[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-id-113":3,"doc-seo-230433-113":53,"doc-detail-230433-id":128},{"code":4,"msg":5,"data":6},0,"success",[7,13,17,21,25,29,33,37,41,45,49],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},55,"Document","Agama & Spiritualitas",60,"religion-spirituality",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":11,"slug":16},48,"Cerita & Novel","story-novel",{"id":18,"doc_module":4,"doc_module_name":9,"category_name":19,"show_sort_weight":11,"slug":20},56,"Gaya Hidup","lifestyle",{"id":22,"doc_module":4,"doc_module_name":9,"category_name":23,"show_sort_weight":11,"slug":24},51,"Komik","comic",{"id":26,"doc_module":4,"doc_module_name":9,"category_name":27,"show_sort_weight":11,"slug":28},53,"Layanan Kesehatan","healthcare",{"id":30,"doc_module":4,"doc_module_name":9,"category_name":31,"show_sort_weight":11,"slug":32},54,"Penelitian & Laporan","research-report",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":11,"slug":36},49,"Sastra","literature",{"id":38,"doc_module":4,"doc_module_name":9,"category_name":39,"show_sort_weight":11,"slug":40},52,"Teknologi","technology",{"id":42,"doc_module":4,"doc_module_name":9,"category_name":43,"show_sort_weight":11,"slug":44},50,"Ujian","exam",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":47,"show_sort_weight":11,"slug":48},57,"Umum","general",{"id":50,"doc_module":4,"doc_module_name":9,"category_name":51,"show_sort_weight":4,"slug":52},181,"Formulir","formulir",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":121,"head_meta":123,"extra_data":125,"updated_unix":127},113,"id","blanko-isian-format-simpeg-yustifaneli","BLANKO ISIAN FORMAT SIMPEG - YUSTIFANELI","","Formulir identitas pegawai aparatur sipil negara (ASN) pada lingkungan Pemerintah Kabupaten Pesisir Selatan, digunakan sebagai isian BLANKO untuk kebutuhan SIMPEG. Dokumen memuat data identitas lengkap pegawai seperti NIP baru dan lama, nama, tempat serta tanggal lahir, jenis kelamin, agama, alamat, SKPD, dan keterangan instansi/kerja. Selain itu memuat data kepegawaian utama, nomor KTP, status kedudukan (PNS/CPNS/PPPK), nomor dan tanggal keputusan, riwayat jabatan serta golongan, informasi kenaikan gaji berkala, dan data status perkawinan hingga jaminan serta pajak.",{"@graph":63,"@context":120},[64,81,103],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,72,75,78],{"item":68,"name":69,"@type":70,"position":71},"https://docshare.wps.com","Home","ListItem",1,{"item":73,"name":9,"@type":70,"position":74},"https://docshare.wps.com/id/document/",2,{"item":76,"name":31,"@type":70,"position":77},"https://docshare.wps.com/id/document/penelitian-laporan/",3,{"item":79,"name":59,"@type":70,"position":80},"https://