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DEPARTEMEN HUKUM DAN HAK ASASI MANUSIA REPUBLIK INDONESIA
                          KANTOR WILAYAH RIAU
                 RUMAH TAHANAN NEGARA KLAS IIB RENGAT
                     Jalan Raya Pekan Heran KM.4 Pematang Reba
                                Telepon (0769) 341049

Nomor        : W4.Eh.UM.01.04-                  Rengat, 03 September 2009
Lampiran            : 01 ( satu ) berkas
Perihal      : Permohonan mendapatkan
                      Tabungan Asuransi Pensiun
                      (TASPEN) an. KHAIRUL MAHMUD dkk

Kepada Yth,
Kepala Kantor TASPEN
Di
       Pekanbaru

Bersama ini dengan hormat,
     1. Nama         : KHAIRUL MAHMUD
        NIP.         : 040076302
        Pangkat/ Gol : Pengatur Muda Tk. I ( II / b)
        Jabatan             : Staf Pengamanan

     2. Nama          : NEFRI MUTASNI
        NIP.          : 040084310
        Panngkat/ Gol : Pengatur Muda ( II / a )
        Jabatan              : Staf Ka. Subsi Pengelolaan
     3. Nama         : ERIK OKTRIYATNO KAS
        NIP.         : 040084311
        Pangkat/ Gol : Pengatur Muda ( II / a )
        Jabatan             : Staf Pengamanan

     4. Nama         : AFLEN
        NIP.         : 040084413
        Pangkat/ Gol : Pengatur Muda ( II / a )
        Jabatan             : Staf Pengamanan

     5. Nama         : SASRI FEBRINA.AMK
        NIP.         : 040087540
        Pangkat/ Gol : Pengatur ( II / c )
        Jabatan             : Perawat


Mengajukan permohonan untuk mendapatkan Tabungan Asuransi Pensiun. Sebagai
bahan pertimbangan bersama ini, kami lampirkan
1. Foto Copy SK pengangkatan Calon Pegawai Negeri Sipil          1 x 3 Lembar
2. Foto Copy SK Golongan terakhir                                1 x 3 Lembar
3. Foto Copy Kartu Pegawai                                       1 x 3 Lembar


Demikian untuk menjadikan maklum.


                                                                 KEPALA




      SULISTIYONO.Bc.IP
                                                            NIP. 040048814
DEPARTEMEN HUKUM DAN HAK ASASI MANUSIA REPUBLIK INDONESIA
                          KANTOR WILAYAH RIAU
                  RUMAH TAHANAN NEGARA KLAS IIB RENGAT
                     Jalan Raya Pekan Heran KM.4 Pematang Reba
                                Telepon (0769) 341049

Nomor         : W4.Eh.UM.01.04-               Rengat, 05 April 2009
Lampiran             : 01 ( satu ) berkas
Perihal       : Permohonan mendapatkan
                       Kartu Pegawai (KARPEG)
                       an. SASRI FEBRINA.AMK

Kepada Yth,
Kepala Kantor Badan Kepegawaian Nasional
Di
       Pekanbaru


Bersama ini dengan hormat,
   Nama         : SASRI FEBRINA.AMK
   NIP.         : 19840220200801 2001
   Pangkat/ Gol : Pengatur ( II / c)
   Jabatan             : Perawat

Mengajukan permohonan untuk mendapatkan Kartu Pegawai karena yang bersangkutan
telah diangkat menjadi Pegawai Negeri Sipil Berdasarkan Surat Keputusan Kepala kantor
Wilayah Departemen hukum dan HAM Riau Nomor. W4.378.KP.08.01 Tahun 2009.


Sebagai bahan pertimbangan bersama ini, kami lampirkan :
1. Foto Copy SK pengangkatan Calon Pegawai Negeri Sipil            1 Lembar
2. Foto Copy SK Pengangkatan Pegawai Negeri Sipil                  1 Lembar
3. Pas Foto 2x3                                                    4 Lembar
4. Pas foto 3x4                                                    4 Lembar


Demikian untuk menjadikan maklum.


