TO PPM Provinsi Januari – Desember 2021

Javascript is disabled

Javascript is disabled on your browser. Please enable it in order to use this form.

Form successfully restored

The form has been restored from your last edit. If wish to start over, please click the button

Selamat Datang
Form

SELAMAT DATANG

TO PPM Provinsi Januari - Desember 2021 GF-ATM Komponen TB

Mohon dapat menyiapkan scan dokumen absensi Januari-Desember 2021 (terpisah) untuk di-upload.

Nama Lengkap (Tanpa Gelar)*

Provinsi*

Kabupaten/Kota*

https://sr.tbindonesia.or.id/wp-content/uploads/2021/12/Formulir-Isian-Biodata-Staf-GF-ATM-Komponen-TB-2021.docx

File Upload Title

Drag 'n Drop files here

Max file size: 976.56 KB. | Allowed file types: pdf,PDF | Min number of file: 1

Select Files

2. Mohon Bapak/Ibu mengisi instrumen penilaian/ Evaluasi Kinerja apa adanya, sesuai dengan fakta di lapangan dengan mengakses link https://sr.tbindonesia.or.id/wp-content/uploads/2021/12/KPI-TO-PPM-Provinsi-1-1.xlsx Silahkan Bapak/Ibu mencocokkan KPI sesuai dengan lembar terlampir https://sr.tbindonesia.or.id/wp-content/uploads/2021/12/JD-TO_PPM-Provinsi_Nov-2021.docx

File Upload Title

Drag 'n Drop files here

Max file size: 976.56 KB. | Allowed file types: pdf,PDF | Min number of file: 1

Select Files

3. Siapkan rekap presensi/kehadiran Bapak/Ibu mulai bulan Januari sampai dengan Desember 2021. Gunakan format rekap sesuai dengan ketentuan di masing-masing Dinas Kesehatan, apabila tidak ada silakan gunakan format dengan link https://sr.tbindonesia.or.id/wp-content/uploads/2021/12/Absensi-Kehadiran-2021-1.xlsx

File Upload Title

Drag 'n Drop files here

Max file size: 976.56 KB. | Allowed file types: pdf,PDF | Min number of file: 1

Select Files

4. Siapkan rekap laporan kinerja bulanan dengan mengakses link https://sr.tbindonesia.or.id/wp-content/uploads/2021/12/Laporan-Kinerja-Bulanan_Template-2021.docx

File Upload Title

Drag 'n Drop files here

Max file size: 976.56 KB. | Allowed file types: pdf,PDF | Min number of file: 1

Select Files

Form Anda telah terkirim

Terima kasih %NAME% telah mengisi laporan.
Kami telah menerima jawaban Anda, dan Anda dapat mengecek kembali isian Anda di

%TRACK_LINK%

Terima kasih

Server Side Error

We faced problems while connecting to the server or receiving data from the server. Please wait for a few seconds and try again.

If the problem persists, then check your internet connectivity. If all other sites open fine, then please contact the administrator of this website with the following information.

TextStatus: undefined
HTTP Error: undefined

Processing your request

Error

Some error has occured.