7/23/2019 Blangko Penilaian Orientasi

1/8

BLANGKO PENILAIAN ORIENTASI

PEGAWAI BARU

Nama : ARMADIYAH, A MdNIP : 197712022010012013

Tempat Orientasi :

Waktu Pelaksanaan :

NO URAIAN NILAI KETERANGAN

1. Kedisiplinan

2. Kesetiaan

3. Kejujuran

4. Tanggung Jawa!. Kerjasama

". Prakarsa # Inisiati$

%atatan K&usus :

1.................................................................................................................

2.................................................................................................................

3.................................................................................................................

Keterangan :

Nilai :

' "( : Kurang )aik

"1 * +( : %ukup )aik

+1 * ,( : )aik

,1 * -( : )aik ekali

-1 * 1(( : angat )aik

Ka. Inst/)I0N/IN/5

6.......................................................7

NIP.

BLANGKO PENILAIAN ORIENTASI

PEGAWAI BARU

7/23/2019 Blangko Penilaian Orientasi

2/8

Nama : Lilik Handayani, S KM, M KMDEWI NIRMALASARI

NIP : 197209231998032004

Tempat Orientasi :

Waktu Pelaksanaan :

NO URAIAN NILAI KETERANGAN

1. Kedisiplinan

2. Kesetiaan

3. Kejujuran

4. Tanggung Jawa

!. Kerjasama

". Prakarsa # Inisiati$

%atatan K&usus :

1.................................................................................................................

2.................................................................................................................

3.................................................................................................................

Keterangan :

Nilai :

' "( : Kurang )aik

"1 * +( : %ukup )aik

+1 * ,( : )aik

,1 * -( : )aik ekali

-1 * 1(( : angat )aik

Ka. Inst/uang/8nit

6.......................................................7

NIP.

BLANGKO PENILAIAN ORIENTASI

PEGAWAI BARU

7/23/2019 Blangko Penilaian Orientasi

3/8

Nama : IKE NYARISA AYU DEVI C.K

NIP :

Tempat Orientasi :

Waktu Pelaksanaan :

NO URAIAN NILAI KETERANGAN1. Kedisiplinan

2. Kesetiaan

3. Kejujuran

4. Tanggung Jawa

!. Kerjasama

". Prakarsa # Inisiati$

%atatan K&usus :

1.................................................................................................................

2.................................................................................................................

3.................................................................................................................

Keterangan :

Nilai :

' "( : Kurang )aik

"1 * +( : %ukup )aik

+1 * ,( : )aik ,1 * -( : )aik ekali

-1 * 1(( : angat )aik

Ka. Inst/uang/8nit

6.......................................................7

NIP.

BLANGKO PENILAIAN ORIENTASI

PEGAWAI BARU

Nama : FEBRI DWI SETYANINGTYAS

NIP :

Tempat Orientasi :

7/23/2019 Blangko Penilaian Orientasi

4/8

Waktu Pelaksanaan :

NO URAIAN NILAI KETERANGAN

1. Kedisiplinan

2. Kesetiaan

3. Kejujuran

4. Tanggung Jawa

!. Kerjasama". Prakarsa # Inisiati$

%atatan K&usus :

1.................................................................................................................

2.................................................................................................................

3.................................................................................................................

Keterangan :

Nilai :

' "( : Kurang )aik

"1 * +( : %ukup )aik

+1 * ,( : )aik

,1 * -( : )aik ekali

-1 * 1(( : angat )aik

Ka. Inst/uang/8nit

6.......................................................7

NIP.

BLANGKO PENILAIAN ORIENTASI

PEGAWAI BARU

Nama : WAHYU ANDINI

NIP :

Tempat Orientasi :

Waktu Pelaksanaan :

NO URAIAN NILAI KETERANGAN

7/23/2019 Blangko Penilaian Orientasi

5/8

1. Kedisiplinan

2. Kesetiaan

3. Kejujuran

4. Tanggung Jawa

!. Kerjasama

". Prakarsa # Inisiati$

%atatan K&usus :

1.................................................................................................................

2.................................................................................................................

3.................................................................................................................

Keterangan :

Nilai :

' "( : Kurang )aik"1 * +( : %ukup )aik

+1 * ,( : )aik

,1 * -( : )aik ekali

-1 * 1(( : angat )aik

Ka. Inst/uang/8nit

6.......................................................7

NIP.

BLANGKO PENILAIAN ORIENTASI

PEGAWAI BARU

Nama : ROEHMAT NURHADI

NIP :

Tempat Orientasi :

Waktu Pelaksanaan :

NO URAIAN NILAI KETERANGAN

1. Kedisiplinan

2. Kesetiaan

3. Kejujuran

4. Tanggung Jawa

7/23/2019 Blangko Penilaian Orientasi

6/8

!. Kerjasama

". Prakarsa # Inisiati$

%atatan K&usus :

1.................................................................................................................

2.................................................................................................................3.................................................................................................................

Keterangan :

Nilai :

' "( : Kurang )aik

"1 * +( : %ukup )aik

+1 * ,( : )aik

,1 * -( : )aik ekali

-1 * 1(( : angat )aik

Ka. Inst/uang/8nit

6.......................................................7

NIP.

BLANGKO PENILAIAN ORIENTASI

PEGAWAI BARU

Nama : QITFURI HARDIYANTI

NIP :

Tempat Orientasi :

Waktu Pelaksanaan :

NO URAIAN NILAI KETERANGAN

1. Kedisiplinan

2. Kesetiaan

3. Kejujuran

4. Tanggung Jawa

!. Kerjasama

". Prakarsa # Inisiati$

7/23/2019 Blangko Penilaian Orientasi

7/8

%atatan K&usus :

1.................................................................................................................

2.................................................................................................................

3.................................................................................................................

Keterangan :Nilai :

' "( : Kurang )aik

"1 * +( : %ukup )aik

+1 * ,( : )aik

,1 * -( : )aik ekali

-1 * 1(( : angat )aik

Ka. Inst/uang/8nit

6.......................................................7

NIP.

BLANGKO PENILAIAN ORIENTASI

PEGAWAI BARU

Nama : UJUD WAHYU WIDIANTO

NIP :

Tempat Orientasi :

Waktu Pelaksanaan :

NO URAIAN NILAI KETERANGAN

1. Kedisiplinan

2. Kesetiaan

3. Kejujuran4. Tanggung Jawa

!. Kerjasama

". Prakarsa # Inisiati$

%atatan K&usus :

1.................................................................................................................

2.................................................................................................................

7/23/2019 Blangko Penilaian Orientasi

8/8

3.................................................................................................................

Keterangan :

Nilai :

' "( : Kurang )aik

"1 * +( : %ukup )aik +1 * ,( : )aik

,1 * -( : )aik ekali

-1 * 1(( : angat )aik

Ka. Inst/uang/8nit

6.......................................................7

NIP.