FORM Test
FORM Test
FORM Test
DESEMBER 2008
JENIS KEL
NIP BARU 13-7-2009 No. NIP LAMA NAMA TGL. LAHIR TGL. CPNS GOL
(1,2) L/P
196712311993031006 1 80115099 Maswang, S.Sos 31-Dec-1967 1-Mar-1993 1 3/b
196012311987031023 2 131684207 Dr. Ir. Jayadi, M.P 31-Dec-1960 1-Mar-1987 1 4/c
196203121987032002 3 131684839 Ir. Ratnasari, M.P 12-Mar-1962 1-Mar-1987 2 4/c
195708211987031002 4 131684842 Ir. La Paturusi La Sennung 21-Aug-1957 1-Mar-1987 1 4/a
196112311987031019 5 131684843 Ir. Nawawi, M.Si 31-Dec-1961 1-Mar-1987 1 4/a
6 131684846 Ir. Zakaria, M.Si 16-Jan-1962 1-Mar-1987 1 4/b
195909101987032001 7 131692532 Ir. Hartinah, M.S 10-Sep-1959 1-Mar-1987 2 4/a
195603211987101001 8 131754238 Ir. Zainal Abidin Musa, M.Si 21-Mar-1956 1-Oct-1987 1 4/c
196312311988031028 9 131764794 M. Yusuf 31-Dec-1963 1-Mar-1988 1 3/a
196212311988031025 10 131789482 Ir. Baso Darwisah, M.P 31-Dec-1962 1-Mar-1988 1 4/a
196201171988031001 11 131790546 DR. Ir. Yani Narayana, M.Si 17-Jan-1962 1-Mar-1988 1 3/d
196006051988031003 12 131790547 Ir. Usman LT. 5-Jun-1960 1-Mar-1988 1 4/a
196207141988031004 13 131790548 Ir. Muhammad Nadir, M.Si 14-Jul-1962 1-Mar-1988 1 4/a
196211181988031002 14 131790549 Ir. Bustamin, M.P 18-Nov-1962 1-Mar-1988 1 4/a
196002161988031002 15 131790550 Ir. Firman 16-Feb-1960 1-Mar-1988 1 4/a
196212201988031004 16 131790551 DR. Ir. Bambang Semedi, M.Sc 20-Dec-1962 1-Mar-1988 1 4/a
196306101988031003 17 131790552 Ir. Andi Asdar Jaya, M.Si 10-Jan-1963 1-Mar-1988 1 4/b
196206031988031003 18 131790553 Ir. Syatir Suaib, M.Si 3-Jun-1962 1-Mar-1988 1 4/b
1962.0905.1988.03.1.003 19 131790554 Ir. Nursidi, M.Si 5-Sep-1963 1-Mar-1988 1 4/b
196308151988032003 20 131790555 Ir. Fauziah Nurdin, M.P 15-Aug-1963 1-Mar-1988 2 4/b
1968.0325.1988.03.1.001 21 131790557 Suad 25-Apr-1968 1-Mar-1988 1 2/b
196808031988031001 22 131790559 Anshar A, S.IP, M.Pd 3-Aug-1968 1-Mar-1988 1 3/b
196107071988031001 23 131790560 Wasib, S.Sos 7-Jul-1961 1-Mar-1988 1 3/a
196512311988031012 24 131790562 Fathurrahman 31-Dec-1965 1-Mar-1988 1 3/a
195907181988031003 25 131796192 Ir. Ahmad Ghufron Mustofa, M.Si 18-Jul-1959 1-Mar-1988 1 4/a
195807301988112001 26 131804034 Ir. Miss Rahma Yassin 30-Jul-1958 1-Nov-1988 2 4/b
196004301988111001 27 131804130 Dr. Ir. Muhamad Ali Yahya, M.Si 30-Apr-1960 1-Nov-1988 1 4/b
196007061988112002 28 131804173 Ir. Irfani Baga, M.P 6-Jul-1960 1-Nov-1988 2 4/a
196607161988111001 29 131805546 Moh. Amiruddin D. 16-Jul-1966 1-Nov-1988 1 3/a
196203191989031001 30 131846412 Ir. Syamsul Hadi, M.Si 19-Mar-1962 1-Mar-1989 1 4/a
196211111989031005 31 131846413 Dr. Ir. Gatut Bintoro, M.Sc 11-Nov-1962 1-Mar-1989 1 4/a
196010071989031001 32 131848740 Iskandar 7-Oct-1960 1-Mar-1989 1 2/a
196809241989031002 33 131848742 Yappe 24-Sep-1968 1-Mar-1989 1 2/c
196906251989031001 34 131848743 Hakim 25-Jun-1969 1-Mar-1989 1 2/b
195901011989031002 35 131848744 Achmad 1-Jan-1959 1-Mar-1989 1 2/c
196304051989031003 36 131848750 Usman Saleh 5-Apr-1963 1-Mar-1989 1 3/a
196503061989032003 37 131848751 Sitti Ammani, S.E 6-Mar-1965 1-Mar-1989 2 3/b
196008201989031002 38 131848752 Untung Soenardi 20-Aug-1960 1-Mar-1989 1 2/b
196312311989031033 39 131848753 Kadareng 31-Dec-1963 1-Mar-1989 1 2/c
196206141989031001 40 131848754 Ikhwanul Syamsi MR, S.H 14-Jun-1962 1-Mar-1989 1 3/c
196607041989031001 41 131848766 Hasyim HI Juraeje 4-Jul-1966 1-Mar-1989 1 3/b
196503051989031003 42 131848767 Arifjaya 5-Mar-1965 1-Mar-1989 1 3/b
1966.0105.1989.03.1.002 43 131848768 Anwar, S.T 5-Oct-1968 1-Mar-1989 1 3/b
196107311989032001 44 131849206 Nurbaeti 31-Jul-1961 1-Mar-1989 2 3/a
1967.0524.1989.03.1.003 45 131855184 Muhammad Arif Hamid, S.E 24-Jan-1970 1-Mar-1989 1 3/a
196912311989031005 46 131856624 Muhammad Asse Tiro, S.E 31-Dec-1969 1-Mar-1989 1 3/c
196202141989031003 47 131856655 Muhammad Yusuf 14-Feb-1962 1-Mar-1989 1 3/a
196108221989031002 48 131861308 Ir. Widodo Basuki, M.Si 22-Aug-1961 1-Mar-1989 1 4/a
196212311989031029 49 131861315 Ir. Alimuddin 31-Dec-1962 1-Mar-1989 1 4/a
195905251989031001 50 131861316 Ir. Dam Surya Massora, M.Si 25-May-1959 1-Mar-1989 1 4/a
196108221989031001 51 131862605 Ir. Sultan Alam, M.Si 22-Aug-1961 1-Mar-1989 1 4/b