docshare.wps.com/id/document/blanko-isian-format-simpeg-yustifaneli/230433/",4,{"url":79,"name":59,"@type":82,"image":83,"author":88,"headline":59,"publisher":91,"fileFormat":94,"inLanguage":57,"description":61,"dateModified":95,"datePublished":96,"encodingFormat":94,"isAccessibleForFree":97,"interactionStatistic":98},"DigitalDocument",{"url":84,"@type":85,"width":86,"height":87},"https://docshare.wps.com/thumbnails/blanko-isian-format-simpeg-yustifaneli/230433.png","ImageObject",300,407,{"name":89,"@type":90},"Evangeline","Person",{"url":68,"name":92,"@type":93},"DocShare","Organization","application/pdf","2026-10-06","2026-09-10",true,{"@type":99,"interactionType":100,"userInteractionCount":102},"InteractionCounter",{"@type":101},"ViewAction",6,{"@type":104,"mainEntity":105},"FAQPage",[106,112,116],{"name":107,"@type":108,"acceptedAnswer":109},"Apa yang harus diisi pada bagian Identitas Pegawai dalam formulir ini?","Question",{"text":110,"@type":111},"Bagian ini berisi NIP baru dan NIP lama, nama lengkap, gelar kesarjanaan, tempat dan tanggal lahir, jenis kelamin, agama, alamat tempat tinggal, serta SKPD.","Answer",{"name":113,"@type":108,"acceptedAnswer":114},"Data apa saja yang terdapat pada Data Utama 2?",{"text":115,"@type":111},"Data Utama 2 mencakup nomor KTP, nomor HP, kedudukan (PNS/CPNS/PPPK), nomor dan tanggal SK CPNS, nomor dan tanggal SK PNS, nomor seri Karpeg, pendidikan terakhir, dan tanggal/ tahun kelulusan serta nomor ijazah.",{"name":117,"@type":108,"acceptedAnswer":118},"Informasi kepegawaian apa yang dicantumkan pada bagian Jabatan?",{"text":119,"@type":111},"Bagian Jabatan memuat jenis jabatan (struktural, fungsional tertentu, atau fungsional umum) beserta tabel jabatan, nomor SK, tanggal SK, nama jabatan, dan TMT jabatan.","https://schema.org",{"og:url":79,"og:type":122,"og:title":59,"og:site_name":92,"og:description":61},"article",{"robots":124,"canonical":79},"index,follow",{"doc_id":126,"site_id":56},230433,1789050495,{"code":4,"msg":5,"data":129},{"doc_id":126,"user_id":130,"nickname":89,"user_avatar":131,"doc_module":4,"category_id":30,"category_name":31,"doc_title":59,"doc_description":61,"doc_content":132,"file_id":133,"file_url":134,"file_type":135,"file_size":136,"view_count":102,"is_deleted":4,"is_public":71,"is_downloadable":71,"audit_status":71,"page_count":137,"language":138,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":139,"faqs":140,"seo_title":141,"seo_description":61,"update_tm":127,"read_time":142},13056703019662,"https://ap-avatar.wpscdn.com/avatar/be000253a8e92610077?