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Submitted URL: https://www.ijin.dikemas.com/
Effective URL: https://docs.google.com/forms/d/e/1FAIpQLSeLdUOtoBLb6UheBgy1kw2BmdemKJr7psYoEzrKc_T3eiVP9g/viewform
Submission: On August 01 via api from US — Scanned from SG
Effective URL: https://docs.google.com/forms/d/e/1FAIpQLSeLdUOtoBLb6UheBgy1kw2BmdemKJr7psYoEzrKc_T3eiVP9g/viewform
Submission: On August 01 via api from US — Scanned from SG
Form analysis
1 forms found in the DOMPOST https://docs.google.com/forms/d/e/1FAIpQLSeLdUOtoBLb6UheBgy1kw2BmdemKJr7psYoEzrKc_T3eiVP9g/formResponse
<form action="https://docs.google.com/forms/d/e/1FAIpQLSeLdUOtoBLb6UheBgy1kw2BmdemKJr7psYoEzrKc_T3eiVP9g/formResponse" target="_self" method="POST" id="mG61Hd" jsmodel="TOfxwf Q91hve CEkLOc" data-shuffle-seed="-8607398921629991508"
data-clean-viewform-url="https://docs.google.com/forms/d/e/1FAIpQLSeLdUOtoBLb6UheBgy1kw2BmdemKJr7psYoEzrKc_T3eiVP9g/viewform" data-response="%.@.]" data-dlp-data="%.@.null,false]" data-first-entry="0" data-last-entry="5" data-is-first-page="true">
<div jscontroller="yUS4Lc" jsaction="rcuQ6b:rcuQ6b;UxRBlf:rcuQ6b;">
<div jsname="o6bZLc"><input type="hidden" name="entry.1998373434" value=""><input type="hidden" name="entry.288437550" value=""><input type="hidden" name="entry.1333738354" value=""><input type="hidden" name="entry.2000398168_year"
value=""><input type="hidden" name="entry.2000398168_month" value=""><input type="hidden" name="entry.2000398168_day" value=""><input type="hidden" name="entry.848770185" value=""></div>
</div>
<div class="RH5hzf RLS9Fe">
<div class="lrKTG Rgycod">
<div class="Dq4amc">
<div class="m7w29c O8VmIc tIvQIf"><noscript>
<div class="HB1eCd-X3SwIb-haAclf">
<div class="HB1eCd-X3SwIb-i8xkGf">
<div class="tk3N6e-cXJiPb tk3N6e-cXJiPb-TSZdd tk3N6e-cXJiPb-GMvhG">JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.</div>
</div><br>
</div>
</noscript>
<div class="JH79cc RVEQke b33AEc"></div>
<div class="N0gd6">
<div class="ahS2Le">
<div class="F9yp7e ikZYwf LgNcQe" dir="auto" role="heading" aria-level="1">Absensi</div>
</div>
<div class="cBGGJ OIC90c" dir="auto">
<div>
<div>Keterangan Tidak Masuk / Terlambat Masuk / Pulang Cepat</div>
</div>
</div>
</div>
<div class="DqBBlb">
<div class="Oh1Vtf"></div>
<div class="zAVwcb"></div>
<div class="md0UAd" aria-hidden="true" dir="auto">* Indicates required question</div>
</div>
</div>
</div>
<div class="o3Dpx" role="list">
<div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n QztlMc">
<div jscontroller="eMUE0e" jsaction="rcuQ6b:vZc4S;JIbuQc:jsfc1c;b2trFe:eVidQc;" data-user-email-address="">
<div class="z12JJ">
<div class="HoXoMd D1wxyf RjsPE" dir="auto" role="heading" aria-level="3"><span class="M7eMe">Email</span><span class="vnumgf" id="i4" aria-label="Required question"> *</span></div>
</div><label for="i5" class="docssharedWizToggleLabeledContainer OLkl6c">
<div class="bzfPab wFGF8">
<div id="i5" class="uVccjd aiSeRd FXLARc wGQFbe oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" jsname="MPu53c" aria-label="Record my email address with my response" tabindex="0" role="checkbox" aria-checked="false">
<div class="PkgjBf MbhUzd"></div>
<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac">Record my email address with my response</span></div>
</div>
</div>
</label>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i3" role="alert"></div>
</div>
<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
data-params="%.@.[304491638,"Nama",null,3,[[1998373434,[["ADAM ANDRIYAN",null,null,null,false],["ANDI SETIAWAN",null,null,null,false],["ANIF FATMAWATI",null,null,null,false],["ARI",null,null,null,false],["ARIF",null,null,null,false],["DIAZ B",null,null,null,false],["Dita Mardiana",null,null,null,false],["DWI SUSANTI",null,null,null,false],["FIKKO DANU",null,null,null,false],["HANAN FAHRUDIN",null,null,null,false],["HERU",null,null,null,false],["IHSAN ABDILLAH",null,null,null,false],["KARIM M",null,null,null,false],["KIKI",null,null,null,false],["MUH ABDUN N",null,null,null,false],["NGADI SUROYO",null,null,null,false],["RAGIL",null,null,null,false],["RAKHMATNIWA",null,null,null,false],["RIA SAFITRI",null,null,null,false],["ROCHMADI",null,null,null,false],["SUBHAN",null,null,null,false],["SUYANTO",null,null,null,false],["TAIB",null,null,null,false],["TRI UTAMI",null,null,null,false]],true,null,null,null,null,null,false,null,[]]],null,null,null,null,null,null,[null,"Nama"]],"i8","i9","i10",false]">
<div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
<div class="z12JJ">
<div class="M4DNQ">
<div id="i8" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i11"><span class="M7eMe">Nama</span><span class="vnumgf" id="i11" aria-label="Required question"> *</span></div>
<div class="gubaDc OIC90c RjsPE" id="i9"></div>
</div>
</div>
<div jscontroller="liFoG" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;JIbuQc:d3sQLd;" class="vQES8d">