196005231989031002 52 131862606 Ir. Sudibyo, M.Si 23-May-1960 1-Mar-1989 1 4/a
PENSIUN 53 131869827 Abdul Rachman, S.E 6-Mar-1953 1-Oct-1989 1 4/a
196010221989102001 54 131869828 Dra. Septin Heriati 22-Oct-1960 1-Oct-1989 2 4/a
55 131881161 Tajuddin T. 9-Feb-1968 1-Mar-1990 1 2/c
196909221990032002 56 131881707 Suriyani, S.E 22-Sep-1969 1-Mar-1990 2 3/a
197012311990031006 57 131881708 Basri 31-Dec-1970 1-Mar-1990 1 3/a
196612061990032002 58 131881709 Halijah Jafar 6-Dec-1966 1-Mar-1990 2 3/a
196612081990032001 59 131881710 Nursiah 8-Dec-1966 1-Mar-1990 2 3/a
196912311990031008 60 131881711 Syarifuddin A. 31-Dec-1969 1-Mar-1990 1 3/a
197006021990031001 61 131881713 Saiful, S.Sos 2-Jun-1970 1-Mar-1990 1 3/a
196905041990031003 62 131881716 Syapruddin 4-May-1969 1-Mar-1990 1 3/a
196606211990031002 63 131881718 Luther Bua, S.Sos 21-Jun-1966 1-Mar-1990 1 3/b
196108101990031005 64 131881719 Mustamin 10-Aug-1961 1-Mar-1990 1 3/a
196605101990031004 65 131881720 Hamzah, S.Sos 10-May-1966 1-Mar-1990 1 3/c
196709161990031002 66 131881722 Fathurrahman 16-Sep-1967 1-Mar-1990 1 3/a
197001061990031002 67 131881726 Alimuddin Mattuppuang, S.E 6-Jan-1970 1-Mar-1990 1 3/b
68 131882153 Andi Sudarman 2-Oct-1966 1-Mar-1990 2 2/c
197012111990031001 69 131882156 Umar, S.Pd 11-Dec-1970 1-Mar-1990 1 3/a
196606141990031001 70 131882159 Halim Rahman, S.Sos 14-Jun-1966 1-Mar-1990 1 3/a
196903021990031002 71 131882160 Muh. Natsir L., S.Pd 2-Mar-1969 1-Mar-1990 1 3/a
196212311990031016 72 131884321 Abd. Muin Roya, S.E 31-Dec-1962 1-Mar-1990 1 3/c
1965.0810.1990.03.2.003 73 131884330 Masdariah, S.E 10-Aug-1964 1-Mar-1990 2 3/c
74 131912276 Abdul Rahmat 15-Jun-1966 1-Mar-1990 1 3/a
196703051990031004 75 131912280 Mustari N. 5-Mar-1967 1-Mar-1990 1 3/a
196804031990031002 76 131912658 Muhammad Ramli 3-Apr-1968 1-Mar-1990 1 3/a
196812161990032001 77 131912661 Marliana 16-Dec-1968 1-Mar-1990 2 3/a
196906161990032001 78 131912662 Hasniah, S.TP 16-Jun-1969 1-Mar-1990 2 3/b
79 131913693 Subhan 31-Dec-1971 1-Mar-1990 1 2/c
1958.0626.1990.03.1.001 80 131913696 Hongki 7-Oct-1958 1-Mar-1990 1 2/c
196404081990032002 81 131917565 Dra. Asti Sugiarti Sonodihartjo, M.Si 8-Apr-1964 1-Mar-1990 2 4/a
196405151990031003 82 131918466 Ir. Supriatna, M.Si 15-May-1964 1-Mar-1990 1 4/a
197203061990121001 83 131928261 Muhammadong 6-Mar-1972 1-Dec-1990 1 2/b
196509041990121001 84 131928518 Arifin Arsyad 4-Sep-1965 1-Dec-1990 1 3/a
196512241991031002 85 131964208 Mansyur 24-Dec-1965 1-Mar-1991 1 3/a
196901231991031002 86 131964209 Jaharuddin, S.T 23-Jan-1969 1-Mar-1991 1 3/a
196904031991031003 87 131964210 Ihwan 3-Apr-1969 1-Mar-1991 1 3/a
196512311991031021 88 131964211 Ainal 31-Dec-1965 1-Mar-1991 1 3/a
196605151991031006 89 131964212 Baharuddin 15-May-1966 1-Mar-1991 1 3/a
196907221991031002 90 131964214 Kamaruddin, S.IP 22-Jul-1969 1-Mar-1991 1 3/c
197010261991032001 91 131964215 Nurhayati, S.TP 26-Oct-1970 1-Mar-1991 2 3/b
1966.1231.1991.03.1.019 92 131964649 Baharuddin S.P 6-Dec-1968 1-Mar-1990 1 3/b
196208241991031002 93 131965079 Agus Lahya, S.T 24-Aug-1962 1-Mar-1991 1 3/a
197004281990121002 94 131968517 Muh. Alias, S.Pi 28-Apr-1970 1-Dec-1990 1 3/b
196806051991121001 95 131973198 Andi Irham, S.Pi 5-Jun-1968 1-Dec-1991 1 3/b
197103161991121001 96 131973199 Badarudding 16-Mar-1971 1-Dec-1991 1 2/d
196803041991121001 97 131973200 Samsuddin 4-Mar-1968 1-Dec-1991 1 3/a
196403121991121001 98 131973201 Ramang 12-Mar-1964 1-Dec-1991 1 3/a
196705101992031004 99 132007322 Amar Ma’ruf, S.Sos 10-May-1967 1-Mar-1992 1 3/a
197102111992032001 100 132007323 Evisusanti Abbas 11-Feb-1971 1-Mar-1992 2 3/a
196412311992031031 101 132008791 Ir. Imran Muhtar, M.Si 31-Dec-1964 1-Mar-1992 1 3/d
196607151992031003 102 132008792 Dr. Ir. Ahmad Wadi, M.Sc 15-Jul-1966 1-Mar-1992 1 4/a
196606041992032002 103 132008795 Ir. Hasniar, M.P 4-Jun-1966 1-Mar-1992 2 4/a
196810251992031002 104 132008799 Abdul Rauf, S.T 25-Oct-1968 1-Mar-1992 1 3/a
196901071992031001 105 132008800 Muhammad Amir, S.Pi 7-Jan-1969 1-Mar-1992 1 3/b
195701181992031001 106 132010374 M. Saddad, S.Pd 18-Jan-1957 1-Mar-1992 1 3/a
197108101993032001 107 132057821 Kasmawati 10-Aug-1971 1-Mar-1993 2 2/d
