surat perintah tugas

BUPATI KARANGANYAR
SURAT PERINTAH TUGAS
NOMOR …………………
Dasar

: ...............................................................................................
: ...............................................................................................
MEMERINTAHKAN :

Kepada

Untuk

: 1.

Nama
Pangkat/gol
NIP
Jabatan

:

:
:
:

........................................................
.......................................................
.......................................................
.........................................................

2.

Nama
Pangkat/gol
NIP
Jabatan

:
:
:
:

.......................................................
.......................................................
............................................................
............................................................

: 1.
2.
3.

...........................................................................................
...........................................................................................
..........................................................................................

Ditetapkan di .......................
pada tanggal .......................
BUPATI KARANGANYAR

NAMA

Jalan Lawu Karanganyar Telp (0271) 495039 Fax (0271) 495590
Website: www.karanganyarkab.go.id. Email: bupati@karanganyarkab.go.id. Kode Pos 57712

PEMERINTAH KABUPATEN KARANGANYAR

SEKRETARIAT DAERAH
Alamat ...........................Telepon (0271).......Faks. (0271)........
Website ……… E-mail ........... Kode Pos .......….

SURAT PERINTAH TUGAS
NOMOR …………………
Dasar

: ...............................................................................................
: ...............................................................................................
MEMERINTAHKAN :

Kepada

Untuk

: 1.

Nama
Pangkat/gol
NIP
Jabatan

:
:
:
:

........................................................
.......................................................
.......................................................
.........................................................

2.

Nama
Pangkat/gol
NIP
Jabatan

:
:
:
:

.......................................................
.......................................................
............................................................
............................................................

: 1.
2.
3.

...........................................................................................

...........................................................................................
..........................................................................................

Ditetapkan di .......................
pada tanggal .......................
a.n. BUPATI KARANGANYAR
SEKRETARIS DAERAH

NAMA JELAS
Pangkat
NIP.
Tembusan :
1. ………………………….;
2. ………………………….

PEMERINTAH KABUPATEN KARANGANYAR

SATUAN KERJA PERANGKAT DAERAH
Alamat ............................Telepon (0271).......Faks. (0271)........
Website ……… E-mail ........... Kode Pos .......….

SURAT PERINTAH TUGAS
NOMOR …………………
Dasar

: ...............................................................................................
: ...............................................................................................
MEMERINTAHKAN :

Kepada

Untuk

: 1.

Nama
Pangkat/gol
NIP
Jabatan

:
:
:
:

........................................................
.......................................................
.......................................................
.........................................................

2.

Nama
Pangkat/gol
NIP
Jabatan

:
:
:

:

.......................................................
.......................................................
............................................................
............................................................

: 1.
2.
3.

...........................................................................................
...........................................................................................
..........................................................................................

Ditetapkan di .......................
pada tanggal .......................
KEPALA SATUAN KERJA
PERANGKAT DAERAH

NAMA JELAS
Pangkat
NIP.
Tembusan :
1. ………………………….;
2. ………………………….