Skp asisten apoteker

(1)

FORMULIR SASARAN KERJA

PEGAWAI NEGERI SIPIL

N

NO IO I. . PPEEJJAABBAAT T PPEENNIILLAAII NONO IIII. . PPEEGGAAWWAAI I NNEEGGEERRI I SSIIPPIIL L YYAANN

11 NNaammaa ddrr..AABBDDIIJJAAUUHHAARRII 11 NNaammaa MMUUHHAAMMMMAADDKKHH

22 NNIIPP 119988550033118 8 22001111001 1 1 1 001177 22 NNIIPP 119999330022223 3 2200114400

33 PPaann!!aa""##$$%%&&..RR''aann PP((nnaa""a a MM''dda a ))!!. . I I # # IIIIII. . BB 33 PPaann!!aa""##$$%%&&..RR''aann IIII..**

44 JJaa++aa""aann KK((aa&&a a UUPP)). . PP''--!!((--mmaa- - BB''!!" " RRaa// 44 JJaa++aa""aann AA------""((n n AA%%""((!!(( 55 UUnn" " KK((rraa UUPP)). . PP''--!!((--mmaa- - B''!!" B " RRaa// 55 UUnn" " KK((rraa UUPP)). . PP''--!!((--m maa--N NOO IIIIII. . KKEEGGIIAATTAAN N TTUUGGAAS S JJAABBAATTAANN AAKK TARG TARG K KUUAANNTT//OOUUTTPPUUTT KKUUAALL//MMUUTTUU 11 00 00 4400 110000 22 00 00 1100 ))aaaa!!(("" 110000

33 PP((nnaaaan n ((rr++((!!aa&&aan n aarrmmaa--    PP((rr((nnaannaaaan n   MM((nn''mm''&&!!aan n ddaa""aa66ddaa""aa 00 00 1100 ))aa  aa!!(("" 110000 44 PP((nnaaaan n ((rr++((!!aa&&aan n aarrmmaa--    PP((rr((nnaannaaaan n   mm((rr((!!aa""''&&aa--  ddaa""aa66ddaa""aa 00 00 1100 ))aa  aa!!(("" 110000 55 PPrr%%dd''!!--  --((ddaaaan n aarrmmaa--  NN%%n n --""((rr&&, , mm((nn((mmaa- - %%++aa" " ddaan n mm((mm++((rr  ((""!!(("" 00 00 225500 110000

 00 00 225500 110000

77 mm((nnmm++aann  ddaan n aa""aa' ' mm((nn''!!''r r ++aaaan n ++aa!!'' 00 00 225500 110000

88 MM((nn((rrmma a ddaan n mm((mm((rr!!--a a ((rr++((!!aa&&aan n aarrmmaa-- 00 00 1111 110000

99 MM((nnmmaann((rr++((!!aa&&aannaarrmmaa-- 00 00 1111 110000

1100 00 00 225500 110000

1111 mm((nnaa!!aan n %%++aa" " ddaan n mm((mm++''aa" " ((""!!(("" 00 00 225500 110000 1122 MM((nnaa!!aan n !!((++''""''aan n %%++aa" " ''nn""''! ! ""aa  !!aa&& 00 00 225500 110000 1133 MM((mm++''aann  &&mm++aa  %%++aa"" 00 00 225500 ""aa  %%++aa" " aadd 110000 1144 MM((nn''--''n n &&aa%%rraan n !!((aa""aan n aarrmmaa--  !!&&nn!! 00 00 1111 ""aa  &&aa%%rraann 110000 1155 MM((&&aa!!''!!aan n ((nn''&&''aan n dd  ++ddaann  !!((aarrmmaa--aann##!!((--((aa""aann 00 00 44 !!aa&& 110000

11 00 00 11 !!aa&& 110000 17 17 0.00 0.00 B Buukkiit t RRaa  M(n'm'&!an +aan6+aan # da"a6da"a

 M(n'm'&!an +aan6+aan # da"a6da"a dar +(r+aadar +(r+aa -'m+(r#a'an -'m+(r#a'an )a r(nana )a r(nana !(a"an !(a"an P(naan (n(&%&aan (r+(!a&an arma-  P(m&an, m(r(!a"'&a-

P(naan (n(&%&aan (r+(!a&an arma-  P(m&an, m(r(!a"'&a- da"a6da"a da"a6da"a "a !a& "a !a& r%d'!- r%d'!- M(na!an r'anan, (ra&a"an dan +aan6+aan 'n"'!

