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Form Permintaan Kendaraan Dalam Rangka Kedinasan dan Surat Jalan
Note : Tergantung Kesediaan dan Menyesuiakan Jadwal Pemakaian Pemilik
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Nama Pegawai
Your answer
Nomor Surat Tugas
*
Your answer
Perihal Dinas
*
Your answer
Jenis Kendaraan
*
Mobil Pajero Sport/ BL 74
Toyota Kijang Innova G/ BL 1063 AK
Toyota Kijang Innova G/ BL 1051 AN
Toyota Kijang Innova E/ BL 1069 JA
Toyota Kijang Innova/ BL 1009 AY
Suzuki Baleno SX/ BL 1019 JG
Mitsubishi Strada CR Merah/ BL 8079 AC
Mitsubishi Strada Triton Hitam/ BL 8046 AD
Mitsubishi L 300 (Mobil Keliling) / BL 1082 AE
Other:
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Tanggal Mulai Dinas
*
MM
/
DD
/
YYYY
Tanggal Selesai Dinas
*
MM
/
DD
/
YYYY
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