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  • Formulir Cuti

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    Farid Dwi Firdaus
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    This document is an employee leave form that contains fields for an employee to fill out when requesting leave. It includes fields for the employee's name, ID number, position, type of leave being requested such as annual leave, sick leave, maternity leave, or special occasions. It specifies the maximum number of days allowed for different leave types and requires the employee to provide contact details and replacement details during their leave. The form requires recommendations from the direct supervisor and approval from a manager at least two levels above the employee. It provides important notes that the form must be submitted at least one week in advance and leave cannot be taken before approval, except for sickness or emergencies.

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    This document is an employee leave form that contains fields for an employee to fill out when requesting leave. It includes fields for the employee's name, ID number, position, type of leave being requested such as annual leave, sick leave, maternity leave, or special occasions. It specifies the maximum number of days allowed for different leave types and requires the employee to provide contact details and replacement details during their leave. The form requires recommendations from the direct supervisor and approval from a manager at least two levels above the employee. It provides important notes that the form must be submitted at least one week in advance and leave cannot be taken before approval, except for sickness or emergencies.

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    15 views1 page

    Formulir Cuti

    Uploaded by

    Farid Dwi Firdaus
    This document is an employee leave form that contains fields for an employee to fill out when requesting leave. It includes fields for the employee's name, ID number, position, type of leave being requested such as annual leave, sick leave, maternity leave, or special occasions. It specifies the maximum number of days allowed for different leave types and requires the employee to provide contact details and replacement details during their leave. The form requires recommendations from the direct supervisor and approval from a manager at least two levels above the employee. It provides important notes that the form must be submitted at least one week in advance and leave cannot be taken before approval, except for sickness or emergencies.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    Formulir Permohonan Cuti Karyawan

    Employee Leave

    Nama / Name
    NIK / Employee ID
    Jabatan/Position
    Sub Direktorat / Sub Directorate
    Jenis Cuti yang diajukan / Type of Leave

    Cuti Haid / Menstruation Leave


    Cuti Tahunan / Annual Leave (1 hari / 1 day)
    (Max. 12 Hari untuk TKI dan 45 Hari untuk TKC / Max
    12 days for Indonesian / 45 Days for Chinese worker)
    Cuti Bersalin / Maternity Leave
    Cuti Sakit / Sick Leave (3 Bulan / 3 Month)

    Cuti Penting / Special Leave


    Pekerja Menikah / Employee Marriage Leave Istri Karyawan Melahirkan/Paternity Leave
    (3 hari / 3 days) (2 hari / 2 days)
    Keluarga Karyawan Meninggal (Istri/Suami/Anak/Orang
    Anak Menikah / Children Marriage Leave tua/Mertua)/ Funeral Leave
    (2 hari / 2 days) (Spouse/Children/Parent/Parent in law)
    (2 hari / 2 days)
    Keluarga dalam satu rumah meninggal / Funeral Leave
    Anak Khitan / Children Circumcise
    (2 hari / 2 days)
    (Member of the family living with the employee)
    (2 hari / 2 days)
    Membabtis Anak / Children Baptism Menunaikan Ibadah Haji / Hajj Leave
    (2 hari / 2 days) (Max. 45 hari / 45 days)
    Mengurus Visa Kerja/Processing Working Visa Menunaikan Ibadah Umroh/ Umrah Leave (10 hari/ 10
    (7 hari/7days) days)

    Sisa Cuti (Diisi oleh Dept. HR) *khusus cuti tahunan di luar cuti penting / Remaining Leave Days *for annual leave only (filled by HR Dept.)

    Sisa Cuti/ Before:


    Verifikator/ Diketahui oleh/
    Remaining
    After: Verificator Known by
    Leave Days

    Lama Cuti / and Period of Leave

    Jumlah Hari /
    Number of Mulai / First day Sampai / Last
    2 25 October 2021 26 October 2021
    days of leave day of leave

    Kontak Karyawan Selama Cuti (Wajib diisi) / Employee Contact During Leave (must be provided)

    Alamat / Address City xx Nomor Telepon/Tel. 08xx

    Alasan / Reason for Taking Leave

    Acara Keluarga / Family Event

    Selama Cuti Tugas digantikan oleh / during leave replace by

    Tanda Tangan /
    Nama / Name Stefie Signature

    Jakarta, 21 October 2021


    Pemohon Cuti/ Employee Rekomendasi Atasan Langsung Persetujuan Pimpinan*)
    Recommendation of Direct Supervisor Leave Approval

    Qwerty Asdf
    Nama / Name Nama / Name Nama / Name

    *)Persetujuan Pimpinan / Leave Approval oleh/by: 2 Level keatas dari pemohon/2 Level Above the applicant
    Perhatikan/Important notes:
    1. Surat Permohonan Cuti ini harus diajukan minimal 1 minggu sebelum cuti dijalankan. / This Annual leave form must be submitted 1 week before the date
    requested.
    2. Sebelum ada persetujuan dari atasan, tidak diperkenankan untuk meninggalkan/mendahului cuti, kecuali sakit dengan dibuktikan dengan surat keterangan
    dokter atau karena keperluan mendadak. / Before the leave request approved, its forbid to take leave, except when the employee is sick, have to provide
    doctor letter or when in an emergency situation.

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