197004051993031001 108 132057822 Muhammad Satir 5-Apr-1970 1-Mar-1993 1 3/a
197205171993031003 109 132057823 Andi Faisal 17-May-1972 1-Mar-1993 1 2/d
110 132058248 Barlian, S.E 28-May-1969 1-Mar-1993 2 3/a
196201011993031002 111 132058268 Azis 1-Jan-1962 1-Mar-1993 1 3/a
196712311993031019 112 132058269 Ismail 31-Dec-1967 1-Mar-1993 1 3/a
196702151993031002 113 132058760 Andi Ahmad, S.Sos 15-Feb-1967 1-Mar-1993 1 3/a
196612311993032007 114 132062002 DR. Ir. Dahlia, M.P 31-Dec-1966 1-Mar-1993 2 3/c
1969.1231.1993.03.1.009 115 132062863 Muhammad Aras, S.Pi 31-Dec-1969 1-Mar-1992 1 3/a
1968.1126.1993.03.2.001 116 132062864 Hasmawati, S.Pi 26-May-1968 1-Mar-1990 2 3/b
196905071993032002 117 132062866 Ratnawati Rifai, S.Pi 7-May-1969 1-Mar-1993 2 3/b
1970.0511.1993.03.2.003 118 132062868 Suryati, S.Pi 11-Jul-1970 1-Mar-1993 2 3/b
197007101993032001 119 132062869 Mulyati, S.Pi 10-Jul-1970 1-Mar-1993 2 3/b
120 132068865 Abdullah, S.Pi 21-Oct-1970 1-Mar-1993 1 3/b
1969.0119.1993.03.1.002 121 132068867 Andi Baso Adil Natsir, S.Pi, M.Si 19-Jan-1967 1-Mar-1993 1 3/c
196906011994021001 122 132083792 Syahruddin, S.Pi 1-Jun-1969 1-Feb-1994 1 3/a
196802141994031001 123 132086818 Ir. Arifuddin, M.Si 14-Feb-1968 1-Apr-1994 1 4/a
196806171994031001 124 132094522 DR. Ir. Muhammad Ikbal Illijas, M.Sc 17-Jun-1968 1-Mar-1994 1 3/d
196805281994031003 125 132094523 Ir. Amrullah, M.Si 28-May-1968 1-Mar-1994 1 4/a
196612311994031021 126 132094528 Ir. Ridwan, M.P 31-Dec-1966 1-Mar-1994 1 4/a
196612311994031023 127 132094529 Ir. Muslimin, M.P 31-Dec-1996 1-Mar-1994 1 3/d
196208031994031002 128 132102303 Ir. Muhammad Fitri, M.P 3-Aug-1962 1-Mar-1994 1 4/a
196312311994031014 129 132102310 Ir. Tasir 31-Dec-1963 1-Mar-1994 1 4/b
196512121994032001 130 132102317 Ir. Syahriati 12-Dec-1965 1-Mar-1994 2 3/d
196704041995011001 131 132128189 Solihin, S.Pd 4-Apr-1967 1-Jan-1995 1 3/a
197006141995012001 132 132128191 Rosmala Dewi, A.Md.Pi 14-Jun-1970 1-Jan-1995 2 3/a
197105151995011001 133 132128194 Muhammad Nurhidayat, A.Md.Pi 15-May-1971 1-Jan-1995 1 3/a
196905221995121002 134 132135241 Mohamad Adnan Baiduri, S.Pi, M.Si 22-May-1969 1-Dec-1995 1 3/d
196708021995121001 135 132135242 Andi Imran Anshari, S.Pi 2-Aug-1967 1-Dec-1995 1 3/c
196812311995121001 136 132135243 Salman, S.Pi 31-Dec-1968 1-Dec-1995 1 3/d
197009101995121001 137 132135244 Muhammad Sulaiman, S.Pi, M.Si 10-Sep-1970 1-Dec-1995 1 4/a
197106071995122001 138 132135245 DR.Nur Rahmawaty Arma, S.Pi,M.Sc 7-Jun-1971 1-Dec-1995 2 3/c
196904201995121001 139 132135246 Ir. Andi Yusuf, M.P 20-Apr-1969 1-Dec-1995 1 3/d
1972.0220.1995.12.1.001 140 132135247 Irman Halid, S.T, M.Si 2-Feb-1972 1-Dec-1995 1 3/c
196808071995122001 141 132135248 Ir. Nurlaeli Fattah, M.Si 7-Aug-1968 1-Dec-1995 2 3/d
197004131995121001 142 132135250 Luqman Saleh, S.Pi, M.Si 13-Apr-1970 1-Dec-1995 1 4/a
196808121995121001 143 132135349 Adam, S.Pi, M.Si 12-Aug-1968 1-Dec-1995 1 4/a
197410101995121001 144 132142248 A. Lapasewang, S.T 10-Oct-1974 1-Dec-1995 1 3/b
196812061995121001 145 132142249 Baharuddin, S.Pi 6-Dec-1968 1-Dec-1995 1 3/b
1976.0221.1995.12.2.001 146 132142250 Mardianti, S.Pi 21-Jul-1970 1-Dec-1995 2 3/a
196803021996032001 147 132153617 Marbiah, S.Pi 2-Mar-1968 1-Mar-1996 2 3/a
197606121997021001 148 132162002 Hasmal A. Mangngipung, S.T 12-Jun-1976 1-Feb-1997 1 3/a
197107181997021001 149 132164571 Yuliadi, S.Pi 18-Jul-1971 1-Feb-1997 1 3/c
196712101997021001 150 132164572 Muslimin, S.Pi 10-Dec-1967 1-Feb-1997 1 3/c
1967.0809.1997.02.1.001 151 132164573 Ir. Rimal Hamal, M.Si 9-Dec-1967 1-Feb-1997 1 3/d
197211131997022002 152 132164574 Wahidah, S.Pi, M.Si 13-Nov-1972 1-Feb-1997 1 3/d
1972.1213.1997.02.2.001 153 132164575 Erna, S.Pi, M.Si 13-Dec-1967 1-Feb-1997 2 3/d
197311191997022001 154 132165732 Mukhlisa A Ghaffar, S.Pi, M.Si 19-Nov-1973 1-Feb-1997 2 3/d
1969.1118.1997.02.2.001 155 132165733 Husniati, S.Pi, M.Si 17-Nov-1969 1-Feb-1997 2 3/d
197310141997031002 156 132170492 Ardiansyah, S.Pi, M.B.Sc 14-Oct-1973 1-Mar-1997 1 3/c
197106051997032001 157 132172352 Sitti Muslimah Bachrun, S.Pi 5-Jun-1971 1-Mar-1997 2 3/b
197003311997031002 158 132174175 Abdul Mutalib, SP, M.P 19-Nov-1970 1-Mar-1997 1 4/a