<div role="listbox" aria-expanded="false" class="jgvuAb ybOdnf cGN2le t9kgXb llrsB RDPZE" jscontroller="YwHGTd"
jsaction="click:cOuCgd(LgbsSe); keydown:I481le; keypress:Kr2w4b; mousedown:UX7yZ(LgbsSe),npT2md(preventDefault=true); mouseup:lbsD7e(LgbsSe); mouseleave:JywGue; touchstart:p6p2H(LgbsSe); touchmove:FwuNnf; touchend:yfqBxc(LgbsSe|preventDefault=true); touchcancel:JMtRjd(LgbsSe); focus:AHmuwe; blur:O22p3e;b5SvAb:TvD9Pc;"
jsshadow="" jsname="W85ice" aria-disabled="true" aria-describedby="i9 i10" aria-labelledby="i8" aria-required="true">
<div jsname="LgbsSe" role="presentation">
<div class="ry3kXd" jsname="d9BH4c" role="presentation">
<div class="MocG8c HZ3kWc mhLiyf LMgvRb KKjvXb DEh1R" jsname="wQNmvb" jsaction="" data-value="" aria-selected="true" role="option" tabindex="0">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">Choose</span>
</div>
<div class="mbHMhf" role="presentation"></div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="ADAM ANDRIYAN" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">ADAM ANDRIYAN</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="ANDI SETIAWAN" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">ANDI SETIAWAN</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="ANIF FATMAWATI" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">ANIF FATMAWATI</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="ARI" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">ARI</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="ARIF" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">ARIF</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="DIAZ B" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">DIAZ B</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="Dita Mardiana" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">Dita Mardiana</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="DWI SUSANTI" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">DWI SUSANTI</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="FIKKO DANU" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">FIKKO DANU</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="HANAN FAHRUDIN" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">HANAN FAHRUDIN</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="HERU" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">HERU</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="IHSAN ABDILLAH" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">IHSAN ABDILLAH</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="KARIM M" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">KARIM M</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="KIKI" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">KIKI</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="MUH ABDUN N" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">MUH ABDUN N</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="NGADI SUROYO" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">NGADI SUROYO</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="RAGIL" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">RAGIL</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="RAKHMATNIWA" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">RAKHMATNIWA</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="RIA SAFITRI" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">RIA SAFITRI</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="ROCHMADI" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">ROCHMADI</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="SUBHAN" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">SUBHAN</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="SUYANTO" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">SUYANTO</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="TAIB" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">TAIB</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="TRI UTAMI" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">TRI UTAMI</span>
</div>
</div>
<div class="e2CuFe eU809d" role="presentation"></div>
</div>
<div class="OA0qNb ncFHed QXL7Te" jsaction="click:dPTK6c(wQNmvb); mousedown:uYU8jb(wQNmvb); mouseup:LVEdXd(wQNmvb); mouseover:nfXz1e(wQNmvb); touchstart:Rh2fre(wQNmvb); touchmove:hvFWtf(wQNmvb); touchend:MkF9r(wQNmvb)"
role="presentation" jsname="V68bde" style="display:none;" soy-skip="" ssk="6:Rxil4c"></div>
</div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i10" role="alert"></div>
</div>
</div>
</div>
<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
data-params="%.@.[133286875,"Tanggal",null,9,[[2000398168,null,true,null,null,null,null,[false,true],null,null,[]]],null,null,null,null,null,null,[null,"Tanggal"]],"i12","i13","i14",false]">
<div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
<div class="z12JJ">
<div class="M4DNQ">
<div id="i12" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i15"><span class="M7eMe">Tanggal</span><span class="vnumgf" id="i15" aria-label="Required question"> *</span></div>
