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Form juga menyediakan pengisian alamat selama cuti, nomor telepon, tanda persetujuan atasan langsung, dan keputusan pejabat berwenang, termasuk opsi disetujui, perubahan, ditangguhkan, atau tidak 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formulir).","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},233629,1789079561,{"code":4,"msg":81,"data":82},"success",[83,87,90,94,98,102,106,110],{"id":84,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":4,"slug":86},178,"Faktur","faktur",{"id":88,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":4,"slug":89},192,"formulir-192",{"id":91,"doc_module":22,"doc_module_name":25,"category_name":92,"show_sort_weight":4,"slug":93},180,"Media 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 \nYth.Menteri KesehatandiBengkulu  \n# FORMULIR PERMINTAAN DAN PEMBERIAN CUTI\n\n\n| 1.DATA PEGAWAI   |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Nama   |  |  |  |  | NIP   |  |  |  |  |  |\n| Jabatan   |  |  |  |  | Masa Kerja   |  | Bulan  \u003Cbr>Tahun   |  |  |  |\n| Unit Kerja   |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n| II.JENIS CUTI YANG DIAMBIL**   |  |  |  |  |  |  |  |  |  |  |\n| 1Cuti Tahunan   |  |  |  |  | 2  \u003Cbr>Cuti Besar   |  |  |  |  |  |\n| 3 Cuti Sakit   |  |  |  |  | Cuti Melahirkan  \u003Cbr>4   |  |  |  |  |  |\n| 5Cuti Karena Alasan Penting   |  |  |  |  | 6 Cuti di Luar Tanggungan Negara   |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n| IⅢ.ALASAN CUTI   |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n| IV.LAMANYA CUTI   |  |  |  |  |  |  |  |  |  |  |\n| Selama   | (hari/bulan/tahun)*mulai tanggal:   |  |  |  |  |  | s/d   |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n| V.CATATAN CUTI***   |  |  |  |  |  |  |  |  |  |  |\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| VI.ALAMAT SELAMA MENJALANKAN CUT   |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  | TELP   |  |  |  |\n|  |  |  |  |  |  |  | Hormat saya,  \u003Cbr>NIP.   |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n| VII.PERTIMBANGAN ATASAN LANGSUNG**   |  |  |  |  |  |  |  |  |  |  |\n| DISETUJUI   |  | PERUBAHAN****   |  |  |  | DITANGGUHKAN****   |  | TIDAK DISETUJUI***   |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  | Atasan Langsung   |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n| VIII.KEPUTUSAN PEJABAT YANG BERWENANG MEMBERIKAN CUTI**   |  |  |  |  |  |  |  |  |  |  |\n| DISETUJUI   |  | PERUBAHAN****   |  |  |  | DITANGGUHKAN****   |  | TIDAK DISETUJU***   |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n\nCatatan:  \n*Coret yang tidak perlu  \n**Pilih salah satu dengan memberi tanda centang(√)  \n***diisi oleh pejabat yang menangani bidang kepegawaian sebelum PNS mengajukan cuti  \n****diberi tanda centang(√)dan alasannyaN Cuti tahun berjalan  \nN-1 Sisa cuti 1 tahun sebelumnya  \nN-2 Sisa cuti 2 tahun sebelumnya","cbCaidhTkinyoq29","https://ap.wps.com/l/cbCaidhTkinyoq29","pdf",51281,"Indonesian","# FORMULIR PERMINTAAN DAN PEMBERIAN CUTI\n## Data Pegawai\n## Jenis Cuti yang Diambil\n## Alasan Cuti\n## Lamanya Cuti\n## Catatan Cuti\n## Alamat Selama Menjalankan Cuti\n## Pertimbangan Atasan Langsung\n## Keputusan Pejabat yang Berwenang Memberikan Cuti","[{\"question\":\"Apa saja data pegawai yang harus diisi pada formulir cuti ini?\",\"answer\":\"Bagian data pegawai meminta nama, NIP, jabatan, masa kerja (bulan dan tahun), serta unit kerja.\"},{\"question\":\"Jenis cuti apa saja yang dapat dipilih pada formulir ini?\",\"answer\":\"Form menyediakan pilihan cuti tahunan, cuti besar, cuti sakit, cuti melahirkan, cuti karena alasan penting, dan cuti di luar tanggungan negara.\"},{\"question\":\"Bagaimana prosedur persetujuan pada formulir ditetapkan?\",\"answer\":\"Atasan langsung dan pejabat berwenang dapat memilih status melalui opsi seperti disetujui, perubahan, ditangguhkan, atau tidak disetujui (menggunakan tanda centang sesuai catatan formulir).\"}]","FORMULIR PERMINTAAN DAN PEMBERIAN CUTI - | PDF"]