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Lampiran 2 :

LEMBAR KONFIRMASI PESERTA


BTCLS UNTUK PERAWAT
DINAS KESEHATAN KOTA DUMAI
Tanggal 03 s/d 07 Oktober 2017

Nama : ..................................................................................

NIP : ..................................................................................

Tempat / Tgl. Lahir : ..................................................................................

Pangkat / Gol. : ..................................................................................

Jabatan : ..................................................................................

Unit Kerja : ..................................................................................

: ..................................................................................

Alamat Email : ..................................................................................

Dumai, ...................................

Peserta

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Lampiran 3 :

LEMBAR KONFIRMASI PESERTA


BLS UNTUK SOPIR AMBULANCE
DINAS KESEHATAN KOTA DUMAI
Tanggal 03 s/d 07 Oktober 2017

Nama : ..................................................................................

NIP : ..................................................................................

Tempat / Tgl. Lahir : ..................................................................................

Pangkat / Gol. : ..................................................................................

Jabatan : ..................................................................................

Unit Kerja : ..................................................................................

: ..................................................................................

Alamat Email : ..................................................................................

Dumai, ...................................

Peserta

.................................................

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