196608201998022001 159 132205593 Ir. Epi Rospiati, M.Si 20-Aug-1966 1-Feb-1998 2 3/d
197209041998022001 160 132205594 Zahraeni Kumalawati, S.P, M.P 4-Sep-1972 1-Feb-1998 2 3/d
196811221998022001 161 132205595 Ir. Erna Halid, M.Si 22-Nov-1968 1-Feb-1998 2 3/d
197108101998021002 162 132205596 Kafrawi, S.P, M.P 10-Aug-1971 1-Feb-1998 1 4/a
197101051998022001 163 132205597 Sitti Inderiati, S.P, M.B.Sc 5-Jan-1971 1-Feb-1998 2 3/c
197312091998022001 164 132206005 Hardiana HR, A.Md.Pi 9-Dec-1973 1-Feb-1998 2 3/a
1972.0103.1998.02.1.001 165 132206099 Fatmawati Podding, S.E 3-Jan-1972 1-Mar-1998 1 3/d
197006271998031006 166 132208832 Muhammad Yusuf, SP, M.P 27-Jun-1970 1-Mar-1998 1 4/a
197207171998032001 167 132208833 Nur Laylah, S.TP 17-Jul-1972 1-Mar-1998 2 3/c
1975.0207.1998.03.2.001 168 132210700 Sri Muliani, S.P, M.P 7-Feb-1973 1-Mar-1998 2 3/d
169 132215060 Syamsuar, S.Pi, M.Si 2-Aug-1970 1-Mar-1998 1 3/d
196702021998031002 170 132216228 DR. Ir. Darmawan, M.P 2-Feb-1968 1-Mar-1998 1 3/d
196909111999031001 171 132232242 Nurdin Abdullah 11-Sep-1969 1-Mar-1999 1 2/c
197012121999032001 172 132232243 Sudarmi Koro, S.E 12-Dec-1970 1-Mar-1999 2 3/a
196602271999032001 173 132232244 Nurwahidah 27-Feb-1966 1-Mar-1999 2 2/c
197209181999031005 174 132232279 Sabaruddin, S.S, M.Si 18-Sep-1972 1-Mar-1999 1 3/c
197101121999032001 175 132233160 Rahmawati Saleh, S.Si, M.Si 12-Jan-1971 1-Mar-1999 2 3/c
197311101999031001 176 132233161 Rivaldi, S.T, M.Si 10-Nov-1973 1-Mar-1999 1 3/c
196812071999032001 177 132233162 Aisyah, SE.Ak 7-Dec-1968 1-Mar-1999 2 3/c
196712091999031003 178 132233164 Demparukka 9-Dec-1967 1-Mar-1999 1 2/c
1973.1220.1999.03.2.003 179 132233409 Hardiana, S.E 20-Dec-1978 1-Mar-1999 2 3/a
196407081999031001 180 132233410 Syafaruddin, S.Kom 8-Jul-1964 1-Mar-1999 1 3/a
197804151999032002 181 132233489 Hasriyani 15-Apr-1978 1-Mar-1999 2 2/c
196811161999031002 182 132233803 Andi Rusdi Walinono, S.Pi, M.Si 16-Nov-1968 1-Mar-1999 1 3/c
196708311999031001 183 132233804 Sulkifli, S.Pi 31-Aug-1967 1-Mar-1999 1 3/c
1970.0911.1999.03.1.002 184 132233923 Ma’mur, S.Pi 11-Sep-1969 1-Mar-1999 1 3/a
197508121999032003 185 132233924 Warnida, S.Pi 12-Aug-1975 1-Mar-1999 2 3/a
197207211999032002 186 132233925 Seniati, S.Pi 21-Jul-1972 1-Mar-1999 2 3/a
197206171999032002 187 132238520 Nurmiaty, SP, M.P 17-Jun-1972 1-Mar-1999 2 4/a
196805041999032001 188 132240364 Ir. Sri Udayana Tartar, M.Si 4-May-1968 1-Mar-1999 2 3/d
196506101999031001 189 132240404 Ir. Zaimar, M.T 10-Jun-1965 1-Mar-1999 1 3/d
196403121999031003 190 132240405 Ir. Mursida 12-Mar-1964 1-Mar-1999 1 3/d
197208281999032003 191 132240430 Sriwati Malle, S.TP 28-Aug-1972 1-Mar-1999 2 3/c
197312081999032001 192 132243322 Luthfiah, S.TP, M.Si 8-Dec-1973 1-Mar-1999 2 3/d
196906161999031002 193 132243323 Andi Ridwan, S.P, M.P 16-Jun-1969 1-Mar-1999 1 3/d
196301101999032001 194 132243324 Dra. Asmawati 10-Jan-1963 1-Mar-1999 2 3/d
197802182000031002 195 132257905 Andi Riomata Panawan 18-Feb-1978 1-Mar-2000 1 2/b
1977.0902.2000.03.2.001 196 132258104 Suriati, S.TP 12-Apr-1978 1-Mar-2000 2 3/a
196903252000031001 197 132258105 Baharuddin Bedo, S.Pd 25-Mar-1969 1-Mar-2000 1 3/a
197409232000032001 198 132258209 Rahmi Mulyani, A.Md 23-Sep-1974 1-Mar-2000 2 2/d
196910132000031001 199 132258210 Patang, S.Pi, M.Si 13-Oct-1969 1-Mar-2000 1 3/d
1974.0809.2000.03.2.001 200 132258211 Arifah, S.P, Menv.Sc 9-Aug-1974 1-Mar-1999 2 3/c
197501062000032002 201 132258233 Megawati, S.Si 6-Jan-1975 1-Mar-2000 2 3/c
196705042000031001 202 132259604 Basri Baba, S.P 4-May-1967 1-Mar-2000 1 3/a
1972.1106.2000.03.2.001 203 132261632 Wahyuni, S.E 6-Oct-1972 1-Mar-2000 2 3/a
197301222000122001 204 132284903 Nurjannah Bando, S.P, M.Si 22-Jan-1973 1-Dec-2000 2 3/c
197304302000122001 205 132284904 Ramlah Judriah, S.Pd 30-Apr-1973 1-Dec-2000 2 3/b
1969.0520.2000.12.2.001 206 132284905 Tenri Nampa 20-May-1969 1-Mar-2000 2 2/b
1969.0331.2000.12.2.001 207 132284906 Fatmawati Podding, S.E 31-Mar-1969 1-Mar-2000 2 3/a
197512292001121002 208 132295827 Abbas Karre’ S.TP 29-Dec-1975 1-Dec-2001 1 3/a
197904152001121002 209 132295828 Achmad, S.E 15-Apr-1979 1-Dec-2001 1 3/a
