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Trine Training Nomination Form For External Dosm Ve: IeweDae | Review Cycle Ate Aprover ary, | essence | e017 Dees | teinie Comair | HRB Marge i | Nomination prepared by _: Kresna Yasha Dio tine | ere % External Training | Company/Department —_: PT. BS1/ OPP & Maintonance —_— ‘Training Provider: | Date a | Contact Number % Vendor | Others | Nominees: | ast] Non s1_| No | IDNo Employee Namo 00 Title Deparment — | emehee | oes r +_| 170026 ‘Arsyad Tunru El Supervisor ‘OPP & Maintenance wo Eel [72 {160303 | “Ahmad SyamsuriN_| El Supervisor ‘OPP Maintenance | BQ o_| [7s [70042 [Adam Farsyan___| El Supervisor OPPaMeininance | | O_] Inca (+) Nominee's Type of Employment | Course (Enter Course Code/Title if known or give a brief description of desired course) | Preferred Dates [7- Mensupervisi Pengoperasian Distribusi tenaga listrik D.35.134.00.003.1 (main |_-_ training) ‘a. Melaksanakan Analisis Hasil Pengoperasian gardu Distibusi | D.35.134.01.014.1 b. Melaksanakan Analisis hasil pengoperasian jaringan tegangan menengah D.36.134.01.016.1 ° . ‘The employee(s) requires this training for the following reason(s) Skills uparading TO] Justification: SKTT untuk distribusi SUTM ane CERT [| Based on PERMEN ESDM 4672077 tentang Standar ee z Kompetensi Tenaga Teknik Ketenagalistrikan Company compulsory requirement aw ‘Other o Please state the Cost Center/Element (if required): Training Fee by: a __] Cost Center Elements © _ HRD Deparment oO] | © User Department Oo] ‘+Travel and Accommodation fee Oo = Cost Estimation Trainingfee Transportation Se ‘Accommodation ut nee el ‘Approved by: [Approved by: Employee Supervisor Deparrnent Manager HRO Manager Date: Date: Date: Routing: 1. Approved Training Nomination Form to be sent o PTBSI HR & Training 2. HR Deparment 10 Confirmation Data to Cent Depertment Manager THIS DOCUMENT IS UNCONTROLLED IN HARD COPY teenie eee RELA ORE eee Down Appover ne stan weBMamger | Partefl | D tn-house ‘Training mination prepared by: Kresna Yasha Nomination prepared by % External Training Company/Department _: PT. BSI/OPP & Maintenance Training Provider: Date PIBSI Contact Number + 0811 3182 645 % Vendor Others Nominees: ore BSI | Non BST No | 1ONo Employee Name Job Tt Department | eméSyee | cmon 1] 170025 | Arsyad Tunrw ElSupervisor__| OPPS Maintenance | __ Od oO 2_| 160303 | Ahmad Syamsuri N_| El Supervisor OPP Maintenance | oO 3_| 170042 [Adam Farsyan | El Supervisor OPP & Maintenance | Dd a 4 ‘OPP & Maintenance & O 5 OPP Maintenance | 6 a Inca (x) Nominee’ Type of Employment Course (Enter Course CoderTite if known or give a brief description of desired course) | Preferred Dates "7. Mensupervisi pemeliharaan Distribusi tenaga listrik D.35.135.00.0041 (main training) ‘a. Melaksanakan Analisis Hasil Pemeliharaan gardu Distribusi 0.35.135.01.016.1 |b. Melaksanakan Analisis hasil pemeliharaan jaringan tegangan menengah .36.135.01.016.1 ° The employee(s) requires this training for the following reason(s) ‘Skills upgrading [O) Justification: SKTT untuk distribusi SUTM Individual development plan CO) _Komvetansi Tenaga Terk Ketensgalsaan ‘Company compulsory requirement & Other O} Please state the Cost Center/Element (if required) + Training Fee by: Cost Center Elements, © _HRD Department oO fe ‘© _User Department Pas Bel > _ Travel and Actonrmaedetin fea Lo | + Cost Estimation © _ Training fee 2 Transportation ‘Accommodation Others Total ~ Recommended by: ‘Approved by: ‘Approved by: HRD Manager Employee Supervisor Date: Date Routing: 1. Approved Training Nomination Form to be sent to PTBSI HR & Training 2. HR Deparment fo Confirmation Data fo Client Department Manager THIS DOCUMENT IS UNCONTROLLED IN HARD COPY Pte et ee LD Review Cycle 2 Year HRD Manager Peeler D In-house Traini | Nomination prepared by: Kresna Yasha ey | af ————e % External Training Company/Department _: PT. BSI/ OPP & Maintenance | ee Training Providers, | Date 49 January 2018 nal Contact Number 0941 3182 545 % Vendor ee ______.. thers |_Nominees: 2 vo | Ono || enpiope none veo Tae cenwrmen | entlee | cme 7_[te0451 | _Kresna Yasha ElSuperintendent | oPPawamenance | OO | UO 2_| 180343 | Dik Zainuaain Electric Engineer | OPP Maintenance | BJ | 3 I [bet (enna so nde (3) Nominees Toe of Employment ; i Course (Enter Course CoderTitleif known or give a brief description of desired course) | Preferred [7 Melaksanakan pengelolaan dan pengembangan metode operasi dan pemeliharaan system distribusi D.35.135,00.006.1 (main training) @. Melaksanakan Evaluasi Hasii Pemeliharaan gardu Distribusi 0.35.135.01.017.1 b. Melaksanakan Evaluasi hasil pemeliharaan jaringan tegangan menengah | 0.35.136.07.018.1 |. Melaksanakan Evaluasi hasil pemeliharaan jaringan tegangan Rendah [____D.35.136.01.037.1 The employee(s) requires this training for the following reason(s) ‘Skills upgrading 7 [Ci] Justification: SKTT untuk distribusi SUTM, [| _ Based on PERMEN ESDM 4672077 tentang Standar IndMiGual development pan Kompetensi Tenaga Teknik Ketenagalistrikan Company compulsory reaurement a Other oO Please state the Cost Center/Element (ifrequired): Training Fee by: ane Cost Center Element/s HRD Department User Department +Travel and Accommodation fee ooo) + Cost Estimation Training fee ‘0 Transportation ‘2 Accommodation o_Others. Total Recommended by: Employee Supervisor Date ~~ Approved by: ‘Approved by: Departrnont Manager HRO Manager Date Date: Routing: 1. Agoroved Training Nomination Form fo be sent to PTBSI HR & Training 2. HR Department to Confirmation Data fo Clent Department Manager ‘THIS DOCUMENT IS UNCONTROLLED IN HARD COPY

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