1. CERTIFICATE OF EMPLOYMENT
SURAT KETERANGAN KERJA
This is to certifv that
Dengan ini menerangkan bahwa
Ref. No
No Ref
Name
Nama
Badoe No
No Badge
Proiect Location
LokasiProyek
Beoinninq Classification
Jabatan Permulaan
Final Classification
Jabatan Terakhrr
Service Period
Masa Kerja
Reason for lssuinq
Alasan di keluarkan sert fikat
L0084.1't.1 s/[r250i1.0.2.1/RSK/r.
Donna Sihotang
21213135
Leighton - MGM Coal lVine Pro.iect
Central Kalimantan
lVechanic
lVechanic
23 January 2014 to 8 November 2015
Company Redundancy
We would like to express our gratitude for your participation and contribution to pT.
Leighton Contractors lndonesia success in the future.
Kam mengucapkan terima kasih atas partsipasi dan dedlkasi Saudara lerhadap pT. Leighton
Contractors lndonesia, semoga keberhas lan senantasa menyertai anda di masa yang akan
datang
Balikpapan. November 2015
-.. Employee Relation
2. ?T Leighton Contra.to6 lndon6ia
I9/F Tar.ver. Oll.e Pa,!
I TB 5m.tupai!<:L 2: .
ar.ndaI Ba.i' ].(;-; ',::
1 +52 2r l00a 2t2l
I +672110002121
Ref : 2300/LCl/PERS/C/l/'l 4
Kintap,05-Jan-14
Denoan ini meneranokan
This is to cedify that
Nama
Name
Provek / Lokasi
Project / Locatian
Nomor Karyawan
Employee Number
Posisi Sebelumnva
Prcvious Positian
Posisi Terakhir
Masa Keria
Periad of Service
Alasan Berhenti
Reason for Leaving
SURAT KETERANGAN KERJA
CERTIFICATE OF EMPLOYMENT
: Donna Sihotang
WAHANA - Coal Mine Project
Kintap - Tanah Laut - South Kalimantan
21213135
rMechanic
' Mechanic
Dari l9-Mar-12 Sampai 05-Jan-14
Fron To
Surplus
Kami mengucapkan terima kasih atas usaha dan kontribusi saudara terhadap
PT. Leighton Contraclors lndonesia, dan kami berharap saudara mendapatkan
kesuksesan dimasa yang akan datang.
We would like to take this opportunity to
contribution to PT. Leighton Contractors
success in the future time.
your past effort and
we wish you every
r lndonesia
Proiect
thank you for
lndonesia and
Cc : Personal Department
PT. Leighton Cont
WAHANA - Coal
I,IANAGER HR
3. I
E
Balitpapan Baru Litue China Btok AB 7 No.7
relp : lo542t 720417 6, 72O4OZS. tax : tOS42t 7204174
Barikpapan. K6limahtan Timur
PT. EQUIPMENT REL'ABTL'TY MANAGEMENT
CERTIFICATE OF EMPLOYMENT
SURAT PENGALAMAN KERJA
No. 002 / ER|4-HRD / V / 2011
This is to certifv that
Dengan ini meneangkan bahwa
Name
Nama
Beginninq Classitication
Klasifikasi awal
Final Classification
Klasifikasi akhi
Location
Lokasi
Period ol S::Lr lqq
Masa Kerja
Reason o!?-gaving
Alasan Berl tenti
Donna Sihotang
Mechanic Jr
Mechanic Jr
PT. United Tractors Site Batu Kajang
November 2010 to May 20l l
Resign
We thank you for your contribution to this proiect and wishing you every success in the
future.
Kami mengucapkan banyak terima kasih atas upaya dan jasa yang telah disumbangkan pada
proyek ini dan kami berhaap semoga sukses di masa mendatang.
Balikpapan, 1 Juli 2011
ibility Management
4. ISrnr
- Dca6-iisxe;<r4l<a*teh*a:
Il@a
t.&Bd r{.j'
Jabatao
llo ID
Yot b€r.egkut8 rGr,h bekcda di pcrqqh--n pT BUMI H,AMPARAII LUAI}
!ej-r. +.nag't : miuny mr)
S@Fi d.ng.'r tmqE : 2l Feb&ari 2Ol2
llLa tEhs rtrana8.Eeat, L,ri dengu.Ti.'n terima ksih atas has|I keda daa dedikari
,q.audara bcii(m L.p.a. perusanaan aaa seooga .arr&r"a lehih U..ta"it lagi di -asalcaetr8.
DcoiLnrtl suiaf kctcrangan irri dlmat untuk <lipcrgEnakaa s.h.g.i6an. a€tirrJE-
Donna Sihoang
Senetin - FT Tbiess ContractorB ladoEesia
Me.h^niL HE
t fi67
PT.BTIUI EA PA.RAX LOAlt
MT Haraom liomp Balikpapan ,lara
Blok 1,9 No 01 - Baljk]raDd 761 11
llasr Iiatimdidr , Indoftsia
lhom . ((J542) a71!xJ9
Fasrn'ler (0i42) 377lrs
BalilpapaD, OS Ma€r 2012
n- l)l .- {7ffiHLrr. BLMI BAMpataN L,.r
Add &rlf,ort
S€lfbe Me,la*er
l
t
I IOERD.BI'IJ3KK/IIYT2
5. Mqintenonce
SOLUTIONPI- EOUIPMENI RgtIAEIL]TY MANAGEMENT
&
No. 011 / ERM - TRN / tx / L0
Has succesfully completed the 29 days Training
Basic Mechanic Course
held on August 09th 2010 until October 0Lst 2010
Balikpapan, October 04th 2010
Lti6t36
is is Certifi that:
Monoger
6. Training Results
lnstructor
+4.=^-kpitrihndrilnto, nrud
NO Topic Results
Class
averase
Remark
I Basic Engine 81.5
2 Basic Hydraulic system 67.7
3 Basic T/F Transmission 72 72.O
4 Basic Steering & Brake 59 53.8
5 Wheel or U/Cariage 80 76_1
6 Basic Electric Sys 76 75.7
7 Suspenssion 70 57.O
8 Basic Maintenance 68 61.1
9 Product Knowledge 68 60.7
10 Tool 65 62.3
LI Fastener, Bearing, seal & Gasket 74 74.6
L2 Safety 72 68.9
Average 70.3 67 .6
7. Balikpapan Baru Little Chana Blok AB 7 No,7
relp . @542) 7204176, 72O4O75- Fa : 10542:) 720417 4
Balikpapan - Kalih6ntan Timur
EQUIPMENT RELIAB'L'IY MANAGEMENT
TRAINING AND DEVELOPMENT CENTER
Training Historical Data
o. 04 / ERM-TC / Vn / 11
To whom it may concern,
We submit that the personal below have attended training conducted by PT. Equipment
Reliability Management Training Centers for an employee in PT. Equipment Reliability
Management.
Name
NRP
: Donna sihotang
i 50310285
Service Period : 29 Okt2OTO- 26lut 2O7f
The trainings have been followed are:
No. T.aining Topic Training Period
Total
Hours
Training
Place
Remark
1
CRI fuel System (
common Rail lnjection )
73-L4
December 2010
20 Batu Kajang Competent
lssued in
n, 21Juli 2011
M TC Coordinator