LAPOR GRATIFIKASI
Lapor Gratifikasi
Sign in to Google to save your progress. Learn more
Nama Pegawai
NIP
Jenis Gratifikasi
Nilai Rupiah
Tanggal diterima
MM
/
DD
/
YYYY
Jam 
Time
:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy