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Dokumen ini menyediakan bagian alasan cuti, pengisian lamanya cuti (tanggal mulai dan s/d), dan catatan perhitungan sisa cuti untuk berbagai kategori seperti cuti tahunan, cuti besar, cuti sakit, cuti melahirkan, cuti karena alasan penting, serta cuti di luar tanggungan negara. Terdapat bagian alamat selama cuti, tanda persetujuan atasan langsung, serta keputusan pejabat berwenang beserta pilihan persetujuan/perubahan/penangguhan/tidak disetujui, dilengkapi keterangan pengisian.",{"@graph":51,"@context":106},[52,68,89],{"@type":53,"itemListElement":54},"BreadcrumbList",[55,59,62,65],{"item":56,"name":57,"@type":58,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":60,"name":10,"@type":58,"position":61},"https://docshare.wps.com/id/template/",2,{"item":63,"name":15,"@type":58,"position":64},"https://docshare.wps.com/id/template/formulir/",3,{"item":66,"name":47,"@type":58,"position":67},"https://docshare.wps.com/id/template/leave-request-and-approval-form-template/233628/",4,{"url":66,"name":47,"@type":69,"image":70,"author":75,"headline":47,"publisher":78,"fileFormat":81,"inLanguage":45,"description":49,"dateModified":82,"datePublished":83,"encodingFormat":81,"isAccessibleForFree":84,"interactionStatistic":85},"DigitalDocument",{"url":71,"@type":72,"width":73,"height":74},"https://docshare.wps.com/thumbnails/leave-request-and-approval-form-template/233628.png","ImageObject",442,249,{"name":76,"@type":77},"wps_ap_test_251126_0180","Person",{"url":56,"name":79,"@type":80},"DocShare","Organization","application/pdf","2026-09-19","2026-09-10",true,{"@type":86,"interactionType":87,"userInteractionCount":9},"InteractionCounter",{"@type":88},"ViewAction",{"@type":90,"mainEntity":91},"FAQPage",[92,98,102],{"name":93,"@type":94,"acceptedAnswer":95},"Apa saja data pegawai yang harus diisi pada formulir ini?","Question",{"text":96,"@type":97},"Formulir memuat Nama, NIP/NIK, Jabatan, Unit Kerja, dan Masa Kerja.","Answer",{"name":99,"@type":94,"acceptedAnswer":100},"Bagaimana cara memilih jenis cuti yang diambil?",{"text":101,"@type":97},"Pilih salah satu jenis cuti dengan memberi tanda centang (v) pada kolom yang tersedia.",{"name":103,"@type":94,"acceptedAnswer":104},"Siapa yang memberikan persetujuan dan bagaimana format keputusannya?",{"text":105,"@type":97},"Pertimbangan diberikan oleh atasan langsung dan keputusan oleh pejabat yang berwenang, dengan opsi seperti disetujui, perubahan, ditangguhkan, atau tidak disetujui.","https://schema.org",{"og:url":66,"og:type":108,"og:title":47,"og:site_name":79,"og:description":49},"article",{"robots":110,"canonical":66},"index,follow",{"doc_id":112,"site_id":44},233628,1789079559,{"code":4,"msg":5,"data":115},{"doc_id":112,"user_id":116,"nickname":76,"user_avatar":117,"doc_module":9,"category_id":14,"category_name":15,"doc_title":47,"doc_description":49,"doc_content":118,"file_id":119,"file_url":120,"file_type":121,"file_size":122,"view_count":9,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":61,"language":123,"language_code":45,"site_id":44,"html_lang":45,"table_of_contents":124,"faqs":125,"seo_title":126,"seo_description":49,"update_tm":113,"read_time":9},8796095027276,"https://avatar.qwps.com/avatar/d3BzX2FwX3Rlc3RfMjUxMTI2XzAxODA=","Malang, 