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Laporan Gratifikasi
Laporan Gratifikasi Pegawai BBPVP Semarang
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Nama Lengkap (dengan gelar) *
NIP *
Jabatan *
Pangkat/ Golongan *
Unit Kerja *
Periode Penerimaan Gratifikasi (Mulai) *
MM
/
DD
/
YYYY
Periode Penerimaan Gratifikasi (Akhir) *
MM
/
DD
/
YYYY
Menyatakan bahwa pada periode tersebut, saya : *
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