197804122001122003 210 132295829 Khumsiar Amir, S.Pi 12-Apr-1978 1-Dec-2001 2 3/a
196706042001121001 211 132295830 Ilyas, S.T 4-Jun-1967 1-Dec-2001 1 3/a
197112312001122001 212 132295831 Hasniati, S.E 31-Dec-1971 1-Dec-2001 2 3/a
196909272001122001 213 132295832 Rukmini 27-Sep-1969 1-Dec-2001 2 2/b
197809162001122001 214 132295833 Astinah 16-Sep-1978 1-Dec-2001 2 2/b
197605102001122002 215 132295834 Satriani, S.Pi 10-May-1976 1-Dec-2001 2 3/a
196709062001122001 216 132295835 Dra. Hasnawaty 6-Sep-1967 1-Dec-2001 2 3/a
196710312001121002 217 132295836 Abdul Rahman 31-Oct-1967 1-Dec-2001 1 2/b
196512312001121001 218 132295851 Ir. Harifuddin, M.Si 31-Dec-1965 1-Dec-2001 1 3/b
197106132001122001 219 132295852 Mu’minah, S.P, M.P 13-Jun-1971 1-Dec-2001 2 3/c
197506262001121001 220 132295853 Andi Ridwan Makkulawu, S.T, M.Si 26-Jun-1975 1-Dec-2001 1 3/c
197810012001122003 221 132295854 Andi Santi, S.ST.Pi 1-Oct-1978 1-Dec-2001 2 3/c
197510082001122001 222 132295855 Rosmawati, S.Sos 8-Oct-1975 1-Dec-2001 2 3/b
197603062001121004 223 132295856 Syarifuddin. A.Md.Pi 6-Mar-1976 1-Dec-2001 1 2/d
196708272001121002 224 132295857 Aminuddin, A.Md 27-Aug-1967 1-Dec-2001 1 2/d
197106172001121002 225 132295858 Abdul Basir, A.Md 17-Jun-1971 1-Dec-2001 1 2/d
1968.0112.2001.12.2.001 226 132295859 Joharniah, A.Md 30-Sep-1975 1-Dec-2001 2 2/d
196701052001122001 227 132299127 Ir. Sitti Nurmiah, M.Si 5-Jan-1967 1-Dec-2001 2 3/c
1974.0530.2002.12.2.001 228 132299734 Mihrani, S.E 30-May-1974 1-Dec-2001 2 3/b
1972.0108.2002.12.1.001 229 132299735 Krishna Pandu, S.P, M.P 8-Jan-1972 1-Dec-2001 1 3/c
1972.0410.2002.12.2.002 230 132299736 Yuliana, S.Pi, M.Si 10-Apr-1972 1-Dec-2001 2 3/c
196906032002122001 231 132299737 Ernawati Jassin, S.Si 3-Jun-1969 1-Dec-2001 2 3/c
197901022002122001 232 132299738 Mila Samula, A.Md 2-Jan-1979 1-Dec-2002 2 2/d
1975.0705.2002.12.2.002 233 132299739 Sahriawati, S.Pi 5-Jul-1975 1-Mar-1999 2 3/a
197303272002122001 234 132299740 Samsuliah 27-Mar-1973 1-Dec-2002 2 2/b
197209072002122001 235 132299741 Nur Caya, S.Sos 7-Sep-1972 1-Dec-2002 2 3/a
197306202002121001 236 132299776 Nur Alam Kasim, S.Pi, M.Si 20-Jun-1973 1-Dec-2002 1 3/c
197903202002121001 237 132302402 Rusli 20-Mar-1979 1-Dec-2002 1 2/b
196703082002121001 238 132302554 Sake J. 8-Mar-1967 1-Dec-2002 1 2/b
198401222003121004 239 132303586 Adam Sulaeman 22-Jan-1984 1-Dec-2003 1 2/a
196905052003121001 240 132303587 Amiruddin 5-May-1969 1-Dec-2003 1 2/b
196910102003122001 241 132303588 Dra. Aslinda, M.Si 10-Oct-1969 1-Dec-2003 2 3/c
197805162003122002 242 132303589 Wiwiek Hidayati, S.E 16-May-1978 1-Dec-2003 2 3/b
197611202003122001 243 132303590 Seniorita, SE. Ak 20-Nov-1976 1-Dec-2003 2 3/b
197304302003122001 244 132303591 Syatrawati, S.P, M.P. 30-Apr-1973 1-Dec-2003 2 3/b
197704292003121001 245 132303592 Ilham, S.E 29-Apr-1977 1-Dec-2003 1 3/a
197006012003122001 246 132303593 Junyah Leli Isnaini, S.P, M.P 1-Jun-1970 1-Dec-2003 2 3/c
197501312003122001 247 132303594 Karma, S.E, M.Si 31-Jan-1975 1-Dec-2003 2 3/c
197307112003121001 248 132303595 Jamaluddin, A.Md 11-Jul-1973 1-Dec-2003 1 2/d
1980.1123.2003.12.2.001 249 132303596 Hasri, A.Md.Pi 21-Nov-1980 1-Dec-2003 2 2/d
198102202003122003 250 132303597 Wahyuni Zam, S.Kom 20-Feb-1981 1-Dec-2003 2 3/b
197807212003121002 251 132303598 Ilyas, S.Kom 21-Jul-1978 1-Dec-2003 1 3/b
197810232003121004 252 132303599 Irawan Alham, S.T 23-Oct-1978 1-Dec-2003 1 3/b
197112012003121001 253 132303600 Rahmad D, SP, M.Si 1-Dec-1971 1-Dec-2003 1 3/b
197108032003121001 254 132303601 Budiman, S.E, M.Si 3-Aug-1971 1-Dec-2003 1 3/b
197211172003122001 255 132306251 Rahmat Hidayat, S.Sos, M.Si 17-Nov-1972 1-Dec-2003 2 3/c
197503172005011001 256 132309270 Rusli, S.Pi 17-Mar-1975 1-Jan-2005 1 3/a
197512252005012003 257 132309271 Asrianti Sani, S.Pi, M.Si 25-Dec-1975 1-Jan-2005 2 3/a
197301192005012001 258 132309272 Sri Wahidah, S.Pi 19-Jan-1973 1-Jan-2005 2 3/a
197308172005011002 259 132309274 Hasmin, S.E, M.Si 17-Aug-1973 1-Jan-2005 1 3/b
1977.0401.2005.02.2.001 260 132309275 Sumarni, S.E 1-Apr-1977 1-Jan-2005 2 3/a
197105292005011001 261 132309373 Paharuddin, S.T 29-May-1971 1-Jan-2005 1 3/a
