CEKLIST KELENGKAPAN BERKAS e-FILE TAHUN 2016 NAMA NIP INSTANSI/UNIT KERJA NO

JENIS DOKUMEN

KODE

1 2 3 4

DRH SK CPNS SK PNS KARTU PEGAWAI & KONVERSI NIP KLASIFIKASI KONVERSI NIP KARTU PEGAWAI BERITA ACARA SUMPAH JANJI PNS STTPL SK. JAB & SP PELANTIKAN & SPMT JAB. KLASIFIKASI : SK. JABATAN SURAT PERNYATAAN PELANTIKAN SURAT PERNYATAAN MELAKSANAKAN JABATAN PENILAIAN ANGKA KREDIT SURAT KETERANGAN URAIAN TUGAS BERITA ACARA SUMPAH JABATAN STTB TINGKATAN : SD/ Sederajat SMP/ Sederajat SMA/ Sederajat D1 D2 D3 S1/ D-IV S2 S3 SURAT NIKAH / SURAT CERAI KARIS / KARSU KARTU TASPEN TANDA JASA TINGKATAN : 10 TAHUN 20 TAHUN 30 TAHUN SK KENAIKAN PANGKAT TINGKATAN : I/A I/B I/C I/D II/A II/B II/C II/D III/A III/B III/C III/D IV/A IV/B IV/C IV/D IV/E

01 02 03 04

5 6 7

8 9

10 11 12 13

14

Page 1

04_11 04_12 05 06 07 07_71 07_72 07_73 07_74 07_75 08 09 09_1 09_2 09_3 09_4 09_5 09_6 09_7 09_8 09_9 10 11 12 13 13_10 13_20 13_30 14 14_11 14_12 14_13 14_14 14_21 14_22 14_23 14_24 14_31 14_32 14_33 14_34 14_41 14_42 14_43 14_44 14_45

PNS SKPD BKD ADA TDK ADA

KET

NO 15 16 17

18 19 20 21 22 23 24 25 26 27

28 29 30 31 32 33 34 35 36 37

JENIS DOKUMEN

KODE

PNS SKPD BKD ADA TDK ADA

KET

15 GAJI BERKALA SK PENINJAUAN MASA KERJA 16 17 RIWAYAT DIKLAT /KURSUS KLASIFIKASI : 17_71 DIKLATPIM I / LEMHAMNAS 17_72 DIKLATPIM II / SESPA 17_73 DIKLATPIM III / SEPADYA 17_74 DIKLATPIM IV / SEPALA / ADUMLA / SEPADA / 17_75 DIKLAT TEKNIS/ FUNGSIONAL 17_76 WORKSHOP / KURSUS SK PENEMPATAN 21 SK MUTASI / PINDAH TUGAS 22 AKTA KELAHIRAN PNS DAN KELUARGA 23 SK PERPANJANGAN BUP 24 SK HUKUMAN DISIPLIN 25 SURAT IJIN BELAJAR / SK TUGAS BELAJAR 26 27 SK PENEMPATAN AKAN TB / SETELAH TB SK PENSIUN 28 SK MENINGGAL 29 SKP DAN PENILAIAN PRESTASI KERJA (PPK) 30 KLASIFIKASI : SKP TAHUN 2014 30_14 SKP TAHUN 2015 30_15 ASKES 35 NPWP 36 KARTU PEGAWAI ELEKTRONIK (KPE) 37 IZIN PENGGUNAAN GELAR 38 UJIAN DINAS 39 SK HONORER 40 PENYESUAIAN IJAZAH 41 PAKTA INTEGRITAS 42 SK PEMBERIAN CUTI 43 KARTU TANDA PENDUDUK & KARTU KELUARGA (KTP) 44

- Berkas yang discan adalah berkas asli/fotocopy - Format File Scan image extension PNG dijadikan dalam 1 folder dengan nama folder NIP PNS dikirim ke BKD dalam bentuk CD (compact disk) - Ukuran per file 150 kb atau lebih (jelas dan dapat dibaca) - Tulis V jika file/berkas ada atau X jika file/ berkas tidak ada Dengan ini saya menyatakan bahwa berkas/dokumen scan untuk e-file adalah benar, tidak ada manipulasi/pemalsuan serta telah sesuai dengan ketentuan yang ditetapkan. Apabila dikemudian hari terdapat keterangan yang tidak benar saya bersedia dituntut di muka Pengadilan serta bersedia menerima segala tindakan yang diambil oleh Pemerintah. Petugas E-File Level 2 (BKD)

Petugas E File Level 1 (SKPD)

yang membuat (PNS),

........................................

..................................

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Page 2

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