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PENGADILAN AGAMA AMPANA
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* Indicates required question
Nama
*
Lengkap dengan Titel
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NIP. (menggunakan titik)
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Jabatan
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CUTI UNTUK TAHUN
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Your answer
No. HP
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Your answer
JENIS CUTI
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Cuti Tahunan
Cuti Besar
Sakit
Cuti Melahirkan
Cuti Karena Alasan Penting
Cuti diluar Tanggungan Negara
ALASAN CUTI
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ALAMAT CUTI
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LAMA CUTI
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Your answer
DARI TANGGAL
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MM
/
DD
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YYYY
SAMPAI TANGGAL
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MM
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DD
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YYYY
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