_k=1778726343310543188","PEMERINTAH KABUPATEN PESISIR SELATAN  \nBADAN KEPEGAWAIAN DAERAH  \nFORMULIR IDENTITAS PEGAWAI   \n(APARATUR SIPIL NEGARA)  \nPERHATIAN : Halaman 1 dari 7  \n\n| 1. Harap diisi dengan lengkap dan benar serta gunakan huruf KAPITAL/CETAK\u003Cbr>2. Setelah Formulir ini diisi dan ditanda tangani, digandakan, satu rangkap untuk BKD dan satu rangkap lagi untuk SKPD/Unit Kerja Saudara\u003Cbr>3. Lingkarilah salah satu angka pilihan untuk jawaban yang diberikan pada pertanyaan yang tersedia\u003Cbr>4. (*) Coret yang tidak perlu\u003Cbr>5. Bagi PNS yang berkeinginan isian ini di ketik, formulir dapat di download |\n| --- |\n| IDENTITAS PEGAWAI |\n| 1. NIP Baru : 1 9 7 2 0 3 2 2 1 9 9 3 0 3 2 0 0 1\u003Cbr>\u003Cbr>2. NIP Lama : 4 1 0 0 1 2 1 8 7\u003Cbr>\u003Cbr>3. Nama Lengkap : YUSTIFANELI\u003Cbr>4. Gelar Kesarjanaan : (gelar depan) ............................. (gelar belakang) .............................\u003Cbr>5. Tempat Lahir : TAROK\u003Cbr>6. Tanggal Lahir : Tgl 2  2 Bln 0  3 Thn 1  9  7  2\u003Cbr>\u003Cbr>7. Jenis Kelamin : 1. Laki-laki  2.  Perempuan\u003Cbr>8. Agama : 1. Islam 2. Protestan 3. Katolik 4. Hindu 5. Budha\u003Cbr>9. Alamat Tempat Tinggal : KAMPUNG TAROK KENAGARIAN LAKITAN KECAMATAN LENGAYANG\u003Cbr>10. SKPD : KANTOR CAMAT LENGAYANG |\n| DATA UTAMA 2 |\n| 11. Nomor KTP : 1301036203720003 12. Nomor Hp :\u003Cbr>13. Kedudukan :  1.  PNS ASN 2. CPNS ASN 3. PPPK ASN\u003Cbr>14. No SK CPNS : UP. PD.2257/I/DN-1993\u003Cbr>15. TMT CPNS : Tgl 0  1 Bln 0  3 Thn 1  9  9  3\u003Cbr>16. Tanggal SK CPNS : Tgl 0  1 Bln 0  7 Thn 1  9  9  3\u003Cbr>17. No SK PNS : PD. 261/2/DN-1994\u003Cbr>18. TMT PNS : Tgl 0  1 Bln 1  2 Thn 1  9  9  4\u003Cbr>19. Tanggal SK PNS : Tgl 1  5 Bln 1  1 Thn 1  9  9  4\u003Cbr>20. No Seri Karpeg : NO. G 033333\u003Cbr>21. Pendidikan Terakhir : SMA\u003Cbr>22. Tanggal Kelulusan : Tgl 2  1 Bln 0  5 Thn 1  9  9  1 \u003Cbr>\u003Cbr>\u003Cbr>\u003Cbr>\u003Cbr>\u003Cbr>23. Tahun Lulus : Thn 1 9 9 1\u003Cbr>\u003Cbr>24. No Ijazah Terakhir : 08.OB.og.0556256 |\n| DATA UTAMA 3 |\n| 25. Instansi : PEMERINTAH KABUPATEN PESISIR SELATAN 26. Lokasi Kerja : LENGAYANG\u003Cbr>27. Unit Kerja : KANTOR CAMAT LENGAYANG 28. Kanreg BKN : XII PEKANBARU\u003Cbr>29. Eselon : ....................\u003Cbr>30. TMT Eselon : Tgl  Bln  Thn \u003Cbr>Halaman 1 |\n\n\n| 31. Jabatan : Pengadministrasi Kepegawaian 32. GolRu. Akhir : III/b\u003Cbr>33. TMT Golongan : Tgl 0  1 Bln 1  0 Thn 2  0  1  3\u003Cbr>34. Gaji Pokok : Rp. 3.281.500\u003Cbr>35. Massa Kerja : Thn 1  6 Bln 1  0\u003Cbr>36. No Kenaikan Gaji Berkala : UP.820/05/KGB-2014\u003Cbr>\u003Cbr>\u003Cbr>37. TMT Kenaikan Gaji Berkala\u003Cbr>38. Tgl Kenaikan Gaji Berkala\u003Cbr>: Tgl\u003Cbr>: Tgl\u003Cbr>0 1\u003Cbr>1 9\u003Cbr>Bln\u003Cbr>Bln\u003Cbr>0 3\u003Cbr>0 2\u003Cbr>Thn\u003Cbr>Thn\u003Cbr>2 0 1 4\u003Cbr>2 0 1 4\u003Cbr>39. Gaji Pokok Kenaikan