FORMULIR RENCANA KUNJUNGAN

GUEST APPOINTMENT FORM

Date : 26-Mar-24
++
Date, From : 26-Mar-24 To : 26-Apr-24
Time In : 08.00 Time Out : 21.00
Name : 1 Edy S 12
2 Heri Sopan 13
3 Nova 14
4 Nur Kholis 15
5 Bagus 16
6 Fery Angriawan 17
7 Ainul 18
8 19
9 20
10 21
11 22
Company : PT. SILOG ( SEMEN INDONESIA LOGISTIC)

Address : JL. VETERAN NO. 129, KB. DALEM, SIDOKUMPUL, KEC. GRESIK, KAB. GRESIK,
JAWA TIMUR. 61122

Appointment Wi: Fathul A.M Department :Co-Gen

Purpose of Visit : Civil Building Work RDF

NB : Mohon diberikan ijin masuk untuk kelancaran proyek

Acknowledge by, Approved by, Prepared by,

Huang Chin An A.N Huda Fathul A.M

Div. Head Cogen