Form No DSSP-S05-HR-FM-0001

SITE LEAVING PERMIT (SLP) Issued Date 8-Sep-20

Rev. No 0

Name/ Nama : Erdian Aprianto NIK: 218021

Position / Posisi : HSE Planer

Purpose of/ Tujuan : Day Off Demob Others

Total Leave's from Site (Start-End) : 4 Days (12 - 15 March 2022)

Detail Leave's/ Detil Libur To :

Regular Dayoff/ Hari Libur : - To : -

Day off In Lieu/ pengganti Hari Libur : - To : -

Annual Leave/ Cuti Tahunan : Entitled : Taken : Balance :

: 12-Mar-22 To 15-Mar-22

Others/ Lain-lain ( ) : To :

Return to Work/ Kembali Bekerja : 16-Mar-22

Destination/ Destinasi : Palembang

Report to Direct Superior : M. Irvan S

Replaced by/ Digantikan Oleh : Erik Handrian

Remarks/ Catatan : Anak Sakit

Prepared by Approved by Acknowledged by

Name : Erdian Aprianto Name : M. Irvan Sihombing Name : M. Irvan Sihombing Name: Edwin S Lubis
Date : Date : Date : Date :
EMPLOYEE DEPT. HEAD DIV. HEAD HRGA

Note:
1. For employee level: 1-10 Approved by Section Head & Dept. Head
2. For Employee level: 11-14 Approved by Dept. Head & COO
3. For Employee level: 15 up Approved by COO & CEO
 Form No DSSP-S05-HR-FM-0001

SITE LEAVING PERMIT (SLP) Issued Date 8-Sep-20

Rev. No 0

Name/ Nama : dr. Ismail Marzuki H. NIK:

Position / Posisi : RMO IHC Siloam DSSP Power

Purpose of/ Tujuan : Day Off Demob Others

Total Leave's from Site (Start-End) : 10 Days ( 29 April - 9 May 2022 )

Detail Leave's/ Detil Libur To :

Regular Dayoff/ Hari Libur : To :

Day off In Lieu/ pengganti Hari Libur : - To : -

Annual Leave/ Cuti Tahunan : Entitled : 15 Taken : Balance :

: &

Others/ Lain-lain ( ) : 26-Apr-22 To : 10-May-22

Return to Work/ Kembali Bekerja : 10-May-22

Destination/ Destinasi : Medan

Report to Direct Superior : M. Irvan Sihombing

Replaced by/ Digantikan Oleh : dr.Langlang & dr.Febi Sofiana

Remarks/ Catatan : Idul Fitri 1443 H

Prepared by Approved by Acknowledged by

Name : dr.Ismail Marzuki H. Name : dr. Rosyen John Name : M. Irvan Sihombing Name: Edwin S Lubis
Date : 26-Apr-2022 Date : 26-Apr-2022 Date : 26-Apr-2022 Date :
EMPLOYEE HEAD / Deputy CEO IHC Siloam DIV. HEAD HRGA

Note:
1. For employee level: 1-10 Approved by Section Head & Dept. Head
2. For Employee level: 11-14 Approved by Dept. Head & COO
3. For Employee level: 15 up Approved by COO & CEO