Gaji Berkala Baru : Rp. 2.920.500\u003Cbr>40. TMT Kenaikan Gaji Berkala Selanjutnya : Tgl 0  1 Bln 0  3 Thn 2  0  1  6 \u003Cbr>41. Masa Kerja Kenaikan Gaji Berkala : Thn 1  6 Bln 0  0\u003Cbr>42. Nomor SPMT CPNS : UP.417/KET/BUP-1993\u003Cbr>43. Tanggal SPMT : Tgl 2  3 Bln 1  1 Thn 1  9  9  3 \u003Cbr>\u003Cbr>43. KPPN\u003Cbr>44. Status Perkawinan\u003Cbr>45. No. Seri Karis / Karsu*\u003Cbr>46. No. Akta Nikah\u003Cbr>: DPPKAD KABUPATEN PESISIR SELATAN: 1. Belum Kawin 2. Kawin 3. Janda: 001293 UD\u003Cbr>: 126/I6/VI/1995\u003Cbr>4. Duda\u003Cbr>47. Tanggal Nikah : Tgl 1  5 Bln 0  5\u003Cbr>48. Jumlah Istri / Suami* : 1 (SATU) (orang)\u003Cbr>50. No. SK Tim Penguji Kesehatan : 058/TU-KEPEG/1994\u003Cbr>51. Tanggal SK : Tgl 1  6 Bln 0  8\u003Cbr>52. Nomor Prajabatan Golongan I, II & III : 16/II/IX/LPJ-1994\u003Cbr>53. Nomor Prajabatan Golongan I, II & III : 13/R/DIKLAT-1993\u003Cbr>54. Tanggal Prajabatan : Tgl 2  2 Bln 0  1\u003Cbr>55. No. Akte Kelahiran : INDONESIA.1927-564\u003Cbr>56. Tanggal Akte Kelahiran : Tgl 2  0 Bln 0  2 \u003Cbr>57. Akte Meninggal : ...........................................................\u003Cbr>58. Tanggal Meninggal : Tgl  Bln \u003Cbr>59. No. ASKES : 00000015243726\u003Cbr>60. Tanggal Askes : Tgl 3  0 Bln 1  0\u003Cbr>61. No. TASPEN : 410012187\u003Cbr>62. Tanggal TASPEN : Tgl 2  1 Bln 0  3\u003Cbr>63. No. NPWP : 97.314.066.8-201.000\u003Cbr>64. Tanggal NPWP : Tgl 2  3 Bln 0  4\u003Cbr>\u003Cbr>\u003Cbr>\u003Cbr>\u003Cbr>\u003Cbr>\u003Cbr>65. No. Sk Pensiun\u003Cbr>66. TMT Pensiun\u003Cbr>67. Tanggal Pensiun\u003Cbr>: ...........................................................\u003Cbr>: Tgl\u003Cb","cbCaiaJ6I19AblyX","https://ap.wps.com/l/cbCaiaJ6I19AblyX","pdf",93652,8,"Indonesian","# Formulir identitas pegawai\n## Identitas pegawai\n## Data utama 2\n## Data utama 3\n## Jabatan","[{\"question\":\"Apa yang harus diisi pada bagian Identitas Pegawai dalam formulir ini?\",\"answer\":\"Bagian ini berisi NIP baru dan NIP lama, nama lengkap, gelar kesarjanaan, tempat dan tanggal lahir, jenis kelamin, agama, alamat tempat tinggal, serta SKPD.\"},{\"question\":\"Data apa saja yang terdapat pada Data Utama 2?\",\"answer\":\"Data Utama 2 mencakup nomor KTP, nomor HP, kedudukan (PNS/CPNS/PPPK), nomor dan tanggal SK CPNS, nomor dan tanggal SK PNS, nomor seri Karpeg, pendidikan terakhir, dan tanggal/ tahun kelulusan serta nomor ijazah.\"},{\"question\":\"Informasi kepegawaian apa yang dicantumkan pada bagian Jabatan?\",\"answer\":\"Bagian Jabatan memuat jenis jabatan (struktural, fungsional tertentu, atau fungsional umum) beserta tabel jabatan, nomor SK, tanggal SK, nama jabatan, dan TMT jabatan.\"}]","BLANKO ISIAN FORMAT SIMPEG - YUSTIFANELI | PDF",12]