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    Data Taspen

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    harisprasetyo
    This document contains a format for recording family data of employees at the Puskesmas Tirta Jaya health center in Tanah Laut Regency. The format includes fields for the employee's name, ID number, date of birth, spouse's name and date of birth, children's names and dates of birth, and home address. Data is provided for 8 employees as an example, listing their names, IDs, dates of birth, spouses' names and dates of birth, up to two children's names and dates of birth for each, and home addresses.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Data Taspen

    Uploaded by

    harisprasetyo
    61 views1 page
    This document contains a format for recording family data of employees at the Puskesmas Tirta Jaya health center in Tanah Laut Regency. The format includes fields for the employee's name, ID number, date of birth, spouse's name and date of birth, children's names and dates of birth, and home address. Data is provided for 8 employees as an example, listing their names, IDs, dates of birth, spouses' names and dates of birth, up to two children's names and dates of birth for each, and home addresses.

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    Data Taspen

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    This document contains a format for recording family data of employees at the Puskesmas Tirta Jaya health center in Tanah Laut Regency. The format includes fields for the employee's name, ID number, date of birth, spouse's name and date of birth, children's names and dates of birth, and home address. Data is provided for 8 employees as an example, listing their names, IDs, dates of birth, spouses' names and dates of birth, up to two children's names and dates of birth for each, and home addresses.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    61 views1 page

    Data Taspen

    Uploaded by

    harisprasetyo
    This document contains a format for recording family data of employees at the Puskesmas Tirta Jaya health center in Tanah Laut Regency. The format includes fields for the employee's name, ID number, date of birth, spouse's name and date of birth, children's names and dates of birth, and home address. Data is provided for 8 employees as an example, listing their names, IDs, dates of birth, spouses' names and dates of birth, up to two children's names and dates of birth for each, and home addresses.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 1

    PT TASPEN ( PERSERO) CABANG BANJARMASIN

    FORMAT PENGISIAN DATA KELUARGA


    NAMA SATKER : PUSKESMAS TIRTA JAYA KABUPATEN : TANAH LAUT
    DATA PEGAWAI DATA ISTRI /SUAMI DATA ANAK ALAMAT RUMAH
    NO NOMOR KPE / NIP
    NAMA PEGAWAI TGL LAHIR NAMA ISTRI TGL LAHIR NAMA ANAK TGL LAHIR
    1. OKKY PERMANA 10/7/1990
    1 19691028 198902 2 001 NANI SAFITRI 10/28/1969 SUMONO 7/27/1964 JL. BASUKI RAHMAD ANGSAU KEL.
    2.TIYAS NUR RISKY 12/24/1996 PELAIHARI
    1. M.RESKY MAULANA 7/24/1998
    2 19740919 199502 1 001 BUDI AMARULLAH 9/19/1974 HANIFAH 7/1/1977 JL.PERKUTUT GAGAS PERMAI
    2. M. RAZY SEPTIANOR 9/15/2003 ANGSAU PELAIHARI
    1. ZAHRO SYIFA 3/6/2006 DS. GALAM RT.06.RW.02 KEC.
    3 19811025 200604 2 012 SRI PURNA NINGSIH 10/25/1981 MASDUKI ARIZAL 3/13/1973
    2. ZIHAN AULIA BAJUIN
    9/27/2009
    YUNIANTO 1. ABIYU DANISH HAQI 3/23/2004 PERUM DINAS PUSKESMAS JL.
    4 19730701 200604 2 004 drg. AYUDYAH Y.P 7/1/1973 6/18/1974
    IRAWAN, SE 2.AKHYAR DAFFA HAQI KERAMAT RT.03 RW.01 KEC. BAJUIN
    10/20/2006
    1. M.WAHYU HIDAYAT 2/18/2000
    5 19780307 200604 1 014 NOORHAYATI 3/7/1978 MUHAMMAD 6/4/1972 DS. SUNGAI BAKAR RT.02 RW.01
    RAYA 2.DAFFI AHMAD AZHAR 1/18/2010 KEC. BAJUIN
    6 19790512 200604 1 019 KAMIL 5/12/1979 SASKIA NOVITA 11/22/1986 KOMP. BAJUIN RAYA ATU-ATU

    1. GT. NOVALIA ANANDA KOMP. TAMAN ASRI JL. DAHLIA


    7 19850202 201001 1 002 GT. INRDA NOORAHMAN 2/2/1985 SRI HAYATI 3/20/1986 11/21/2005
    PUTRI SARANG HALANG

    1. Cessia Suharis 1/29/2006


    8 19740316 200501 1 009 MORIKO SUHARIS 3/16/1974 YUNI KRISTIANI 6/5/1977 JL. PARIT, PELAIHARI
    2. Alexander arta Suharis 4/2/2009

    TIRTA JAYA, 26 MARET 2013


    KEPALA PUSKESMAS TIRTA JAYA

    YUNADI, SKM
    NIP. 19670312 198903 1 013

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