197905072005011001 262 132309623 Syamsul Marlin Amir, S.T 7-May-1979 1-Jan-2005 1 3/a
197710202005012005 263 132309624 Fifi Arfini, S.TP 20-Oct-1977 1-Jan-2005 2 3/a
1972.1010.2005.01.1.003 264 132309625 Muhammad Kadir, S.P 1-Apr-1972 1-Jan-2005 1 3/a
197208242005011002 265 132309626 Junaedi, S.P, M.Si 24-Aug-1972 1-Jan-2005 1 3/b
197906052005011003 266 132309627 Muhammad Ridwan, S.E 5-Jun-1979 1-Jan-2005 1 3/a
1974.0814.2005.01.2.003 267 132309628 Andi Puspa Sari Idris, S.Pi 14-Aug-1974 1-Jan-2008 2 3/a
198309252005012001 268 132309629 Andi Nur Baety 25-Sep-1983 1-Jan-2005 2 2/a
197112062005012001 269 132309630 Sitti Marwah 6-Dec-1971 1-Jan-2005 2 2/a
198209082005012002 270 132309631 Nuzuliyanti S. 8-Sep-1982 1-Jan-2005 2 2/a
196912312005011012 271 132311383 Suryadi 31-Dec-1969 1-Jan-2005 1 2/a
198006062005012002 272 132311384 Nur Asri L, A.Md 6-Jun-1980 1-Jan-2005 2 2/c
198010202005011001 273 132311385 Sufyan, S.Pi 20-Oct-1980 1-Jan-2005 1 3/a
198006052005011004 274 132311386 Ahmad Daud, A.Md.Pi 5-Jun-1980 1-Jan-2005 1 3/a
197112312005011002 275 132311387 Syamsuddin Rasing, S.E 31-Dec-1971 1-Jan-2005 1 3/a
197705012005012002 276 132311388 Andi Pinrakati, S.E 1-Mar-1977 1-Jan-2005 2 3/a
197311072005012002 277 132311389 Mustati, S.Sos 7-Nov-1973 1-Jan-2005 2 3/a
197705152005012003 278 132312542 Mariam, S.Kom 15-May-1977 1-Jan-2005 2 3/a
1975.0616.2005.01.2.002 279 132312543 Rahmayati HM, S.E 16-Jun-1973 1-Jan-2005 2 3/b
1973.1020.2005.01.2.001 280 132312632 Nurhalisyah, S.P, M.P 20-Oct-1973 1-Feb-2005 2 3/a
1971.1022.2005.01.2.002 281 132312633 Andriani, S.Pi, M.Si 22-Oct-1971 1-Feb-2005 2 3/a
197007312005011001 282 132313216 Abdul Muqtadir, S.Pi 31-Jul-1970 1-Jan-2005 1 3/a
197608182005011001 283 132313217 Mattotorang K. 18-Aug-1976 1-Jan-2005 1 2/a
198106192005012003 284 132313218 Rosmini 19-Jun-1981 1-Jan-2005 2 2/a
1976.0923.2005.01.1.001 285 132314226 Akmal Abdullah, S.E 23-Sep-1976 1-Feb-2005 1 3/b
196909192005011001 286 132315155 Muhammad Tamrin 19-Sep-1969 1-Jan-2005 1 2/a
197701302005012002 287 132315777 Andi Nurhayati, A.Md 30-Jan-1977 1-Jan-2005 2 2/c
197608252005012001 288 132315778 Dwi Kesuma, S.Pd 25-Aug-1976 1-Jan-2005 2 3/a
197311152006042002 289 132316080 Hamriani 15-Nov-1973 1-Apr-2006 2 2/a
196911072005011003 290 132316389 Faisal Jafar, S.Ag 7-Nov-1969 1-Jan-2005 1 3/a
197401302006042001 291 132316796 Mutmainna, S.P 30-Jan-1974 1-Apr-2006 2 3/a
198111072006042001 292 132316797 Tien Kumalasari, S.Kom 7-Nov-1981 1-Apr-2006 2 3/a
197803092006041001 293 132316798 Andi Muh. Yuslim Patawari, S.ST.Pi 9-Mar-1978 1-Apr-2006 1 3/a
197208012006042001 294 132316799 Syahruni Thamrin, S.P 1-Aug-1972 1-Apr-2006 2 3/a
1973.1231.2006.04.2.001 295 132316800 Reta, S.P 29-Dec-1973 1-Apr-2006 2 3/a
198105112006041002 296 132316801 Lendri, S.ST.Pi 11-May-1981 1-Apr-2006 1 3/a
198101102006042001 297 132316802 Eka Wisdawati, S.Si 10-Jan-1981 1-Apr-2006 2 3/a
197502172006041001 298 132316803 Agussalim M, S.T 17-Feb-1975 1-Apr-2006 1 3/a
197508172006042001 299 132316804 Nildayanti, S.P 17-Aug-1975 1-Apr-2006 2 3/a
198311172006041003 300 132316805 Muhammad Yusuf Amir, A.Md.Pi 17-Nov-1983 1-Apr-2006 1 2/c
198207082006041001 301 132316806 Ibrahim, A.Md.Pi 8-Jul-1982 1-Apr-2006 1 2/c
198608092006041002 302 132316807 Sudirman 9-Aug-1986 1-Apr-2006 1 2/a
1972.1231.2006.04.2.001 303 132318795 Mauli, S.Pi, M.Si 31-Dec-1972 1-Apr-2006 1 3/b
197306072005012001 304 132320406 Fatmawati K., S.Sos 7-Jun-1973 1-Jan-2005 2 3/a
197401052007011003 305 132323149 Ramli 5-Jan-1974 1-Jan-2007 1 2/a
197104132007011002 306 132323150 Muhammad Asif 13-Apr-1971 1-Jan-2007 1 1/c
197505302007011002 307 132323603 Muzzier M. 30-May-1975 1-Jan-2007 1 1/c
197006222007011001 308 132323604 Suganda 22-Jun-1970 1-Jan-2007 1 2/a
197904042008011017 309 132327273 Muh. Ali Arsyad, S.Pi, M.Si 4-Apr-1979 1-Jan-2008 1 3/b
198010132008012008 310 132327274 Dahliah, S.Kom 13-Oct-1980 1-Jan-2008 2 3/a
197711182008012016 311 132327275 Maryam, A.Md 18-Nov-1977 1-Jan-2008 2 2/c
197709252007101001 312 132328082 Anwar Syadad 25-Sep-1977 1-Oct-2007 1 2/a
197309032007101001 313 132328083 Muhammad Samud 3-Sep-1973 1-Oct-2007 1 2/a
Pangkep, 21 Ju
a.n. Direktur
Pembantu Dire
Ir. Arifuddin, M.
