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  • Sasaran 08 01 2020 083757

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    fghjjhyheeet

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    6 views5 pages

    Sasaran 08 01 2020 083757

    Uploaded by

    erik verawati
    fghjjhyheeet

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 5

    <div align='center'><img style='max-height:100px;'

    src='../images/garuda.png'><br><br>
    <strong>PENILAIAN PRESTASI KERJA<br />
    PEGAWAI NEGERI SIPIL</strong></div>
    <br>
    <div align='right'><strong>JANGKA WAKTU PENILAIAN</strong><br />
    01 Januari 2019 s/d 31 Desember 2019</strong></div>
    <table width='100%' border='1'>
    <tr>
    <td><strong>1.</strong></td>
    <td colspan='5'><strong>YANG DINILAI</strong></td>
    </tr>
    <tr>
    <td></td>
    <td width='120px'>Nama</td>
    <td colspan='4'> ILHAM PRASETYA, A.Md.Kep</td>
    </tr>
    <tr>
    <td></td>
    <td>NIP.</td>
    <td colspan='4'>19890216 201403 1 003</td>
    </tr>
    <tr>
    <td></td>
    <td>Pangkat/Gol. Ruang</td>
    <td colspan='4'>Pengatur Tingkat I (II/d)</td>
    </tr>
    <tr>
    <td></td>
    <td>Jabatan</td>
    <td colspan='4'>Perawat Terampil</td>
    </tr>
    <tr>
    <td></td>
    <td>Unit Kerja</td>
    <td colspan='4'>DINAS KESEHATAN - RS PARU JEMBER - SEKSI PELAYANAN MEDIS</td>
    </tr>
    <tr>
    <td><strong>2.</strong></td>
    <td colspan='5'><strong>PEJABAT PENILAI </strong></td>
    </tr>
    <tr>
    <td></td>
    <td>Nama</td>
    <td colspan='4'>dr. DINA RUSDIANA MSi.</td>
    </tr>
    <tr>
    <td></td>
    <td>NIP.</td>
    <td colspan='4'>19780216 200801 2 012</td>
    </tr>
    <tr>
    <td></td>
    <td>Pangkat/Gol. Ruang</td>
    <td colspan='4'>Penata Tingkat I (III/d)</td>
    </tr><tr>
    <td></td>
    <td>Jabatan</td>
    <td colspan='4'>Kepala Seksi Pada Seksi Pelayanan Medis</td>
    </tr><tr>
    <td></td>
    <td>Unit Kerja</td>
    <td colspan='4'>DINAS KESEHATAN - RS PARU JEMBER - SEKSI PELAYANAN MEDIS</td>
    </tr>

    <tr>
    <td><strong>3.</strong></td>
    <td colspan='5'><strong>ATASAN PEJABAT PENILAI </strong></td>
    </tr>
    <tr>
    <td></td>
    <td>Nama</td>
    <td colspan='4'>dr. NUR SITI MAIMUNAH M.Si</td>
    </tr>
    <tr>
    <td></td>
    <td>NIP.</td>
    <td colspan='4'>19620511 199003 2 004</td>
    </tr>
    <tr>
    <td></td>
    <td>Pangkat/Gol. Ruang</td>
    <td colspan='4'>Pembina Tingkat I (IV/b)</td>
    </tr><tr>
    <td></td>
    <td>Jabatan</td>
    <td colspan='4'>Kepala Upt Pada Rs Paru Jember</td>
    </tr><tr>
    <td></td>
    <td>Unit Kerja</td>
    <td colspan='4'>DINAS KESEHATAN - RS PARU JEMBER</td>
    </tr>