M(na!an r'anan, (ra&a"an dan +aan6+aan 'n"'! !(a"an!(a"an r%d'!- r%d'!- "a !a& "a !a& r%d'!- r%d'!- "a !a& "a !a& r%d'!- r%d'!- "a +(r"a "a +(r"a aara aara "a +(r"a "a +(r"a aara aara M(n(rma dan m(n(&(!- (r-ara"an admn-"ra- r(-( -(r"a

M(n(rma dan m(n(&(!- (r-ara"an admn-"ra- r(-( -(r"a m(n"'n ara %+a"na m(n"'n ara %+a"na "a 10 "a 10 &(m+ar r(-( &(m+ar r(-( "a 10 "a 10 &(m+ar r(-( &(m+ar r(-( "a !a& "a !a& (ma!aan (ma!aan

P(ran -(r"a da&am -(mnar#&%!a!ara d +dan

P(ran -(r"a da&am -(mnar#&%!a!ara d +dan !(arma-an#!(-(a"an!(arma-an#!(-(a"an "n!a" na-%na&#n"(rna-%na& -(+aa (-(r"a

"n!a" na-%na&#n"(rna-%na& -(+aa (-(r"a

Un-'r U" m Un-'r U" m

(2)

Pejabat Penilai, Pegawai Nege

dr. ABDI JAUHARI MUHAMMAD KHALIL

1985018 201101 1 01! 199022

(3)

DINILAI

LIL RAMADHAN, A.Md.Farm 1 002 r P(&a!-ana B'!" Ra/ T WAKTU BIAYA 8 +&n 6 8 +&n 6 8 +&n 6 8 +&n 6 8 +&n 6 8 +&n 6 8 +&n 6 8 +&n 6 8 +&n 6 8 +&n 6 8 +&n 6 8 +&n 6 8 +&n 6 8 +&n 6 8 +&n 6 8 +&n 6 i, 2 Mei 2014

(4)

i Sipil Yang Dinilai

RAMADHAN, A.Md.Farm 201402 1 002

(5)

PENILAIAN CAPAIAN SASARAN KERJA ASISTEN APOTEKER

angka -aktu Penilaian 02 Mei *./. 1 De*e(ber 2014

NO I. Kega!a" T#ga$ Ja%a!a" AK TARGET REALISASI PENGHITUNGAN

&uant utput &ualMutu -aktu Bia'a &uant utput &ualMutu -aktu Bia'a

& ' ( ) * +  - & && &' &( &)

1 0 40 100 8 +&n 0 29 80 8 +&n 6 228.50 7.17

2 0 10 )a a!(" 100 8 +&n 0 11 )a a!(" 80 8 +&n 6 228.50 7.17

3 ₀ 10 )a a!(" 100 8 +&n 0 _11 )a a!(" ₈₀ 8 +&n 6 228.50 7.17

4 0 10 )a a!(" 100 8 +&n 0 11 )a a!(" 80 8 +&n 6 228.50 7.17

5 0 250 100 8 +&n 0 180 80 8 +&n 6 228.00 7.00

 0 250 100 8 +&n 0 180 80 8 +&n 6 228.00 7.00

7 0 250 100 8 +&n 0 180 80 8 +&n 6 228.00 7.00

8 0 11 100 8 +&n 0 8 80 8 +&n 6 228.73 7.24 9 M(nman (r+(!a&an arma- 0 11 100 8 +&n 0 8 80 8 +&n 6 228.73 7.24 10 ₀ 250 100 8 +&n 0 ₁₈₀ ₈₀ 8 +&n 6 228.00 7.00

11 m(na!an %+a" dan m(m+'a" ("!(" 0 250 100 8 +&n 0 180 80 8 +&n 6 228.00 7.00 12 _{M(na!an !(+'"'an %+a" 'n"'! "a !a&} ₀ 250 100 8 +&n 0 ₁₈₀ ₈₀ 8 +&n 6 228.00 7.00 13 M(m+'an &m+a %+a" 0 250 "a %+a" ad 100 8 +&n 0 180 "a %+a" ad 80 8 +&n 6 228.00 7.00 APAIAN

SKP Un-'r U"ama  M(n'm'&!an +aan6

+aan # da"a6da"a dar +(r+aa -'m+(r#a'an

)a r(nana !(a"an

P(naan (n(&%&aan (r+(!a&an arma-  P(m&an, m(r(!a"'&a- da"a6da"a P(naan (r+(!a&an arma-  P(r(nanaan  M(n'm'&!an da"a6da"a P(naan (r+(!a&an arma-  P(r(nanaan  m(r(!a"'&a- da"a6da"a Pr%d'!- -(daan arma- N%n -"(r&, m(n(ma- %+a" dan m(m+(r ("!("

"a !a& r%d'!-

"a !a& r%d'!- Pr%d'!- -(daan arma- N%n -"(r&,

m(n(ma- %+a" dan m(m+(r ("!("

"a !a& r%d'!-

"a !a& r%d'!- m(nm+an dan a"a' m(n'!'r +aan

+a!'