<div class="gubaDc OIC90c RjsPE" id="i13"></div>
</div>
</div>
<div jscontroller="lLliLe" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;wkbFue:d3sQLd;sPvj8e:d3sQLd;JIbuQc:d3sQLd; keyup:d3sQLd;" data-includesyear="true" data-supportsdate="true">
<div class="A6uyJd">
<div class="o7cIKf" jsname="q7Lpsb" aria-labelledby="i12" aria-describedby="i13 i14">
<div id="i16" class="ds3H7c">Date</div>
<div class="rFrNMe yqQS1 hatWr zKHdkd RDPZE" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="jPalo" aria-disabled="true">
<div class="aCsJod oJeWuf">
<div class="aXBtI Wic03c">
<div class="Xb9hP"><input type="date" class="whsOnd zHQkBf" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i16" disabled="" aria-disabled="true" max="2074-01-01" data-initial-value=""></div>
<div class="i9lrp mIZh1c"></div>
<div jsname="XmnwAc" class="OabDMe cXrdqd"></div>
</div>
</div>
<div class="LXRPh">
<div jsname="ty6ygf" class="ovnfwe Is7Fhb"></div>
</div>
</div>
</div>
</div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i14" role="alert"></div>
</div>
</div>
</div>
<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
data-params="%.@.[2135544233,"Jenis",null,3,[[288437550,[["Tidak Masuk",null,null,null,false],["Masuk Telat",null,null,null,false],["Pulang Cepat",null,null,null,false]],true,null,null,null,null,null,false,null,[]]],null,null,null,null,null,null,[null,"Jenis"]],"i17","i18","i19",false]">
<div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
<div class="z12JJ">
<div class="M4DNQ">
<div id="i17" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i20"><span class="M7eMe">Jenis</span><span class="vnumgf" id="i20" aria-label="Required question"> *</span></div>
<div class="gubaDc OIC90c RjsPE" id="i18"></div>
</div>
</div>
<div jscontroller="liFoG" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;JIbuQc:d3sQLd;" class="vQES8d">
<div role="listbox" aria-expanded="false" class="jgvuAb ybOdnf cGN2le t9kgXb llrsB RDPZE" jscontroller="YwHGTd"
jsaction="click:cOuCgd(LgbsSe); keydown:I481le; keypress:Kr2w4b; mousedown:UX7yZ(LgbsSe),npT2md(preventDefault=true); mouseup:lbsD7e(LgbsSe); mouseleave:JywGue; touchstart:p6p2H(LgbsSe); touchmove:FwuNnf; touchend:yfqBxc(LgbsSe|preventDefault=true); touchcancel:JMtRjd(LgbsSe); focus:AHmuwe; blur:O22p3e;b5SvAb:TvD9Pc;"
jsshadow="" jsname="W85ice" aria-disabled="true" aria-describedby="i18 i19" aria-labelledby="i17" aria-required="true">
<div jsname="LgbsSe" role="presentation">
<div class="ry3kXd" jsname="d9BH4c" role="presentation">
<div class="MocG8c HZ3kWc mhLiyf LMgvRb KKjvXb DEh1R" jsname="wQNmvb" jsaction="" data-value="" aria-selected="true" role="option" tabindex="0">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">Choose</span>
</div>
<div class="mbHMhf" role="presentation"></div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="Tidak Masuk" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">Tidak Masuk</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="Masuk Telat" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">Masuk Telat</span>
</div>
<div class="MocG8c HZ3kWc mhLiyf OIC90c LMgvRb" jsname="wQNmvb" jsaction="" data-value="Pulang Cepat" aria-selected="false" role="option" tabindex="-1">
<div class="kRoyt MbhUzd" jsname="ksKsZd"></div><span jsslot="" class="vRMGwf oJeWuf">Pulang Cepat</span>
</div>
</div>
<div class="e2CuFe eU809d" role="presentation"></div>
</div>
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<div>Jika ijin karena ada keluarga yang sakit, maka pilih Pribadi</div>
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<div id="i25" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i28"><span class="M7eMe">Keterangan</span><span class="vnumgf" id="i28" aria-label="Required question"> *</span></div>
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<div class="e19J0b CeoRYc"></div><span jsslot="" class="l4V7wb Fxmcue"><span class="NPEfkd RveJvd snByac">Clear form</span></span>
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Text Content
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload. Absensi Keterangan Tidak Masuk / Terlambat Masuk / Pulang Cepat * Indicates required question Email * Record my email address with my response Nama * Choose ADAM ANDRIYAN ANDI SETIAWAN ANIF FATMAWATI ARI ARIF DIAZ B Dita Mardiana DWI SUSANTI FIKKO DANU HANAN FAHRUDIN HERU IHSAN ABDILLAH KARIM M KIKI MUH ABDUN N NGADI SUROYO RAGIL RAKHMATNIWA RIA SAFITRI ROCHMADI SUBHAN SUYANTO TAIB TRI UTAMI Tanggal * Date Jenis * Choose Tidak Masuk Masuk Telat Pulang Cepat Keperluan * Jika ijin karena ada keluarga yang sakit, maka pilih Pribadi Choose Kantor Pribadi Sakit Keterangan * Your answer Submit Clear form Never submit passwords through Google Forms. This form was created inside diKemas. Report Abuse Forms Sign in to continue Cancel sign in To fill out this form, you must be signed in. Report Abuse Cancel sign in