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    Id Gates of Good

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    zulkarnainj
    This document contains 3 sections: 1) A letter assigning duties to a candidate for the Integrated Panitia Penyelenggara Ibadah Haji training in Saudi Arabia's health sector from April 23rd to May 2nd, 2019. 2) A biodata form for participants of the 2019 Integrated Panitia Penyelenggara Ibadah Haji training in Saudi Arabia's health sector, requesting personal and employment information. 3) The signed and stamped form by the participant acknowledging receipt of the assignment.

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    Id Gates of Good

    Uploaded by

    zulkarnainj
    25 views3 pages
    This document contains 3 sections: 1) A letter assigning duties to a candidate for the Integrated Panitia Penyelenggara Ibadah Haji training in Saudi Arabia's health sector from April 23rd to May 2nd, 2019. 2) A biodata form for participants of the 2019 Integrated Panitia Penyelenggara Ibadah Haji training in Saudi Arabia's health sector, requesting personal and employment information. 3) The signed and stamped form by the participant acknowledging receipt of the assignment.

    Original Description:

    Surat tugas

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    This document contains 3 sections: 1) A letter assigning duties to a candidate for the Integrated Panitia Penyelenggara Ibadah Haji training in Saudi Arabia's health sector from April 23rd to May 2nd, 2019. 2) A biodata form for participants of the 2019 Integrated Panitia Penyelenggara Ibadah Haji training in Saudi Arabia's health sector, requesting personal and employment information. 3) The signed and stamped form by the participant acknowledging receipt of the assignment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    25 views3 pages

    Id Gates of Good

    Uploaded by

    zulkarnainj
    This document contains 3 sections: 1) A letter assigning duties to a candidate for the Integrated Panitia Penyelenggara Ibadah Haji training in Saudi Arabia's health sector from April 23rd to May 2nd, 2019. 2) A biodata form for participants of the 2019 Integrated Panitia Penyelenggara Ibadah Haji training in Saudi Arabia's health sector, requesting personal and employment information. 3) The signed and stamped form by the participant acknowledging receipt of the assignment.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Lampiran 2

    KOP SURAT INSTANSI

    SURAT TUGAS
    No : ……………………………………..

    Yang bertanda tangan di bawah ini :


    Nama : (diisi nama pejabat yang menugaskan)
    NIP : ………………………………………………………………..
    Pangkat/Golongan : ………………………………………………………………..
    Jabatan : ………………………………………………………………..

    Memberikan tugas kepada :


    Nama : (diisi nama calon peserta PPIH)
    NIP : ………………………………………………………………..
    Pangkat/Golongan : ………………………………………………………………..
    Jabatan : ………………………………………………………………..
    Dalam Rangka : Pembekalan Terintegrasi Panitia Penyelenggara Ibadah Haji
    (PPIH) Arab Saudi Bidang Kesehatan.
    Tanggal : 23 April s/d 2 Mei 2019
    Tempat : Asrama Haji Pondok Gede, Jalan Raya Pondok Gede, Pinang Ranti,
    Jakarta Timur

    Dikeluarkan di :
    ………………………………….....
    Pada Tanggal : …………………………………….

    (Tanda tangan yang memberikan tugas


    dan cap instansi calon peserta)

    (………………………...…………………………)
    NIP …………..……………………………………
    Lampiran 3

    FORM BIODATA PESERTA


    PEMBEKALAN INTEGRASI PANITIA PENYELENGGARA IBADAH HAJI (PPIH)
    ARAB SAUDI BIDANG KESEHATAN TAHUN 2019

    NAMA : …………………………………………………………………….
    GELAR SARJANA : …………………………………………………………………….
    NIP / NRP : …………………………………………………………………….
    TEMPAT /TGL
    LAHIR TEMPAT : …………………………………………………………………….
    TANGGAL (TGL/BLN/THN) : …………………………………………………………………….
    PENDIDIKAN AKHIR
    PEMINATAN : …………………………………………………………………….
    JENIS KELAMIN : …………………………………………………………………….
    JABATAN : …………………………………………………………………….
    KANTOR SATUAN KERJA (eselon 1) : …………………………………………………………………….
    UNIT KERJA (eselon 2) : …………………………………………………………………….
    BAGIAN/BIDANG (eselon 3) : …………………………………………………………………….
    SUB BAG/BID (eselon 4) : …………………………………………………………………….
    NAMA JALAN : …………………………………………………………………….
    KELURAHAN/DESA : …………………………………………………………………….
    KECAMATAN : …………………………………………………………………….
    KABUPATEN : …………………………………………………………………….
    PROVINSI : …………………………………………………………………….
    TELEPON : …………………………………………………………………….
    STATUS PEGAWAI : …………………………………………………………………….
    RUMAH NAMA JALAN : …………………………………………………………………….
    KELURAHAN/DESA : …………………………………………………………………….
    KECAMATAN : …………………………………………………………………….
    KABUPATEN : …………………………………………………………………….
    PROVINSI : …………………………………………………………………….
    TELEPON : …………………………………………………………………….

    PESERTA

    (……………………………………………..)
    Lampiran 4

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