| No. Dokumen | : | FTI001 |
| Nama Dokumen | : | Permintaan/Perubahan User Responsibility |
| Revisi | : | 01 |
| Bidang | : | XXXXXXXX |
| Pengendali | : | Djoko Suparno |
| Tgl. Berlaku | : | 08-08-2019 |
| Tgl. Tinjauan 1 | : | 08-08-2021 |
| Tgl. Tinjauan 2 | : | 08-08-2023 |
| Tgl. Upload | : | 08-08-2019 |
| Status | : | Berlaku |