Leighton Asia - PT Leighton Contractors Indonesia

Course Name : Safety Induction

Date Of Course : 08-Mar-2023
Time :
Venue : LCI Training Facility

Name of attendance consider to valid ID Card (KTP)

No ID Number Name Company Position Office email Office Phone Employee Cellphone#
1 3217041107940001 FAJAR SIDIK RDJO MECHANICAL
2 3214121110700001 KOMARUDIN RDJO MECHANICAL
3 3214051710990001 RIZKI NUGRAHA RDJO MECHANICAL
4 3208131903870006 NURUL ANWAR RDJO MECHANICAL
5 3329090210010002 MOH. RISQI NUR AFFIAN RDJO MECHANICAL
6 3215060409880003 DUDUN ISMAIL, S.T RDJO HSE OFFICER
7 3213121005780009 AHMAD RDJO MECHANICAL
8 3214102307970001 SONAR WIBOWO RDJO MECHANICAL
9 3215051211840000 ENJANG RDJO MECHANICAL
10 3275031506780049 SUPARLAN RDJO ELECTRICAL
11 3172032503840021 AHMAD RDJO ELECTRICAL
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Note:
- Pendaftaran training dilakukan berdasar tabel di atas & lengkap tandatangan. Proposed by (subcont reps) Approved by LCI Construction /SHES Dept
Registration will be made based on complete filled and signed TRF. Name Name
- Nama yang didaftarkan harus sudah lengkap vaksinasi (beserta booster). Position Position
Person listed must be hold vaccine certificated (booseter vaccine). Date Date

Signature Signature

Title: Training Requisition

ID No.: ID251_8_33_00_00_00005_FRM_00, Version: 0.0 Date Published: 05/02/2021 Page 1