !& e!, $e%&$3(* '3!& $!(**! …………………Se!'! 'e(!!(!( 3$&, !!'!$ )!-! ! !!% & ...................................................... ......................... .………………………………………………… P. ……….........................................................................................................De'&&!( e'&($!!( &(& )!-! 3!$ 3($3 !!$ &e$&'!(*!( )e!*!&'!(! 'e)$&(-!.'!$ S!-!,………………………………………………… . NIP. CATATAN PEJABAT KEPEGAWAIAN :CATATAN PERTIMBANGAN ATASAN LANGSUNGKEPUTUSAN PEJABAT YANG BERWENANG MEMBERIKAN CUTI  LAMPIRAN 8I : SURAT EDARAN KEPALA BADAN ADMINISTRASI KEPEGAWAIAN NEGARA NOMOR : 01/SE/1977 TANGGAL : 25 PEBRUARI 1977 PERMINTAAN CUTI SAKIT M!3(**,15 Ne'e 2017Ke! !#$%. Ke!! D&(!) Ke)e%!$!( K!. N!*eeD&M!-#!(* e$!( ! $!(*!( & !!% &(& :N ! ' !:#%.M.&!((e- L!*! E*,A.M .KeN I P:19600; 200901 1 001P!(*!$/G. R3!(*:Pe(!$! M3 ! T.1/III.4!!$!(:Pe!!$ Pe!)!(! L!(3$!(S!$3!( O*!(&)!)&:D&(!) Ke)e%!$!( K!3!$e( N!*ee,P3)e)'!) M!3(** e(*!( &(& 'e(*!3!( e'&($!!( 3$& )!&$ )e!'! 1 <)!$3= 3!( ,$e%&$3(* '3!& $!(**! 15 Ne'e > 15 De)e'e 2017 !e(! )!-! 'e( e&$! )!&$ P)$ Oe!)& Ae( &&$&) )e)3!& )3!$ e$e!(*!( $e $e!'&.Se!'! 'e(!!(!( 3$&, !!'!$ )!-! ! !!% & RT.0?,L&(*.1 M!3(**, P: 022 ;617 1062De'&&!( e'&($!!( &(& )!-! 3!$ 3($3 !!$ &e$&'!(*!( )e!*!&'!(! 'e)$&(-!.'!$ S!-!,#%.M .8&!((e- L!*! E*,A.M .KeNIP.19600; 200901 1 001 CATATAN PEJABAT KEPEGAWAIAN :CATATAN PERTIMBANGAN ATASAN LANGSUNGKEPUTUSAN PEJABAT YANG BERWENANG MEMBERIKAN CUTI  LAMPIRAN 8III : SURAT EDARAN KEPALA BADAN ADMINISTRASI KEPEGAWAIAN NEGARA NOMOR : 01/SE/1977 TANGGAL : 25 PEBRUARI 1977 PERMINTAAN CUTI BERSALIN  ....................., .............................. 2016 Ke! ! #$%. B3!$& N!*ee D& + M!-#!(* e$!( ! $!(*!( & !!% &(& :N!'!: NIP: P!(*!$/G. R3!(*: 4!!$!(: G33S!$3!( O*!(&)!)&: D&(!) PPO K!3!$e( N!*ee e(*!( &(& 'e(*!3!( e'&($!!( 3$& e)!&( 3($3 e)!&(!( -!(* e ....... <.....= $e%&$3(* '3!& $!(**! ................... )!'!& e(*!( .............................A!'!$ )!-! )e!'! 'e(!!(!( 3$& & ........................................ P. ................................... De'&&!( e'&($!!( &(& )!-! 3!$ 3($3 !!$ &e$&'!(*!( )e!*!&'!(! 'e)$&(-!.'!$ S!-!, CATATAN PEJABAT KEPEGAWAIAN :CATATAN PERTIMBANGAN ATASAN LANGSUNGKEPUTUSAN PEJABAT YANG BERWENANG MEMBERIKAN CUTI  LAMPIRAN @II : SURAT EDARAN KEPALA BADAN ADMINISTRASI KEPEGAWAIAN NEGARA NOMOR : 01/SE/1977 TANGGAL : 25 PEBRUARI 1977 PERMINTAAN CUTI KARENA ALASAN PENTING ......................., ..................... 2016Ke! !#$%. B!! B3!$& N!*eeD& +M!-1.#!(* e$!( ! $!(*!( & !!% &(& :N ! ' !: N I P: P!(*!$/G. R3!(*: 4!!$!(: S!$3!( O*!(&)!)&: e(*!( &(& 'e(*!3!( e'&($!!( 3$& !e(! !!)!( e($&(* )e!'! ... < ........... = !& $e%&$3(* '3!& $!(**!................. )!'!& e(*!( ............. !e(! 'e(*33) ...................................................2.A!'!$ )!-! )e!'! 'e(!!(!( 3$& !e(! !!)!( e($&(* ! !!% &.................................................. P. ..............................;.De'&&!( e'&($!!( &(& )!-! 3!$ 3($3 !!$ &e$&'!(*!( )e!*!&'!(! 'e)$&(-!.'!$ S!-!, CATATAN PEJABAT KEPEGAWAIAN :CATATAN PERTIMBANGAN ATASAN LANGSUNGKEPUTUSAN PEJABAT YANG BERWENANG MEMBERIKAN CUTI
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