FM-HR-209.

Rev00

MUTATION & ROTATION REQUEST FORM

Form Mutasi & Rotasi Karyawan

Create date 17-Sep-24 Needed Date 19-Sep-24

After a thorough observation & evaluation during the daily job execution, the person mentioned below needs to move to the
different department / section
Setelah dilakukan evaluasi terhadap pekerjaan sehari hari, karyawan tersebut dibawah ini butuh untuk dilakukan mutasi/rotasi
di departemen atau section yang berbeda

Type of Mutation Rotation Request - Please tick a

Mutation - is the movement process of the employee to different department - adalah perpindahan (mutasi)
karyawan ke departemen yang berbeda

Rotation - is the movement process of the employee to different section - adalah perpindahan (mutasi)
karyawan ke section yang berbeda

Reason Kebutuhan Operasional

Detail of Employee - Data karyawan

Name Ni Kadek Ayu Rika Ariani Hire Date 12 Jun 2023
Employee No 220407561 Job Position Staff - Produce
Section Produce Department Pepito Market Gunung Sanghyang

Change to (perubahan menjadi)

Job Position Staff - Admin Store Effective date 19-Sep-24
Section Store Department Pepito Market Gunung Sanghyang

HOD Signature Date

Tanda tangan atasan Tanggal

HR Dept Head Signature Date

Tanda tangan Pimpinan HR Tanggal

GM / Director Signature Date

Tanda tangan GM / Director Tanggal
 FM-HR-209.Rev00

MUTATION & ROTATION REQUEST FORM

Form Mutasi & Rotasi Karyawan

Create date 25-Sep-24 Needed Date 1 Oktober 2024

After a thorough observation & evaluation during the daily job execution, the person mentioned below needs to move to the different
department / section
Setelah dilakukan evaluasi terhadap pekerjaan sehari hari, karyawan tersebut dibawah ini butuh untuk dilakukan mutasi/rotasi di
departemen atau section yang berbeda

Type of Mutation Rotation Request - Please tick a

Mutation - is the movement process of the employee to different department - adalah perpindahan (mutasi) karyawan ke
departemen yang berbeda

Rotation - is the movement process of the employee to different section - adalah perpindahan (mutasi) karyawan ke section
yang berbeda

Reason Kebutuhan Operasional

Detail of Employee - Data karyawan

Name Hieronimus Mansu Hire Date 08 Jul 2024
Employee No 229709053 Job Position Staff - Store
Section Store Department Pepito Express Puri Gading

Change to (perubahan menjadi)

Job Position Staff - Store Effective date 1 Oktober 2024
Section Store Department Pepito Express Udayana

HOD Signature Date

Tanda tangan atasan Tanggal

HR Dept Head Signature Date

Tanda tangan Pimpinan HR Tanggal

GM / Director Signature Date

Tanda tangan GM / Director Tanggal
 FM-HR-209.Rev00

MUTATION & ROTATION REQUEST FORM

Form Mutasi & Rotasi Karyawan

Create date 13-Sep-24 Needed Date 9/19/2024

After a thorough observation & evaluation during the daily job execution, the person mentioned below needs to move to the different
department / section
Setelah dilakukan evaluasi terhadap pekerjaan sehari hari, karyawan tersebut dibawah ini butuh untuk dilakukan mutasi/rotasi di
departemen atau section yang berbeda

Type of Mutation Rotation Request - Please tick a

Mutation - is the movement process of the employee to different department - adalah perpindahan (mutasi) karyawan ke
departemen yang berbeda

Rotation - is the movement process of the employee to different section - adalah perpindahan (mutasi) karyawan ke section
yang berbeda

Reason Kebutuhan operasional

Detail of Employee - Data karyawan

Name Made Indra Prayoga Hire Date 26 Feb 2018
Employee No 229302724 Job Position Asst Manager - Internal Audit
Section Internal Audit Department Internal Audit

Change to (perubahan menjadi)

Job Position Asst Manager - Loss Prevention Effective date 19-Sep-24
Section Loss Prevention Department Store

HOD Signature Date

Tanda tangan atasan Tanggal

HR Dept Head Signature Date

Tanda tangan Pimpinan HR Tanggal

GM / Director Signature Date

Tanda tangan GM / Director Tanggal
 FM-HR-209.Rev00

MUTATION & ROTATION REQUEST FORM

Form Mutasi & Rotasi Karyawan

Create date 15 Oktober 2024 Needed Date 16 Oktober 2024

After a thorough observation & evaluation during the daily job execution, the person mentioned below needs to move to the different
department / section
Setelah dilakukan evaluasi terhadap pekerjaan sehari hari, karyawan tersebut dibawah ini butuh untuk dilakukan mutasi/rotasi di
departemen atau section yang berbeda

Type of Mutation Rotation Request - Please tick a

Mutation - is the movement process of the employee to different department - adalah perpindahan (mutasi) karyawan ke
departemen yang berbeda

Rotation - is the movement process of the employee to different section - adalah perpindahan (mutasi) karyawan ke section
yang berbeda

Reason Kebutuhan operasional

Detail of Employee - Data karyawan

Name Ayu Mina Lestari Hire Date 15 Oct 2024
Employee No 229509421 Job Position Staff - Cashier
Section Cashier Department Fresh Market Pecatu Graha

Change to (perubahan menjadi)

Job Position Staff - Cashier Effective date 10/15/2024

Section Cashier Department Pepito Market Uluwatu

HOD Signature Date

Tanda tangan atasan Tanggal

HR Dept Head Signature Date

Tanda tangan Pimpinan HR Tanggal

GM / Director Signature Date

Tanda tangan GM / Director Tanggal
 FM-HR-209.Rev00

MUTATION & ROTATION REQUEST FORM

Form Mutasi & Rotasi Karyawan

Create date 22 Oktober 2024 Needed Date 1 November 2024

After a thorough observation & evaluation during the daily job execution, the person mentioned below needs to move to the different
department / section
Setelah dilakukan evaluasi terhadap pekerjaan sehari hari, karyawan tersebut dibawah ini butuh untuk dilakukan mutasi/rotasi di
departemen atau section yang berbeda

Type of Mutation Rotation Request - Please tick a

Mutation - is the movement process of the employee to different department - adalah perpindahan (mutasi) karyawan ke
departemen yang berbeda

Rotation - is the movement process of the employee to different section - adalah perpindahan (mutasi) karyawan ke section
yang berbeda

Reason Kebutuhan Operasional toko

Detail of Employee - Data karyawan

Name Ni Luh Putu Hire Date 08 Oct 2024
Employee No 220409385 Job Position Cook
Section RTE Department Popular Market Deli Canggu

Change to (perubahan menjadi)

Job Position Cook Effective date 1-Nov-24
Section RTE Department Bistro Deli Tuban

HOD Signature Date

Tanda tangan atasan Tanggal

HR Dept Head Signature Date

Tanda tangan Pimpinan HR Tanggal

GM / Director Signature Date

Tanda tangan GM / Director Tanggal