NIP
DUK PEGAWAI (NIP)
R 2008
Direktur
Pembantu Direktur II,
16 131790548 196004301988111001 Dr. Ir. Muhamad Ali Yahya, M.Si IV/b 1-Nov-1988 1
36 132068865 196806171994031001 DR. Ir. Muhammad Ikbal Illijas, M.Sc IV/a 1-Mar-1994 1
55 132174175 196901191993031002 Andi Baso Adil Natsir, S.Pi, M.Si III/d 1-Mar-1993 1
100 132299734 197306202002121001 Nur Alam Kasim, S.Pi, M.Si III/c 1-Dec-2002 1
101 132258210 197006012003122001 Junyah Leli Isnaini, S.P, M.P III/c 1-Dec-2003 2
117 132303588 197408142005012003 Andi Puspa Sari Idris, S.Pi III/c 1-Jan-2008 2
144 132327273 197904042008011017 Muh. Ali Arsyad, S.Pi, M.Si III/b 1-Jan-2008 1
162
PANGKAT JABATAN
No. NIP LAMA NIP BARU 13-7-2009 NAMA GOL TGL. LAHIR
JK
TGL. CPNS
(1,2) L/P
1-Oct-1989 2
1-Mar-1990 1
1-Mar-1989 1
1-Dec-1995 1
1-Mar-1988 1
1-Mar-1990 1
1-Mar-1991 1
1-Mar-1990 2
1-Mar-1993 1
1-Mar-1989 1
1-Dec-2000 2
1-Mar-1988 1
1-Mar-1990 1
1-Mar-1991 1
1-Jan-2005 1
1-Mar-1991 1
1-Mar-1990 1
1-Mar-1992 1
1-Dec-1991 1
1-Jan-2005 2
1-Mar-1989 1
1-Dec-1990 1
1-Mar-1989 1
1-Mar-1991 1
1-Mar-2000 1
1-Mar-1990 1
1-Dec-1995 1
1-Mar-1993 2
1-Mar-1990 1
1-Dec-2001 2
1-Jan-2005 2
1-Mar-1990 1
1-Mar-1990 1
1-Mar-1999 2
1-Mar-1990 2
1-Dec-2001 2
1-Mar-1989 1
1-Mar-1991 1
1-Dec-2001 2
1-Mar-1990 1
1-Mar-1992 1
1-Mar-1988 1
1-Mar-1991 1
1-Mar-1996 2
1-Mar-1990 2
1-Nov-1988 1
1-Mar-1990 1
1-Mar-1992 1
1-Mar-1989 1
1-Jan-1995 1
1-Mar-1990 1
1-Mar-1990 1
1-Mar-1990 1
1-Jan-2005 2
1-Mar-1989 2
1-Mar-1991 2
1-Mar-1990 2
1-Jan-1995 2
1-Mar-1999 2
1-Mar-1989 2
1-Jan-1995 1
1-Mar-1999 2
1-Mar-2000 2
1-Mar-1990 2
1-Mar-1999 1
1-Feb-1994 1
1-Jan-2005 1
1-Mar-1990 1
1-Mar-1990 1
1-Mar-1990 1
1-Mar-1989 1
1-Mar-1988 1
1-Dec-2001 1
1-Dec-2001 1
1-Jan-2005 1
1-Mar-1992 1
1-Dec-2003 1
1-Dec-2001 1
1-Mar-1993 1
1-Mar-1993 1
1-Jan-2005 2
1-Dec-2001 2
1-Mar-1992 2
1-Jan-2005 2
1-Mar-1998 1
1-Mar-1990 2
1-Feb-1998 2
1-Feb-1997 1
1-Dec-2003 2
1-Mar-1999 2
1-Mar-1991 1
1-Dec-2001 1
1-Mar-1993 1
1-Dec-2003 1
1-Mar-1999 1
1-Dec-1995 2
1-Dec-2002 2
1-Mar-1993 1
1-Mar-1989 1
1-Dec-2002 2
1-Mar-1999 2
1-Mar-2000 2
1-Dec-1991 1
1-Mar-1999 2
1-Mar-1990 1
1-Dec-1991 1
1-Dec-2002 2
1-Dec-2001 2
1-Jan-2005 1
1-Dec-2001 1
1-Mar-1999 2
1-Mar-1989 1
1-Mar-1989 1
1-Jan-2005 2
1-Mar-1990 2
1-Dec-1991 1
1-Mar-1999 1
1-Apr-2006 1
1-Apr-2006 1
1-Jan-2005 2
1-Mar-1999 1
1-Mar-1990 1
1-Dec-2001 1
1-Mar-1989 1
1-Mar-1990 1
1-Mar-1989 1
1-Jan-2008 2
1-Dec-1990 1
1-Dec-2002 1
1-Mar-1988 1
1-Mar-1990 1
1-Mar-2000 2
1-Dec-2003 1
1-Apr-2006 2
1-Jan-2005 1
1-Jan-2005 1
1-Jan-2005 2
1-Jan-2005 2
1-Dec-2001 2
1-Dec-2002 1
1-Jan-2005 2
1-Apr-2006 1
1-Jan-2007
1
1-Jan-2005 1
1-Mar-1989 1
1-Oct-2007 1
1-Mar-1989 1
1-Oct-2007 1
1-Jan-2007
1
1-Jan-2007 1
1-Jan-2007
1
1-Mar-1993 2
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
NIP :
NAMA :
UNIT ESELON I :
UNIT ESELON IV :
UNIT ESELON IV :
