Skip to content
UT BERAU
HOME
CONTACT US
ESR
Program Work Behavior
Program Worklife Balance
Program Safety Driving
Program Tools Intelligent
Survey Safety Patrol Session 1
ADM
SERVICE
PART
CORPU
Search
Search icon
LOGIN
Menu
UT BERAU
LOGIN
Permohonan Kartu Garda Medika
KETERANGAN
Pilih Code N (peserta baru), C (perubahan data), Re-print (kartu rusak/hilang)
N
C
Re-Print
CLASS NO
MEMBERSHIP
Isi Dengan Code EMP (Employee) SPO (spouse/pasangan) CHI (child)
EMP
SPO
CHI
EMPLOYEE ID
CENSUS NO
Isi Kode 0 (karyawan); 1 (istri/suami); 2 (anak ke-1); 3 (anak ke-2); 4 dst (anak ke-3 dst)
1
2
3
4
AREA
EMPLOYEE NAME
MEMBER NAME
GENDER
Pilih sesuai dengan jenis kelamin peserta (M (male) / F (female) )
Male
Female
BIRD PLACE
BIRD DATE
TELPON
REQUEST DATE
REMARK
MONITOR DATA
Submit Form
Trending now
LOGBOOK LABANAN MONITOR
DASHBOARD REVENUE & COST CONTROL
LAPORAN PU NASIONAL
Dashboard Review cab/site – MRC – kolaborasi CSM
Search icon
HOME
CONTACT US
ESR
Program Work Behavior
Program Worklife Balance
Program Safety Driving
Program Tools Intelligent
Survey Safety Patrol Session 1
ADM
SERVICE
PART
CORPU
Facebook
Twitter
Instagram
We use cookies to ensure that we give you the best experience on our website.
Accept
Decline