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DAFTAR PEGAWAI UPTD PUSKESMAS WARUNGKIARA
NO. NAMA NIP JABATAN
TMT SK KP
TERAKHIR
KP YG AKAN
DATANG
TMT KGB
TERAKHIR
KGB YG AKAN
DATANG
KET.
…................,…..................
Kepala Sub Tata Usaha
…............................................
NIP.
DAFTAR BUKU PENJAGAAN
UPTD PUSKESMAS : WARUNGKIARA
NO. ADA TDK ADA
1 KARTU IDENTITAS PEGAWAI
2 KENAIKAN PANGKAT
3 KGB
4 SKP
5 PENSIUN
6 CUTI
7 IZIN BELAJAR & TUGAS BELAJAR
8 HUKDIS
9 MUTASI & SURAT TUGAS
10
SKUMPTK
11
12
DAFTAR NOMINATIF
DIKLAT
BUKU PENJAGAAN DIKLAT
UPTD PUSKESMAS : WARUNGKIARA
NO.
NAMA PANGKAT
NIP GOL
JABATAN JENIS DIKLAT NO. S ERTIFIKAT
WAKTU
PELAKSANAAN
TEMPAT
PELAKSANAAN
KETERANGAN
BUKU PENJAGAAN BUKU PENJAGAAN BUKU PENJAGAAN
DAFTAR NOMINATIF PNS
UPTD PUSKESMAS : WARUNGKIARA
NAMA PANGKAT
NO JABATAN KETERANGAN
NIP GOL
BUKU PENJAGAAN SKUMPTK
UPTD PUSKESMAS : WARUNGKIARA
NAMA TAHUN
NO
PANGKAT
JABATAN KET
NIP GOL 2018 2019 2020
BUKU PENJAGAAN BUKU PENJAGAAN BUKU PENJAGAAN
BUKU PENJAGAAN KIP ( KARTU IDENTITAS PEGAWAI )
UPTD PUSKESMAS : WARUNGKIARA
NAMA PANGKAT
NO JABATAN
KARPEG KARIS/KARSU TASPEN
KET
NIP GOL NO
TGL
KELUAR
NO NAMA TGL KE LUAR NO
TGL
KELUAR
BUKU PENJAGAAN PENSIUN
UPTD PUSKESMAS : WARUNGKIARA
NAMA PANGKAT
NO JABATAN
TEMPAT TGL
LAHIR
PANGKAT
TERAKHIR
BUP
AGAMA
USIA
PENSIUN
NO SK PENSIUN
TGL SK
PENSIUN
NIP GOL MPP PENSIUN
BUKU PENJAGAAN BUKU PENJAGAAN BUKU PENJAGAAN
BUKU PENJAGAAN HUKUMAN DISIPLIN
UPTD PUSKESMAS : WARUNGKIARA
NAMA PANGKAT
NO
NIP GOL
JABATAN
JENIS HUKDIS YG
PERNAH DITERIMA
PELANGGARAN YG
DILAKUKAN
NO & TGL SK KET.
BUKU PENJAGAAN SURAT TUGAS & MUTASI
UPTD PUSKESMAS : WARUNGKIARA
NAMA PANGKAT
NO
NIP GOL
JABATAN NO SURAT ISI SURAT
TGL KELUAR
SURAT
PEJABAT YG
MENANDATANGANI
KET
BUKU PENJAGAAN BUKU PENJAGAAN BUKU PENJAGAAN
BUKU PENJAGAAN CUTI
UPTD PUSKESMAS : WARUNGKIARA
NAMA PANGKAT
NO JABATAN
CUTI
MELAHIR ALASAN
LAMAN
YA
TGL
SURAT
DARI
TGL
SAMPAI
TGL
KET
NIP GOL TAHUNAN BESAR SAKIT
KAN PENTING CLTN CUTI
BUKU PENJAGAAN BUKU PENJAGAAN BUKU PENJAGAAN
BUKU PENJAGAAN IZIN BELAJAR / TUGAS BELAJAR ( IBEL / TUBEL )
UPTD PUSKESMAS : WARUNGKIARA
NAMA PANGKAT
NO JABATAN
IZIN BELAJAR / TUGAS BELAJAR
KET
NIP GOL NO S URAT TEMPAT P ENDIDIKAN JENJANG P ENDIDIKAN
BUKU PENJAGAAN BUKU PENJAGAAN BUKU PENJAGAAN
BUKU PENJAGAAN KENAIKAN PANGKAT ( KP )
UPTD PUSKESMAS : WARUNGKIARA
NAMA PANGKAT
NO JABATAN
KP S BLMNYA KP YG AKAN DATANG
KET
NIP GOL JABATAN GOL TMT JABATAN GOL TMT
BUKU PENJAGAAN BUKU PENJAGAAN BUKU PENJAGAAN
BUKU PENJAGAAN SKP
UPTD PUSKESMAS : WARUNGKIARA
NAMA PANGKAT
NO JABATAN A. SKP
ORIENTASI
B. PERILAKU KERJA
KERJASAM KEPEMIMP NILAI NILAI NILAI
NIP GOL PELAYANAN
INTEGRITAS KOMITMEN DISIPLIN
A INAN
JUMLAH
RATA2
PERILAKU
KERJA
PRESTASI
KERJA
BUKU PENJAGAAN BUKU PENJAGAAN BUKU PENJAGAAN
KET
BUKU PENJAGAAN BUKU PENJAGAAN BUKU PENJAGAAN
BUKU PENJAGAAN KGB ( KENAIKAN GAJI BERKALA )
UPTD PUSKESMAS : WARUNGKIARA
NAMA PANGKAT
NO JABATAN
KGB SEBELUMNYA KGB Y G A KAN D ATANG
NIP GOL TMT JML UANG TGL & NO. S K PEJABAT GOL TMT JML UANG TGL & NO. S K
BUKU PENJAGAAN BUKU PENJAGAAN BUKU PENJAGAAN
KET.