                                                                   KEPALA




                                                            SULISTIYONO, Bc.IP
                                                              NIP. 040048814
Depkum&ham

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Depkum&ham

  • 1. DEPARTEMEN HUKUM DAN HAK ASASI MANUSIA REPUBLIK INDONESIA KANTOR WILAYAH RIAU RUMAH TAHANAN NEGARA KLAS IIB RENGAT Jalan Raya Pekan Heran KM.4 Pematang Reba Telepon (0769) 341049 Nomor : W4.Eh.UM.01.04- Rengat, 03 September 2009 Lampiran : 01 ( satu ) berkas Perihal : Permohonan mendapatkan Tabungan Asuransi Pensiun (TASPEN) an. KHAIRUL MAHMUD dkk Kepada Yth, Kepala Kantor TASPEN Di Pekanbaru Bersama ini dengan hormat, 1. Nama : KHAIRUL MAHMUD NIP. : 040076302 Pangkat/ Gol : Pengatur Muda Tk. I ( II / b) Jabatan : Staf Pengamanan 2. Nama : NEFRI MUTASNI NIP. : 040084310 Panngkat/ Gol : Pengatur Muda ( II / a ) Jabatan : Staf Ka. Subsi Pengelolaan 3. Nama : ERIK OKTRIYATNO KAS NIP. : 040084311 Pangkat/ Gol : Pengatur Muda ( II / a ) Jabatan : Staf Pengamanan 4. Nama : AFLEN NIP. : 040084413 Pangkat/ Gol : Pengatur Muda ( II / a ) Jabatan : Staf Pengamanan 5. Nama : SASRI FEBRINA.AMK NIP. : 040087540 Pangkat/ Gol : Pengatur ( II / c ) Jabatan : Perawat Mengajukan permohonan untuk mendapatkan Tabungan Asuransi Pensiun. Sebagai bahan pertimbangan bersama ini, kami lampirkan 1. Foto Copy SK pengangkatan Calon Pegawai Negeri Sipil 1 x 3 Lembar 2. Foto Copy SK Golongan terakhir 1 x 3 Lembar 3. Foto Copy Kartu Pegawai 1 x 3 Lembar Demikian untuk menjadikan maklum. KEPALA SULISTIYONO.Bc.IP NIP. 040048814
  • 2. DEPARTEMEN HUKUM DAN HAK ASASI MANUSIA REPUBLIK INDONESIA KANTOR WILAYAH RIAU RUMAH TAHANAN NEGARA KLAS IIB RENGAT Jalan Raya Pekan Heran KM.4 Pematang Reba Telepon (0769) 341049 Nomor : W4.Eh.UM.01.04- Rengat, 05 April 2009 Lampiran : 01 ( satu ) berkas Perihal : Permohonan mendapatkan Kartu Pegawai (KARPEG) an. SASRI FEBRINA.AMK Kepada Yth, Kepala Kantor Badan Kepegawaian Nasional Di Pekanbaru Bersama ini dengan hormat, Nama : SASRI FEBRINA.AMK NIP. : 19840220200801 2001 Pangkat/ Gol : Pengatur ( II / c) Jabatan : Perawat Mengajukan permohonan untuk mendapatkan Kartu Pegawai karena yang bersangkutan telah diangkat menjadi Pegawai Negeri Sipil Berdasarkan Surat Keputusan Kepala kantor Wilayah Departemen hukum dan HAM Riau Nomor. W4.378.KP.08.01 Tahun 2009. Sebagai bahan pertimbangan bersama ini, kami lampirkan : 1. Foto Copy SK pengangkatan Calon Pegawai Negeri Sipil 1 Lembar 2. Foto Copy SK Pengangkatan Pegawai Negeri Sipil 1 Lembar 3. Pas Foto 2x3 4 Lembar 4. Pas foto 3x4 4 Lembar Demikian untuk menjadikan maklum. KEPALA SULISTIYONO, Bc.IP NIP. 040048814