Employee Name : NIP : Rank/Group : Position : Unit : YEAR 2017 Eryanto Hidayat 197608182014091004 Junior Supervisor, II/a General Administration Faculty of Nursing Universitas Indonesia Assessment Period January to December, 2017 UNIVERSITAS INDONESIA GOVERNMENT EMPLOYEE WORK PERFORMANCE ASSESSMENT
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Employee Name :
NIP :
Rank/Group :
Position :
Unit :
YEAR 2017
Eryanto Hidayat
197608182014091004
Junior Supervisor, II/a
General Administration
Faculty of Nursing Universitas Indonesia
Assessment Period
January to December, 2017
UNIVERSITAS INDONESIA
GOVERNMENT EMPLOYEEWORK PERFORMANCE ASSESSMENT
Fatimah
Typewritten text
(Supporting Staff Appraisal Form)
1
a. Name : Eryanto Hidayat
b. NIP : 197608182014091004
c. Rank/Group : Junior Supervisor, II/a
d. Position : General Administration
e. Unit : Faculty of Nursing Universitas Indonesia
2
a. Name : Siti Rohaeti, S.Sos., M.Si
b. NIP : 196004201990032002
c. Rank/Group : Administrator, IV/a
d. Position : Evaluation and Reporting Data Processor
e. Unit : Faculty of Nursing Universitas Indonesia
3
a. Name : Dr. Rr. Tutik Sri Hariyati, S.Kp., MARS
b. NIP : 197111181999032001
c. Rank/Group : Administrator, IV/a
d. Position : Manager of General Affairs
e. Unit : Faculty of Nursing Universitas Indonesia
PERSON ASSESSED
APPRAISAL OFFICER
APPRAISAL OFFICER SUPERVISOR
EMPLOYEE PERFORMANCE TARGET DATA
NO NO
1 Name 1
2 NIP 2
3 Rank/Group 3
4 Position 4
5 Unit 5
QUALITY COST
1 0 7200 documents 100 12 months
2 0 12 proposals 100 12 months
3 0 512 sessions 100 12 months
4 0 168 sessions 100 12 months
5 0 216 sessions 100 12 months
6 0 15 documents 100 12 months
7 0 37 documents 100 12 months
8 0 22 sessions 100 12 months
9 0 22 documents 100 12 months
10 0 12 sessions 100 12 months
11 0 12 reports 100 12 months
12 0 15 sessions 100 12 months
13 0 100 students 100 12 months
Assist the procurement of goods and services
Assist on plagiarism check of students' research papers
AKTARGET
QUANTITY/OUTPUT
196004201990032002
Administrator, IV/a
Evaluation and Reporting Data Processor
TIME
Faculty of Nursing Universitas Indonesia
197608182014091004NIP
Unit
Rank/Group Junior Supervisor, II/a
General AdministrationPosition
Faculty of Nursing Universitas Indonesia
GOVERNMENT EMPLOYEE
WORK TARGET FORM
Eryanto Hidayat
I. APPRAISAL OFFICER II. GOVERNMENT EMPLOYEE ASSESSED
NameSiti Rohaeti, S.Sos., M.Si
Government Employee Assessed
Depok, January 5th, 2017
Process incoming mail, outgoing mail, arrange letter archives and serve borrowing
letter archives
Compile a list of needs, supply office stationery, and infrastructure facilities within the
Department
NO
Appraisal Officer
III. OFFICE ASSIGNMENT ACTIVITIES
Facilitate learning and teaching process (BPKM, SAP, Academic staff and students'
attendance)
Prepare materials for Department meetings and distribute the meeting results
Recapitulate lecturer attendance every month within the Department
Assist inventory of facilities and infrastructure maintenance within the Department
Assist administrate lecturers promotion (entries in SIPEG and SIPKD, collecting
physical evidence)
Report (make midterm and annual reports) the implementation of duties to superiors
as accountability
Assist the process of typing quetions for mid and final semester examinations
Assist students' grades processing through the academic.ui.ac.id system and assist
correcting students' mid and final examinations
Assist recapitulate the coaching hours of clinical/community practice and guest
lecturers within the Department
* AK is for Government Employees who hold certain functional position
Siti Rohaeti, S.Sos., M.Si
196004201990032002
Note :
Eryanto Hidayat
197608182014091004
Assessment Period
January to December, 2017
Quality Cost Quality Cost
1 2 3 5 7 8 10 12 13 14
1Process incoming mail, outgoing mail, arrange letter archives and