Tuesday, November 13, 2012

Surat Izin Keluar


SURAT IJIN KELUAR
Nomor : 800 /      / UPTD-LWK / 2012

 
1. Nama / NIP                 : .....................................  ( ................................)
2. Jabatan                       : Kepala .....................................
3. Unit Kerja                    : ...................................................

MEMBERI IJIN

    Kepada :
1. Nama                                           : .........................................................
2. NIP                                               : .........................................................
3. Jabatan                                       : .........................................................
4. Tempat Bekerja                         : .........................................................
    Untuk ( Keperluan Dinas / Pribadi ) ke ...........................................

    Dari pukul  ............................  sampai dengan pukul ...............................  WIB.
    Agar dapat diperhatikan sebagaimana mestinya.


                                                                                      Cirebon,  .........................  20...

                                                                                      Kepala ....................................





                                                                                      (Nama Jelas)
                                                                                      (NIP) 
                                                                                                               





                                                                                                               
                                                                                                                               

                                                                               
                                                                                                            
                                                                                                              

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2 comments:

Ya belum ada pak masih dalam pengmbangan

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