"a !a& r%d'!-

"a !a& r%d'!- M(n(rma dan m(m(r!-a (r+(!a&an

arma- "a +(r"a aara "a +(r"a aara "a +(r"a aara "a +(r"a aara M(n(rma dan m(n(&(!- (r-ara"an

admn-"ra- r(-( -(r"a m(n"'n ara %+a"n a "a 10 &(m+ar r(-( "a 10 &(m+ar r(-( "a 10 &(m+ar r(-( "a 10 &(m+ar r(-( "a !a& (ma!aan "a !a& (ma!aan

(6)

14 M(n'-'n &a%ran !(a"an arma- !&n! 0 11 "a &a%ran 100 8 +&n 0 8 "a &a%ran 80 8 +&n 6 228.73 7.24

15 0 4 !a& 100 8 +&n 0 3 !a& 80 8 +&n 6 231.00 77.00

1 0 1 !a& 100 8 +&n 0 1 !a& 80 8 +&n 6 25.00 85.33

1 2 

01rea!2!a$3

N4a a5aa" SKP +.(

Bukit Rawi, 1 De*e(ber 2014 Pejabat Penilai,

dr. ABDI JAUHARI 1985018 201101 1 01! M(&a!'!an (n'&'an d +dan

!(arma-an#!(-(a"an

(ran -(r"a a am -(m nar % a ara +dan !(arma-an#!(-(a"an "n!a" na-%na&#n"(rna-%na& -(+a a (-(r"a

II. TUGAS TAMBAHAN DAN KREATI6ITAS7

(7)

UNSUR

YANG

DINILAI

Jumlah

76.73 x

60%

46.04 1. Orientasi Pelayanan

76 (Baik)

2. Integritas

76 (Baik)

3. Komitmen

76 (Baik)

4. Disiplin

1

(!angat

Baik)

".

Ker#asama

76 (Baik)

6. Kepemimpinan

$

7. %&mla'

3"

. ilai rata * rata

7.00

(Baik)

9. Nilai Perilaku Kera

79.00 x

!0%

31.60 77.6!

NILAI

PR"S#ASI

K"RJA

$aik&

'. K""RA#AN DARI P"GA(AI N"G"RI

SIPIL YANG DINILAI $APAILA ADA&

#a)**al+ ,,,,,,,.

!.

a. Sa-ara) Kera Pe*aai $SKP&

(8)

.

R"K12"NDASI

D%P% D3PRMS3&%N

9. DIUA# #ANGGAL+ 3 De-em/er 40!

P"JAA# P"NILAI

5r. ADI JAUARI

1"031 201101 1 017



DI#"RI2A #ANGGAL+ 0' Ja)uari 40'

P"GA(AI N"G"RI SIPIL YANG DINILAI

UA22AD KALIL RA2ADAN+ A.25.8ar

130223 201402 1 002

.DI#"RI2A #ANGGAL+ 06 Ja)uari 40'

A#ASAN P"JAA# P"NILAI

5r. JA2IL 2USLI2

(9)

6. #ANGGAPAN P"JAA# P"NILAI A#AS K""RA#AN

#a)**al+ ,,,,,,,.

7. K"PU#USAN A#ASAN P"JAA# P"NILAI A#AS K""RA#AN

(10)

P"NILAIAN PR"S#ASI K"RJA

P"GA(AI N"G"RI SIPIL

DI+! K,!,-++

%+/K+ +K P,I+I+

K+BP+, P+/ PI!+

B+  2 ei s5 31 Desemer 2014

.

YANG DINILAI

M%MM%D &%636 R%M%D%N, %.M/.7ar( 199022 201402 1 002

33."

%*i*i*ten %p+teker Pelak*ana P. Pu*ke*(a* Bukit Rawi 4.

P"JAA# P"NILAI

/r. %BD3 %%R3

1985018 201101 1 01! Penata Mu/a k. 3  333. B

&epala P. Pu*ke*(a* Bukit Rawi P. Pu*ke*(a* Bukit Rawi

3.

A#ASAN P"JAA# P"NILAI

/r. %M36 MS63M 19!0511 200501 1 00 Pe(bina  3. %

&abi/. PSD&

Dina* &e*e:atan &abupaten Pulang Pi*au a.  a m a

.  I P

8. Pangkat9 /olongan r&ang9 

. %aatan5Peker#aan

e. nit Organisasi

a.  a m a .  I P

e. nit Organisasi

a.  a m a .  I P

(11)

Per*en -aktu

arget Reali*a*i 2 Re*ult Reali*a*i Re*ult

1 0 100 0 100 2 1 50 0 100  2 . 1 .! 4  25 2 50 5 4 20  40  5 1.! 4 . !  14.285!1 5 28.5!14 8 ! 12.5  25 - 8 11.11111  22.22222 10 9 10 8 20 11 10 9.090909 9 18.18182 12 11 8. 10 1.!