Transmedic Kick-Off Meeting & Annual Dinner FY26 - East Java
Nama Lengkap (Sesuai KTP)
NIK
Tempat Lahir
Tanggal Lahir
No Handphone
Divisi
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EXCO
Area Manager
Acute Critical Care
Blood Therapy
Cardiac
Interventional Therapy
Opthalmology
Orthopaedic
Radiotherapy
Regulatory
Surgical Endoscopy
Accounts
Compliance
HR & Admin
Operations
Service
Provinsi
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DKI Jakarta
West Java
DIY & Central Java
East Java
Sumatra
Vacant (Kalimantan, Sulawesi dan Bali)
Kota
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Jakarta
Kota
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Bandung
Cirebon
Kota
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Purwokerto
Semarang
Solo
Yogyakarta
Kota
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Malang
Surabaya
Kota
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Aceh
Medan
Padang
Palembang
Pekanbaru
Kota
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Banjarmasin
Pontianak
Samarinda
Makasar
Manado
Palu
Bali
Ukuran Baju
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Small (S)
Medium (M)
Large (L)
Extra Large (XL)
2XL
3XL
4XL
5XL
6XL
7XL
8XL
9XL
10XL
Nama Panggilan di Baju
Keikutsertaan (Hadir/Tidak)
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Hadir
Tidak
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