Lampiran Surat Sekretaris Daerah

Nomor : 800/ /VI.4/TB/III/2021

Tanggal : Maret 2021
CONTOH TEMPLATE PENILAIAN KINERJA PNS TAHUN 2019 dan seterusnya

DAFTAR PENILAIAN KINERJA PEGAWAI NEGERI SIPIL 1= STRUKTURAL

UNIT ORGANISASBADAN KEPEGAWAIAN, PENDIDIKAN DAN PELATIHAN 2= JFT
3= RANGKAP
4= JFU
NO PNS_ID NIP_BARU NAMA Nama_AtasanPejabatPenilai NIP_AtasanPejabatPenilai Nama_Pejabat_Penilai NIP_Pejabat_Penilai Tahun Nilai_SKP Orientasi_Pelayanan Integritas Komitmen Disiplin Kerjasama Kepemimpinan Status_Penilai
Status_Atasan_Penilai
Jenis_Jabatan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 196309171985022001 Hj. Riwanti, S.ST Hi. Fatoni, S.Kep.,MM 197308082005011008 Lasmini, SKM.,M.Kes 197206031995032003 2020 86.2 85 85 91 85 85 - PNS PNS
2 197205281992012001 Desma Damita,S.ST,M.Kes Hi. Fatoni, S.Kep.,MM 197308082005011008 Lasmini, SKM.,M.Kes 197206031995032003 2020 86.60 86 85 91 85 86 85 PNS PNS
3 198003232010012021 Dr. Hemi Marlita Hi. Fatoni, S.Kep.,MM 197308082005011008 Lasmini, SKM.,M.Kes 197206031995032003 2020 86.2 85 85 91 85 85 - PNS PNS
4 198005132009022006 Dr. Meidiyani Safitri Hi. Fatoni, S.Kep.,MM 197308082005011008 Lasmini, SKM.,M.Kes 197206031995032003 2020 86.00 86 85 91 84 84 - PNS PNS
5 198108172006042025 Vera Agusella, A.Md.Kep Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 86.80 86 85 91 86 86 - PNS PNS
6 196710211992032005 Artina Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 87.2 86 84 91 90 85 - PNS PNS
7 197810232006042016 Arina Wati, S.Kep Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 85.4 84 84 91 84 84 - PNS PNS
8 198310202011012008 Ns. Yunita Octaria, S.Kep Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 85.4 84 84 91 84 84 - PNS PNS
9 197503082006042009 KHOLIDA.Skep Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 85.40 85 84 91 84 83 - PNS PNS
10 197106201991022002 Roslina Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 87.6 87 86 91 87 87 - PNS PNS
11 198205232010012016 Meirida,S.Kep Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 86.6 86 85 91 86 85 - PNS PNS
12 198404022011011007 Ahmad, S.KM Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 87.6 87 86 91 87 87 - PNS PNS
13 198511142010011006 Nurhentanto, A.Md.KG Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 87.8 88 86 91 87 87 - PNS PNS
14 198904052010012002 Aprilia, S.ST Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 85.60 85 84 91 84 84 - PNS PNS
15 198511072010012016 Neriyana Fitri, S.ST Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 87.4 87 86 91 87 86 - PNS PNS
16 197510132010011007 Rustam Amin, S.Kep Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 85.2 84 84 91 83 84 - PNS PNS
17 198507082010012021 Lisa Irafitri, A.Md.Kep Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 86.6 86 85 91 86 85 - PNS PNS
18 198103112011012002 Fransiska Dewi, S.K.M Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 88 88 86 91 88 87 - PNS PNS
19 198812142011012005 Anisa Avitami KW, A.Md.Keb Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 86.8 86 85 91 86 86 - PNS PNS
20 198806222011012004 Yuni Angria, A.Md.Keb Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 86.8 86 85 91 86 86 - PNS PNS
21 198610082011012010 Ranie Aristiyasari, A.Md.AK Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 87.6 87 86 91 87 87 - PNS PNS
22 197410122006042017 Atit Setiawati, S.ST Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 85 84 83 91 84 83 - PNS PNS
23 197607162006042012 Arita Meri Safitri,A.Md.Keb Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 83.4 82 82 91 82 80 - PNS PNS
24 197909122010012014 Ns. Ansri Hidayati, S.Kep Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 83.8 81 82 91 83 82 - PNS PNS
25 198411162009021002 Nyoman Sri JK,A.Md.Kep Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 83.8 81 82 91 83 82 - PNS PNS
26 198603072017052001 Fitria Sari,A.Md.Keb Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 84 83 82 91 82 82 - PNS PNS
27 198512102017052002 Risma Yanti,A.Md.Keb Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 83.8 82 82 91 82 82 - PNS PNS
28 198909202017052002 Risa Eka Sepreni,S.ST Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 83.8 82 82 91 82 82 - PNS PNS
29 198711282017052002 Eliya Sari,A.Md.Keb Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 84 83 82 91 82 82 - PNS PNS
30 198307252010012029 Maryam Munzir Hi. Fatoni, S.Kep.,MM 197308082005011008 Desma Damita,S.ST,M.Kes 197205281992012001 2020 87.2 86 86 91 87 86 - PNS PNS

DIKOSONG
KAN
PLT. KEPALA UPTD PUSKESMAS MENGGALA

DESMA DAMITA, S.ST,M.Kes

Penata TK.I/IIII.d
NIP 197205281992012001