    <tr>
    <td><strong>4.</strong></td>
    <td colspan='4'><strong>UNSUR YANG DINILAI</strong></td>
    <td><div align='center'><strong>JUMLAH</strong></div></td>
    </tr>
    <tr><td></td>
    <td><strong>Sasaran Kerja PNS (SKP)</strong></td><td
    colspan='3'><center><strong>91.59 x
    60%</strong></center></td><td><center><strong>54.95</strong></center></td>
    </tr>
    <tr>
    <td></td>
    <td><strong>Perilaku Kerja</strong></td>
    <td>1. Orientasi Pelayanan</td>
    <td><center>81</center></td>
    <td><center>Baik</center></td>
    <td></td>
    </tr>
    <tr>
    <td></td>
    <td></td>
    <td>2. Integritas</td>
    <td><center>82</center></td>
    <td><center>Baik</center></td>
    <td></td>
    </tr>
    <tr>
    <td></td>
    <td></td>
    <td>3. Komitmen</td>
    <td><center>81</center></td>
    <td><center>Baik</center></td>
    <td></td>
    </tr>
    <tr>
    <td></td>
    <td></td>
    <td>4. Disiplin</td>
    <td><center>81</center></td>
    <td><center>Baik</center></td>
    <td></td>
    </tr>
    <tr>
    <td></td>
    <td></td>
    <td>5. Kerjasama</td>
    <td><center>81</center></td>
    <td><center>Baik</center></td>
    <td></td>
    </tr>
    <tr>
    <td></td>
    <td></td>
    <td>6. Kepemimpinan</td>
    <td><center>-</center></td>
    <td><center>-</center></td>
    <td></td>
    </tr>
    <tr>
    <td></td>
    <td></td>
    <td>7. Jumlah</td>
    <td><center>406</center></td>
    <td></td>
    <td></td>
    </tr>
    <tr>
    <td></td>
    <td></td>
    <td>8. Nilai Rata-rata</td>
    <td><center>81.2</center></td>
    <td><center>Baik</center></td>
    <td></td>
    </tr>
    <tr>
    <td></td>
    <td></td>
    <td><p><strong>9. Nilai Perilaku Kerja</strong></td>
    <td colspan='2'><center><strong>81.2 x 40%</strong></center></td>
    <td><center><strong>32.48 </strong></center></td>
    </tr>
    <tr>
    <td colspan='5'><center><strong>Nilai Prestasi Kerja</strong></center></td>
    <td><center><strong>87.43 <br> Baik</strong></center></td>
    </tr>

    </table>

    <div style='page-break-before:always;'>
    <table width='100%' border='1'>
    <tr>
    <td width='5'><strong>5.</strong></td>
    <td colspan='5'><strong>KEBERATAN DARI PEGAWAI NEGERI SIPIL YANG DINILAI
    (APABILA ADA)</strong>
    <br>
    <br>
    <br>
    <br>
    <br>
    <br>
    <div align=right>Tanggal, ..................................</div>
    </td>
    </tr>
    <tr>
    <td width='5'><strong>6.</strong></td>
    <td colspan='5' ><strong>TANGGAPAN PEJABAT PENILAI ATAS KEBERATAN</strong>
    <br>
    <br>
    <br>
    <br>
    <br>
    <br>
    <div align=right>Tanggal, ..................................</div>
    </td>
    </tr>
    <tr>
    <td width='5'><strong>7.</strong></td>
    <td colspan='5' ><strong>KEPUTUSAN ATASAN PEJABAT PENILAI ATAS
    KEBERATAN</strong>
    <br>
    <br>
    <br>
    <br>
    <br>
    <br>
    <div align=right>Tanggal, ..................................</div>
    </td>
    </tr>
    <tr>
    <td width='5'><strong>8.</strong></td>
    <td colspan='5' ><strong>REKOMENDASI</strong> <br><br>
    <br>
    <br>
    <br>
    <br>
    <br>
    <br>
    </td>
    </tr>
    <tr>
    <td colspan='3'></td>
    <td colspan='3' width='50%'><strong>9. DIBUAT TANGGAL, 31 Desember
    2019</strong><br>
    &nbsp;&nbsp;&nbsp;&nbsp;PEJABAT PENILAI
    <br>
    <br>
    <br>
    <br>
    <br>
    <br>
    &nbsp;&nbsp;&nbsp;&nbsp;(dr. DINA RUSDIANA MSi. )
    <br>&nbsp;&nbsp;&nbsp;&nbsp;NIP. 19780216 200801 2 012</td>
    </tr>

    <tr>
    <td colspan='3'><strong>10. DITERIMA TANGGAL, 02 Januari 2020</strong><br>
    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;PEGAWAI NEGERI SIPIL YANG DINILAI
    <br>
    <br>
    <br>
    <br>
    <br>
    <br>
    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;( ILHAM PRASETYA, A.Md.Kep ) <br>
    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;NIP. 19890216 201403 1 003
    </td>
    <td colspan='3'></td>
    </tr>

    <tr>
    <td colspan='3'</td>
    <td colspan='3'><strong>11. DITERIMA TANGGAL, 06 Januari 2020</strong><br>
    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;ATASAN PEJABAT YANG MENILAI
    <br>
    <br>
    <br>
    <br>
    <br>
    <br>
    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(dr. NUR SITI MAIMUNAH M.Si )
    <br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;NIP. 19620511 199003 2 004</td>
    </tr>

    </table>
    </table></div></body>
    </html>

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