13 Maret 2018  \nKepada  \nYth. Kabiro Umum dan Kepegawaian Di Universitas Brawijaya  \nFORMULIR PERMINTAAN DAN PEMBERIAN CUTI  \n\n| I. DATA PEGAWAI |  |  |  |\n| --- | --- | --- | --- |\n| Nama | Drs. Agus Budisiswanto | NIP/NIK | 194510172015051003 |\n| Jabatan | Kasubbag. Tenaga Kependidikan | Masa Kerja | 10 tahun 10 bulan |\n| Unit Kerja | Bagian Kepegawaian |  |  |\n\n\n| II. JENIS CUTI YANG DIAMBIL** |  |  |  |\n| --- | --- | --- | --- |\n| 1. Cuti Tahunan | v | 2. Cuti Besar |  |\n| 3. Cuti Sakit |  | 4. Cuti Melahirkan |  |\n| 5. Cuti Karena Alasan Penting |  | 6. Cuti di Luar Tanggungan Negara |  |\n\n\n| III. ALASAN CUTI |\n| --- |\n| Liburan |\n\n\n| IV. LAMANYA CUTI |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n| Selama | 4 (hari/~~ bulan/tahun~~)* | mulai tanggal | 22-3-2018 | s/d | 24-3-2018 |\n\n\n| V. CATATAN CUTI*** |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| 1. Cuti Tahunan |  |  | 2. Cuti Besar |  |\n| Tahun | Sisa | Keterangan | 3. Cuti Sakit |  |\n| N-2 |  |  | 4. Cuti Melahirkan |  |\n| N-1 |  |  | 5. Cuti Karena Alasan Penting |  |\n| N |  |  | 6. Cuti Di Luar Tanggungan Negara |  |\n\n\n| VI. ALAMAT SELAMA MENJALANKAN CUTI |  |  |\n| --- | --- | --- |\n| Malang | Telp | 0812xxxxxxxx |\n|  | Hormat Saya,\u003Cbr>( Drs. Agus Budisiswanto)\u003Cbr>NIP/~~NIK~~. 194510172015051003 |  |\n\n\n| VII. PERTIMBANGAN ATASAN LANGSUNG** |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| DISETUJUI | PERUBAHAN**** | DITANGGUHKAN**** |  | TIDAK DISETUJUI**** |\n| V |  |  |  |  |\n|  |  |  | (Nama Atasan Langsung) NIP. ..................................   |  |\n\n\n| VIII. KEPUTUSAN PEJABAT YANG BERWENANG MEMBERIKAN CUTI** |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| DISETUJUI | PERUBAHAN**** | DITANGGUHKAN**** |  | TIDAK DISETUJUI**** |\n|  |  |  |  |  |\n|  |  |  | NIP. ..................................   |  |\n\nCatatan:  \n* Coret yang tidak perlu  \n** Pilih salah satu dengan memberi tanda centang (v)  \n*** diisi oleh pejabat yang menangani bidang kepegawaian sebelum PNS mengajukan cuti  \n**** diberi tanda centang dan alasannya, .  \nN = Cuti tahun berjalan  \nN-1 = Sisa cuti 1 tahun sebelumnya  \nN-2 = Sisa cuti 2 tahun sebelumnya","cbCaimNTHFVHuYm1","https://ap.wps.com/l/cbCaimNTHFVHuYm1","pdf",163938,"Indonesian","# I. Data Pegawai\n# II. Jenis Cuti yang Diambil\n# III. Alasan Cuti\n# IV. Lamanya Cuti\n# V. Catatan Cuti\n# VI. Alamat Selama Menjalankan Cuti\n# VII. Pertimbangan Atasan Langsung\n# VIII. Keputusan Pejabat yang Berwenang Memberikan Cuti","[{\"question\":\"Apa saja data pegawai yang harus diisi pada formulir ini?\",\"answer\":\"Formulir memuat Nama, NIP/NIK, Jabatan, Unit Kerja, dan Masa Kerja.\"},{\"question\":\"Bagaimana cara memilih jenis cuti yang diambil?\",\"answer\":\"Pilih salah satu jenis cuti dengan memberi tanda centang (v) pada kolom yang tersedia.\"},{\"question\":\"Siapa yang memberikan persetujuan dan bagaimana format keputusannya?\",\"answer\":\"Pertimbangan diberikan oleh atasan langsung dan keputusan oleh pejabat yang berwenang, dengan opsi seperti disetujui, perubahan, ditangguhkan, atau tidak disetujui.\"}]","FORMULIR PERMINTAAN DAN PEMBERIAN CUTI - Blangko | PDF"]