2 NAMA PEGAWAI
3 GELAR DEPAN Contoh : Dr. Ir.
6 TEMPAT LAHIR
7 JENIS KELAMIN Pria-P Wanita-W
18 NOMOR NPWP
19 ALAMAT RUMAH
TAHUN MASUK
TAHUN LULUS TEMPAT BELAJAR Dalam negeri-1 Luar negeri-2
LOKASI
NOMOR IJASAH
TAHUN MASUK
TAHUN LULUS TEMPAT BELAJAR Dalam negeri-1 Luar negeri-2
LOKASI
NOMOR IJASAH
TAHUN MASUK
TAHUN LULUS TEMPAT BELAJAR Dalam negeri-1 Luar negeri-2
LOKASI
NOMOR IJASAH
FORMULIR ISIAN DATA PEGAWAI Form-02
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN Lembar 1/2
TAHUN MASUK
TAHUN LULUS TEMPAT BELAJAR Dalam negeri-1 Luar negeri-2
LOKASI
NOMOR IJASAH
TAHUN MASUK
TAHUN LULUS TEMPAT BELAJAR Dalam negeri-1 Luar negeri-2
LOKASI
NOMOR IJASAH
NAMA SEKOLAH/UNIVERSITAS
JURUSAN / PROGRAM STUDI
TAHUN MASUK
TAHUN LULUS TEMPAT BELAJAR Dalam negeri-1 Luar negeri-2
FORMULIR ISIAN DATA PEGAWAI Form-02
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN Lembar 1/2
DATA ISTRI/SUAMI
2 NAMA ISTRI/SUAMI
NOMOR KARIS/KARSU
TANGGAL LAHIR - - TANGGAL NIKAH - -
TINGKAT PENDIDIKAN S3(Setara)-01 S2(Setara)-02 S1(Setara)-03 D4-04 SM-05 D3-06 D2-07
D1-08 SLTA-09 SLTP-10 SD-11
PEKERJAAN
STATUS SUAMI/ISTRI Istri/suami saat ini-1 Telah meninggal dunia-2 Cerai-3
3 NAMA ISTRI/SUAMI
NOMOR KARIS/KARSU
TANGGAL LAHIR - - TANGGAL NIKAH - -
TINGKAT PENDIDIKAN S3(Setara)-01 S2(Setara)-02 S1(Setara)-03 D4-04 SM-05 D3-06 D2-07
D1-08 SLTA-09 SLTP-10 SD-11
PEKERJAAN
STATUS SUAMI/ISTRI Istri/suami saat ini-1 Telah meninggal dunia-2 Cerai-3
4 NAMA ISTRI/SUAMI
NOMOR KARIS/KARSU
TANGGAL LAHIR - - TANGGAL NIKAH - -
TINGKAT PENDIDIKAN S3(Setara)-01 S2(Setara)-02 S1(Setara)-03 D4-04 SM-05 D3-06 D2-07
D1-08 SLTA-09 SLTP-10 SD-11
PEKERJAAN
STATUS SUAMI/ISTRI Istri/suami saat ini-1 Telah meninggal dunia-2 Cerai-3
FORMULIR ISIAN DATA PEGAWAI Form-10
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN Lembar 1/1
DATA ANAK
TEMPAT/TGL LAHIR / - -
STATUS ANAK Anak kandung-1 Anak tiri-2 Anak angkat-3
PENDIDIKAN S3(Setara)-01 S2(Setara)-02 S1(Setara)-03 D4-04 SM-05 D3-06 D2-07
D1-08 SLTA-09 SLTP-10 SD-11 Belum sekolah-12
PEKERJAAN *
3 NAMA ANAK
JENIS KELAMIN Pria-P Wanita-W
TEMPAT/TGL LAHIR / - -
STATUS ANAK Anak kandung-1 Anak tiri-2 Anak angkat-3
PENDIDIKAN S3(Setara)-01 S2(Setara)-02 S1(Setara)-03 D4-04 SM-05 D3-06 D2-07
D1-08 SLTA-09 SLTP-10 SD-11 Belum sekolah-12
PEKERJAAN *
4 NAMA ANAK
JENIS KELAMIN Pria-P Wanita-W
TEMPAT/TGL LAHIR / - -
STATUS ANAK Anak kandung-1 Anak tiri-2 Anak angkat-3
PENDIDIKAN S3(Setara)-01 S2(Setara)-02 S1(Setara)-03 D4-04 SM-05 D3-06 D2-07
D1-08 SLTA-09 SLTP-10 SD-11 Belum sekolah-12
PEKERJAAN *
FORMULIR ISIAN DATA PEGAWAI Form-11
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN Lembar 1/1
DATA DP3
Nomor Induk Pegawai (NIP) Baru : 0
Nomor Induk Pegawai (NIP) Lama: 0
1 TAHUN PENILAIAN
NIP PEJABAT PENILAI NIP LAMA
NAMA PEJABAT PENILAI
JABATAN PEJABAT PENILAI
UNIT KERJA
NIP ATASAN PEJABAT PENILAI NIP LAMA
NAMA ATASAN PEJABAT PENILAI
JABATAN ATASAN PEJABAT PENILAI
UNIT KERJA
KESETIAAN , KERJASAMA ,
PRESTASI KERJA , PRAKARSA ,
TANGGUNG JAWAB , KEPEMIMPINAN ,
KETAATAN ,
KEJUJURAN ,
2 TAHUN PENILAIAN
NIP PEJABAT PENILAI NIP LAMA
NAMA PEJABAT PENILAI
JABATAN PEJABAT PENILAI
UNIT KERJA
NIP ATASAN PEJABAT PENILAI NIP LAMA
NAMA ATASAN PEJABAT PENILAI
JABATAN ATASAN PEJABAT PENILAI
UNIT KERJA
KESETIAAN , KERJASAMA ,
PRESTASI KERJA , PRAKARSA ,
TANGGUNG JAWAB , KEPEMIMPINAN ,
KETAATAN ,
KEJUJURAN ,
FORMULIR ISIAN DATA PEGAWAI Form-12
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN Lembar 1/1
DATA SEMINAR/LOKAKARYA/SIMPOSIUM
2 NAMA KEGIATAN
LOKASI KEGIATAN
TEMPAT KEGIATAN Dalam negeri-1 Luar negeri-2 PENYELENGGARA
TAHUN KEDUDUKAN DALAM SEMINAR Peserta-1 Moderator-2 Pembahas-3 Pembawa makalah-4 Panitia-5
3 NAMA KEGIATAN
LOKASI KEGIATAN
TEMPAT KEGIATAN Dalam negeri-1 Luar negeri-2 PENYELENGGARA
TAHUN KEDUDUKAN DALAM SEMINAR Peserta-1 Moderator-2 Pembahas-3 Pembawa makalah-4 Panitia-5
4 NAMA KEGIATAN
LOKASI KEGIATAN
TEMPAT KEGIATAN Dalam negeri-1 Luar negeri-2 PENYELENGGARA
TAHUN KEDUDUKAN DALAM SEMINAR Peserta-1 Moderator-2 Pembahas-3 Pembawa makalah-4 Panitia-5
5 NAMA KEGIATAN
LOKASI KEGIATAN
TEMPAT KEGIATAN Dalam negeri-1 Luar negeri-2 PENYELENGGARA
TAHUN KEDUDUKAN DALAM SEMINAR Peserta-1 Moderator-2 Pembahas-3 Pembawa makalah-4 Panitia-5
6 NAMA KEGIATAN
LOKASI KEGIATAN
TEMPAT KEGIATAN Dalam negeri-1 Luar negeri-2 PENYELENGGARA
TAHUN KEDUDUKAN DALAM SEMINAR Peserta-1 Moderator-2 Pembahas-3 Pembawa makalah-4 Panitia-5
FORMULIR ISIAN DATA PEGAWAI Form-13
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN Lembar 1/1
Keterangan
*) Hukuman ringan teguran lisan =11
Hukuman ringan teguran tertulis =12
Hukuman ringan melalui pernyataan tidak puas secara tertulis =13
Hukuman sedang penundaan kenaikan gaji berkala paling lama 1 tahun =21
Hukuman sedang penurunan gaji sebesar 1x kenaikan gaji berkala paling lama 1 tahun =22
Hukuman sedang penundaan kenaikan pangkat paling lama 1 tahun =23
Hukuman berat penurunan pangkat setingkat lebih rendah paling lama 1 tahun =31
Hukuman berat pembebasan dari jabatan =32
FORMULIR ISIAN DATA PEGAWAI Form-15
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN Lembar 1/1
DATA KELUARGA
…………………………………………….. 2013
PNS yang mengisi
……………………………………………………..
NIP.