KID.

Special Approval Requisition (Ringi-shyo)

[For Payment Amount from Rp.10,000,000 Up ・ Asset Scrap & Sales , Lease & Others]
(千万ルピア以上の購入依頼・資産の廃売却・リース契約 他)
※ Material & Parts Purchase is not subjected to KID Special Approval Requisition Plan
Plan No.
No.
(但し、原材料部品の購入は対象としない。)

Dept Code: Dept Name: Date:

Requested by Checked by Approved by PIC Checked by Approved by

Plan Name.（件名）: Request Total Amount.（稟申額）:

Pengangkatan Karyawan Tetap Muhamad Arief Budget： (Bulan：Oktober 2020　　)

の正社員の任命 Muhammad Aief Actual ： (Bulan：Oktober 2020　　)

□ 　 Investment Plan No. ...............................................

□ 　 Section Budget bulan ....Oktober 2020...................
□ Inventory Supplies ...................................................

□ Budget（予算ｱﾘ） □ Non Budget（予算ﾅｼ）

Purchase Purpose and Effect（購入目的及び効果）:

Budget Before After Diff

Permanent

Conntract

Jumlah

Subject Matter.(内容) :

Performance evaluation :
Absent :
Sick Leave :
Late :
Suddenly A/L :
Punishment Record :

Comment of Advisor (駐在員意見) : Comment of Related department (関連部門意見) :

① Comment of person in charge of Director Finance (財務責任者意見) :

② Approved by Comment(意見) ③ Final Approved by Comment(意見)

　　Director President Director
Please Attach Supplier's Quotation or Any Document Concerned.
※Settlement route (決済径路) 1 : Req Dept.→ Acct (PIC)→ Acct Director ①→ Req Dept.→ BOD ②→ Acct (Checked, Approved, Register Number)→ Purch Dept. & Req Dept.

※Settlement route (決済径路) 2 : Req Dept.→ Acct (PIC)→ Acct Director ①→ Req Dept.→ BOD ②→ PD ③→ Acct (Checked, Approved, Register Number)→ Purch Dept. & Req Dept.

Blue : Contract/Agreement - Green : CSR/Donation - Pink : Permanent Employee (HR Area) - White : Other
 KID. Special Approval Requisition (Ringi-shyo) Untuk Keperluan Contract atau Agreement gunakan
Form warna Biru, CSR gunakan Form warna Hijau,
Pengajuan Kartap gunakan form warna Merah, selain
[For Payment Amount from Rp.10,000,000 Up ・ Asset Scrap & Sales , Lease & Others]
itu gunakan Form warna Putih
(1千万ルピア以上の購入依頼・資産の廃売却・リース契約 他)
※ Material & Parts Purchase is not subjected to KID Special Approval Requisition Plan
Plan No.
No.
(但し、原材料部品の購入は対象としない。)
・予算金額 & 予算月を記入
Tulis amount budget dan bulan
Tulis amount budget dan bulan
Wajib diisi Wajib diisi Wajib diisi
Dept Code: Dept Name: Date: budget
・実績金額 & 実績月を記入
Requested by Checked by Approved by PIC Checked byTulis amount
Approved
actual danby
bulan
Tanda Tangan PIC Divisi Requester terisi lengkap actual

2 2 2
件名を明確に記入する事
Plan Name.（件名）: Tulis Judul Plan sesuai Request Total Amount.（稟申額）:
3 dengan Investment List
Tulis Judul Plan dengan Jelas dengan Jelas Budget： Angka harus sesuai dengan section budget
(Bulan：　　　　　　　　　)
Wajib diisi
Mengandung kata kerja yang sesuai 1
(contoh : pembelian ..... , disposal .....) Actual ： Angka harus sesuai dengan detail planning
(Bulan：　　　　　　　　　)
Wajib diisi

□ 　 Investment Plan No. ...............................................

□ 　 Section Budget bulan ............................................
□ Inventory Supplies ...................................................

どちらかに「レ」点を付け □ Budget（予算ｱﾘ） □ Non Budget（予算ﾅｼ） 1

計画 No. を入れる
Contreng pilihan yang sesuai
Purchase Purpose and Effect（購入目的及び効果）:
dan diisi plan no./bulan
・ Budget or Non Budget に「ㇾ」点を付ける
Purpose dan effect terisi jelas
・ Budget エビデンス（予算表 or 計画書）添付する事
・ Check 「ㇾ」 budget atau non budget,
3 Dan jika ada budget , lampirkan budget evidence (List budget
atau plan)

Subject Matter.(内容) :

3 Subject Matter terisi jelas ※ Tambahkan alasan kenapa bisa tidak ada budget/over budget tapi harus dibeli, dan disampaikan
※ Jika over/non budget ada tanda tangan dari PIC Japanese
※ Tambahkan detail info recovery jika over budget

・ Over Budget の案件は、 Recovery を添付資料に付ける事

Untuk yang over budget, harap melampirkan dokumen yang bisa merecovery atas over budget tersebut
・ Recovery が出来ない場合は、担当役員に Comment ／ Sign をもらう事
Jika tidak bisa recovery, Harus ada tanda tangan / comment dari BOD

Comment of Advisor (駐在員意見) : Comment of Related department (関連部門意見) :

担当駐在員に稟議内容の確認を 本稟議に関係する関連部門長
得る。 の確認を得る。
Advisor Expatriat mengecek isi Div Head divisi terkait melakukan
Ringisho pengecekan.

① Comment of person in charge of Director Finance (財務責任者意見) :

② Approved by Comment(意見) ③ Final Approved by Comment(意見)

　　Director President Director
決裁区分は、別紙の決裁
区分による
Untuk approval, diatur di
lembar terpisah.
Please Attach Supplier's Quotation or Any Document Concerned.
※Settlement route (決済径路) 1 : Req Dept.→ Acct (PIC)→ Acct Director ①→ Req Dept.→ BOD ②→ Acct (Checked, Approved, Register Number)→ Purch Dept. & Req Dept.

※Settlement route (決済径路) 2 : Req Dept.→ Acct (PIC)→ Acct Director ①→ Req Dept.→ BOD ②→ PD ③→ Acct (Checked, Approved, Register Number)→ Purch Dept. & Req Dept.

Blue : Contract/Agreement - Green : CSR/Donation - Pink : Permanent Employee (HR Area) - White : Other