EMPLOYEE EXIT PERMIT FORM EMPLOYEE EXIT PERMIT FORM

NAME : __________________________________ NAME : __________________________________

NIK : __________________________________ NIK : __________________________________
POSITION : __________________________________ POSITION : __________________________________
DEPT. : __________________________________ DEPT. : __________________________________

Request permit for : * Late / Early home / Go out / Request permit for : * Late / Early home / Go out /
Break outside the office Break outside the office

Date : ___________________________________________________ Date : ___________________________________________________

Time In : __________________________________________________ Time In : ___________________________________________________
Time Out : ________________________ Return : ___________________ Time Out : ________________________ Return : ___________________
Reason : *BUSINESS / PERSONAL To : _______________________ Reason : *BUSINESS / PERSONAL To : _______________________
Vehicle used : *Company Car / Company Motorbike / Personal Vehicle used : *Company Car / Company Motorbike / Personal
Remark : ___________________________________________________ Remark : ___________________________________________________
___________________________________________________ ___________________________________________________
Contact Person : ___________________________ Contact Person : ___________________________

Denpasar , _________________ Denpasar , _________________

Request By, Approved By, Acknowledge, Request By, Approved By, Acknowledge ,

Employee Supervisor Department Head Human Resources Employee Supervisor Department Head Human Resources