Kesekretariatan Contoh Rancangan Formuli docx

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TIKET PENERBANGAN
FLIGHT TICKET
IDENTITAS PENUMPANG
PASSENGER’S IDENTITY
Nama:
Name:
Alamat:
Address:
Nomor Telepon:
Phone Number:

                         

Tipe Identitas:
ID Type:

                         

                         

Nomor Identitas:
ID Number:

                         

Kode Penumpang:*
Passenger’s Code:

DETAIL PENERBANGAN
FLIGHT DETAIL

Bandara Keberangkatan:
Departure Airport:
Hari, Tanggal:
Day, Date:
Pukul:
Time:

                    
                    

                    

Bandara Ketibaan:
Arrival Airport:
Hari, Tanggal:
Day, Date:
Pukul:
Time:

                    
                    
                    

Kode Penerbangan:*
Flight Code:

CLASSIFICATION CHANGES

Old Information

Change

New Information

Transfer:

Title/Dept:

          

Promotion:

Title/Dept:

          

Demotion:

Title/Dept:

          

Title:

Title/Dept:

          

Title/Dep
t:
Title/Dep
t:
Title/Dep
t:
Title/Dep
t:

Shift:

Shift:

          

Shift:

         

Location:

Location:

          

Location:

         

Salary:

Salary:

          

Salary:

         

Status:

Status:

          

Status:

         

Other changes:
                                             
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Notice Of COBRA
Rights?

          

Election Of COBRA?

          

Date
Provided:
Date
Started:

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ADDITIONAL COMPENSATION/BENEFITS INFORMATION
Please List Any Additional Changes in Compensation or Benefits:
                                                            

Please List Any Other Changes Not Listed Above:
                                                            

VERIFICATION

OF

CHANGES

Approved By:

Signature

Date

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