PERSONEL ACTION FORM

Name : Effective Date of This Action

Date Of Assigment :

TYPE OF ACTION CURRENT NEW

Departement Transfer Departement

Promotion NIK
Change Position Position
Demotion Marital Status
Change of Marital Status
Extend Contract Date of Last CURRENT NEW
Salary Change Increase Salary Level
Resign Basic Salary
End Contract Transport Allowance
Others (Specify) Position Allowance
Functional Allowance
Annual Increase
Others Allowance

TOTAL

REMARKS

Employee Chief Accounting Bookkeeper Resort Manager

(____________________) (____________________) (____________________) (____________________)

Date, Date, Date, Date,

Distribution 1. Accounting Depart. 2. Employee