EXIT INTERVIEW

Form No. :
Isian formulir ini harus diisi oleh karyawan yang mengundurkan diri dan diwawancarai oleh atasan
langsung.
Informasi Karyawan yang mengundurkan diri :
1. Nama Karyawan : ..............................................................................................................................................
2. NIK : ..............................................................................................................................................
3. Department/Section : ..............................................................................................................................................
4. Posisi : ..............................................................................................................................................
5. Lokasi Kerja : ..............................................................................................................................................
6. Tanggal Masuk : ..............................................................................................................................................
7. Tanggal Keluar : ..............................................................................................................................................
8. Masa Kerja : ..............................................................................................................................................
9. Alasan pengunduran diri (Eksternal) :
Mendapat tugas / tanggung jawab yang lebih tinggi di ..........................................................................................

Mendapat gaji yang lebih baik di ..................sebesa..............................................................................................................

Mendapat benefit yang lebih baik seperti.....................................................................................................

Perubahan Karier menjadi ..................................................di .....................................................................

Lain – lain (mohon dijelaskan di bawah ini)..............................................................................................................

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10. Alasan pengunduran diri (Internal) :
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11. Komentar
No. Untuk Hal Positif Hal Negatif
Perusahaan
1.

Divisi/Departement
2.

Team atau Rekan Kerja

3.

12. Saran
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13. Sebutkan tindakan yang dapat dilakukan untuk tetap bisa bertahan di [Link] Group
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Komentar Pewawancara :
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Tanggal : ...................................

Yang mengajukan Di Setujui Oleh

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Karyawan yang bersangkutan Ka Unit Kepala Bagian

User ID :…......................

Pengnonaktifan User

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