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    Application For Request Temporary ID

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    angga theyoungboy
    This document is a request for a temporary vehicle pass for an outage at Unit 3 of the Tanjung Jati B Power Plant. It includes details of 3 drivers such as their names, positions, work duration, vehicle numbers, SIM numbers, and attach copies of their SIMs, vehicle registration, and photos. It notes the requirements for returning the passes after work is completed and that personnel are responsible for any loss or damage of the passes.

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    Application For Request Temporary ID

    Uploaded by

    angga theyoungboy
    18 views15 pages
    This document is a request for a temporary vehicle pass for an outage at Unit 3 of the Tanjung Jati B Power Plant. It includes details of 3 drivers such as their names, positions, work duration, vehicle numbers, SIM numbers, and attach copies of their SIMs, vehicle registration, and photos. It notes the requirements for returning the passes after work is completed and that personnel are responsible for any loss or damage of the passes.

    Original Description:

    HSE

    Original Title

    Application for Request Temporary ID

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    This document is a request for a temporary vehicle pass for an outage at Unit 3 of the Tanjung Jati B Power Plant. It includes details of 3 drivers such as their names, positions, work duration, vehicle numbers, SIM numbers, and attach copies of their SIMs, vehicle registration, and photos. It notes the requirements for returning the passes after work is completed and that personnel are responsible for any loss or damage of the passes.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    18 views15 pages

    Application For Request Temporary ID

    Uploaded by

    angga theyoungboy
    This document is a request for a temporary vehicle pass for an outage at Unit 3 of the Tanjung Jati B Power Plant. It includes details of 3 drivers such as their names, positions, work duration, vehicle numbers, SIM numbers, and attach copies of their SIMs, vehicle registration, and photos. It notes the requirements for returning the passes after work is completed and that personnel are responsible for any loss or damage of the passes.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 15

    PT.

    KOMIPO PEMBANGKITAN JAWA BALI


    PLTU TANJUNG JATI B UNIT #3&4
    APPLICATION FOR REQUEST; TEMPORARY VEHICLE PASS FOR OUTAGE UNIT 3
    Applikasi Untuk Permintaan; Akses Kendaraan Sementara Untuk Outage Unit 3

    Company ; PT. Varley Indonesia


    Site Coordinator ; Vamsa Winata
    Update Data ; Per - 20/06/2017

    No Name Position Working Duration / Durasi Pekerjaan Number of Vehicle Number of SIM
    No Nama Jabatan Start / Mulai Finish / Selesai Nomor Kendaraan Nomor SIM
    1 Vamsa Winata DRIVER 20 Juni 2017 N-1485-HX 820715270095
    2 Surato Driver 26 Juni 2017 B - 1161 - GKO 770112220972
    3 Faturohman Driver 26 Juni 2017 K-9030-YC 781112193231
    Note;
    1 Format file name photograph for personnel is; Number_Name_Position (Example; 1_EOM_IK_HEUM_PROJECT MANAGER) / Format nama file foto untuk personel; N
    2 Format file of photograph for personnel; JPEG Size; 3 X 4 cm; 80 KB with background WHITE COLOR / Format file foto untuk personel; JPEG Ukuran; 3 X 4 cm; 80 KB
    3 Attach with copy of SIM, STNK, KIR, and Photograph of Vehicle, / Lampirkan dengan foto copy SIM, STNK, KIR dan Foto Kendaraan
    4 All access pass should be returned to KPJB - HSE Division after completed work / Semua akses harus dikembalikan kepada Divisi HSE KPJB setelah pekerjaan selesai
    5 Damage and loss of access pass control, is responsibility each personnels, including replacement access pass cost / Kerusakan dan kehilangan dari kartu kendali akses menj
    6 This aplication use for local personnel / Aplikasi ini digunakan untuk pekerja lokal
    SIM Validity Date Place of Birth Date of Birth Age Sex Blood Type Current Address
    Tanggal Validitas SIM Tempat Lahir Tanggal Lahir Umur Jenis Kelamin Golongan Darah Alamat Sekarang
    13-07-2014 Tangerang 13-07-1982 35 LAKI-LAKI
    17-01-2018 Wonogiri 1/17/1977 40 LAKI-LAKI
    14-11-2021 Probolinggo 14-11-1978 39 LAKI-LAKI
    e foto untuk personel; Nomor_Nama_Jabatan (Contoh; 1_EOM_IK_HEUM_PROJECT MANAGER)
    kuran; 3 X 4 cm; 80 KB dengan background WARNA PUTIH

    ah pekerjaan selesai
    kartu kendali akses menjadi tanggung jawab masing - masing personel, termasuk beban biaya penggantian
    Mobile Phone Number Emergency Phone Number
    Nomor Handphone Nomor Telephone Darurat
    0821-3488-3200 0821 - 3488 - 3200
    08132-2773-769 0821 - 3488 - 3200
    PT. VARLEY INDONESIA

    DATA PERSONIL PT. VARLEY INDONESIA


    PROJECT PLTU KPJB UNIT 3
    ( HELPER JEPARA )
    NO NAMA POSISI SIM

    1 Vamsa Winata

    2 Surato Driver
    3 Faturohman Driver

    5
    1

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