PEJABAT

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BUKU PENJAGAAN BUKU PENJAGAAN BUKU PENJAGAAN

  • 1. DAFTAR PEGAWAI UPTD PUSKESMAS WARUNGKIARA NO. NAMA NIP JABATAN TMT SK KP TERAKHIR KP YG AKAN DATANG TMT KGB TERAKHIR KGB YG AKAN DATANG KET. …................,….................. Kepala Sub Tata Usaha …............................................
  • 3. DAFTAR BUKU PENJAGAAN UPTD PUSKESMAS : WARUNGKIARA NO. ADA TDK ADA 1 KARTU IDENTITAS PEGAWAI 2 KENAIKAN PANGKAT 3 KGB 4 SKP 5 PENSIUN 6 CUTI 7 IZIN BELAJAR & TUGAS BELAJAR 8 HUKDIS 9 MUTASI & SURAT TUGAS
  • 5. BUKU PENJAGAAN DIKLAT UPTD PUSKESMAS : WARUNGKIARA NO. NAMA PANGKAT NIP GOL JABATAN JENIS DIKLAT NO. S ERTIFIKAT WAKTU PELAKSANAAN TEMPAT PELAKSANAAN KETERANGAN
  • 7. DAFTAR NOMINATIF PNS UPTD PUSKESMAS : WARUNGKIARA NAMA PANGKAT NO JABATAN KETERANGAN NIP GOL
  • 8. BUKU PENJAGAAN SKUMPTK UPTD PUSKESMAS : WARUNGKIARA NAMA TAHUN NO PANGKAT JABATAN KET NIP GOL 2018 2019 2020
  • 10. BUKU PENJAGAAN KIP ( KARTU IDENTITAS PEGAWAI ) UPTD PUSKESMAS : WARUNGKIARA NAMA PANGKAT NO JABATAN KARPEG KARIS/KARSU TASPEN KET NIP GOL NO TGL KELUAR NO NAMA TGL KE LUAR NO TGL KELUAR
  • 11. BUKU PENJAGAAN PENSIUN UPTD PUSKESMAS : WARUNGKIARA NAMA PANGKAT NO JABATAN TEMPAT TGL LAHIR PANGKAT TERAKHIR BUP AGAMA USIA PENSIUN NO SK PENSIUN TGL SK PENSIUN NIP GOL MPP PENSIUN
  • 13. BUKU PENJAGAAN HUKUMAN DISIPLIN UPTD PUSKESMAS : WARUNGKIARA NAMA PANGKAT NO NIP GOL JABATAN JENIS HUKDIS YG PERNAH DITERIMA PELANGGARAN YG DILAKUKAN NO & TGL SK KET.
  • 14. BUKU PENJAGAAN SURAT TUGAS & MUTASI UPTD PUSKESMAS : WARUNGKIARA NAMA PANGKAT NO NIP GOL JABATAN NO SURAT ISI SURAT TGL KELUAR SURAT PEJABAT YG MENANDATANGANI KET
  • 16. BUKU PENJAGAAN CUTI UPTD PUSKESMAS : WARUNGKIARA NAMA PANGKAT NO JABATAN CUTI MELAHIR ALASAN LAMAN YA TGL SURAT DARI TGL SAMPAI TGL KET NIP GOL TAHUNAN BESAR SAKIT KAN PENTING CLTN CUTI
  • 18. BUKU PENJAGAAN IZIN BELAJAR / TUGAS BELAJAR ( IBEL / TUBEL ) UPTD PUSKESMAS : WARUNGKIARA NAMA PANGKAT NO JABATAN IZIN BELAJAR / TUGAS BELAJAR KET NIP GOL NO S URAT TEMPAT P ENDIDIKAN JENJANG P ENDIDIKAN
  • 20. BUKU PENJAGAAN KENAIKAN PANGKAT ( KP ) UPTD PUSKESMAS : WARUNGKIARA NAMA PANGKAT NO JABATAN KP S BLMNYA KP YG AKAN DATANG KET NIP GOL JABATAN GOL TMT JABATAN GOL TMT
  • 22. BUKU PENJAGAAN SKP UPTD PUSKESMAS : WARUNGKIARA NAMA PANGKAT NO JABATAN A. SKP ORIENTASI B. PERILAKU KERJA KERJASAM KEPEMIMP NILAI NILAI NILAI NIP GOL PELAYANAN INTEGRITAS KOMITMEN DISIPLIN A INAN JUMLAH RATA2 PERILAKU KERJA PRESTASI KERJA
  • 24. KET
  • 26. BUKU PENJAGAAN KGB ( KENAIKAN GAJI BERKALA ) UPTD PUSKESMAS : WARUNGKIARA NAMA PANGKAT NO JABATAN KGB SEBELUMNYA KGB Y G A KAN D ATANG NIP GOL TMT JML UANG TGL & NO. S K PEJABAT GOL TMT JML UANG TGL & NO. S K