Job No : Customer Name :
Location :
Employee Name : NIK : Position :
Total
Month Working Time ST Break OT
WORK DESCRIPTION Holidays
Date Day Start Finish
Particular of work carried out Total
Supervisor / Manager : Customer’s Signature :
Place / Date & Name
Employee Signature Comments/ Messages
Joko Susilo
Job No : Customer Name :
Location :
Employee Name : NIK : Position :
Total
Month Working Time ST Break OT
WORK DESCRIPTION Holidays
Date Day Start Finish
Particular of work carried out Total
Supervisor / Pengawas : Customer’s Signature :
Kariono Place / Date & Name
Employee Signature Comments/ Messages
Darwis
Job No : Customer Name :
Location :
Employee Name : Employee No. :
Total
Month Working Time ST Break OT
WORK DESCRIPTION Holidays
Date Day Start Finish
Particular of work carried out Total
Supervisor Signature : Customer’s Signature :
Place / Date & Name Place / Date & Name
Employee Signature Comments/ Messages
Place / Date & Name
Job No : Customer Name :
Location :
Employee Name : Employee No. :
Total
Month Working Time ST Break OT
WORK DESCRIPTION Holidays
Date Day Start Finish
Particular of work carried out Total
Supervisor Signature : Customer’s Signature :
Place / Date & Name Place / Date & Name
Employee Signature Comments/ Messages
Place / Date & Name