Ciamis, 13 September 2018

Nomor : 021/LSP-AI/JBR/VIII/2018 Kepada

Lampiran : 3 Lembar Yth. Asessor LSP AI
Perihal : Undangan Up Grading MUK & di
RCC Asessor Tempat

Assalamu’alaikumWr.,Wb.,
Menindaklanjuti Surat Edaran DITPSMK No. 150/D5.6/TU/2017 tentang Pelaksanaan Uji Kompetensi
melalui LSP, peraturan BNSP no.I/BNSP/II/2017 tentang Pedoman Pelaksanaan Sertifikasi Maka Kami
pengurus LSP DPD Jabar mengundang bapak ibu seluruh asessor asnakes indonesia untuk mengikuti
kegiatan upgrading & RCC yang akan dilaksakan pada;

Hari : Selasa s.d Kamis Google.maps

Tanggal : 2 s.d 4 Oktober 2018
Chek In : Jam 09.00 ,tanggal 2 Oktober 2018
Tempat : Hotel Krisna 2 Pangandaran
Alamat : Jl. Pantai Barat No. 21, Area Wisata Pantai Pangandaran
Kab .Pangandaran, Jawa Barat 46396 Lokasipelatihan

A. Pendaftaran
1. Waktu Pendaftaran dan mengisi formulir 14 s.d 26 September 2018 melaluli
http://bit.ly/upgradinglspai2018
2. Kuota 96 peserta
3. Kontak Person Lalan Kuswandi, S.Pd.,M.Pd. (081219850142) dan Arif Rubianto, .Farm.,Apt.
(085321008899), Hendrik, M.Farm.,Apt (085320004739)
B. Ketentuan Peserta;
1. Membawa Laptop, Flashdisk, danTerminalListrik,Kertas HVS A4 (satu rim berdua) dan
printer (Satu Printer untuk bertiga)
2. MembawaPas Photo berwarna backgroundmerah, ukuran 3x4 = 4 lembardan4x6 = 4
lembar
3. Menyerahkan biodata, dilengkapi dengan foto copy SPT Mengasesesidan sertifikat Asessor
(rangkap 3)
4. Membayar biaya pelatihanRp. 1.750.000,-, ditransfer ke norek. 4044 01 010285 53 7 BRI
UNIT SUDIRMAN a.n KOMTEK LSP ASNAKES DPD JABAR paling lambat tanggal 26 September
2018 (sudah termasuk penginapan, makan 3x sehari, snack 2x sehari, dan seminar kit)

Demikianlah Undangan ini, semoga dapat bermanfaat bagi kitas emua, terimakasih

KOMTEK LSP AI JABAR Sekretaris

ABDUL TASYAKUR, S. Farm., Apt. YOGI SUGIANA, S. Pd.

 DAFTAR CALON PESERTA RCC
LSP ASNAKES JAWA BARAT

No. Nama Lengkap Reg Met Skema Masa Habis

1 Arip Rubianto, S.Farm., Apt. Met.000.008022 2015 Farmasi 30/12/2018
2 Asep Rudiyanto, S.Si., Apt. Met.000.008023 2015 Farmasi 30/12/2018
3 Asep Soni Subagja, S.Si., Apt. Met.000.008018 2015 Farmasi 30/12/2018
4 Christine Dewiyani, S.Si, Apt. Met.000.008161 2015 Farmasi 30/12/2018
5 De Fitriyani, S.Farm., Apt. Met.000.008024 2015 Farmasi 30/12/2018
6 Dikdik Maulana Yusup, S. Farm., Apt. Met.000.008604 2015 Farmasi 30/12/2018
7 Erin Sefrina Sthadini, S.Farm., Apt. Met.000.001874 2017 Farmasi 20/02/2020
8 Essty Damayanti, S.Farm., Apt. Met.000.008610 2015 Farmasi 30/12/2018
9 Fahrul Falah Atif, S.Farm. Met.000.008025 2015 Farmasi 30/12/2018
10 Hendrik, M.Farm., Apt. Met.000.001791 2016 Farmasi 26/02/2019
11 Henny Sari Mulyani, S.Si., Apt. Met.000.008021 2015 Farmasi 30/12/2018
12 Hidayat Nata Atmaja, S.Si., Apt. Met.000.008599 2015 Farmasi 30/12/2018
13 M. Zulfikar Azhari, S.Farm., Apt. Met.000.008613 2015 Farmasi 30/12/2018
14 Mega Yuniarti, S.Farm., Apt. Met.000.008156 2015 Farmasi 30/12/2018
15 Meiyanti, S.Farm., Apt. Met.000.008155 2015 Farmasi 30/12/2018
16 Nurhayati Amatillah, S.Farm., Apt Met.000.008027 2015 Farmasi 30/12/2018
17 Nurlela, S.Farm., Apt. Met.000.008162 2015 Farmasi 30/12/2018
18 Sanny Leniawati, S.Si., Apt. Met.000.008026 2015 Farmasi 30/12/2018
19 Shelvy Herviyanti, S.Farm., Apt Met.000.008612 2015 Farmasi 30/12/2018
20 Syifa Peresia, S.Farm., Apt. Met.000.008157 2015 Farmasi 30/12/2018
 DAFTAR CALON PESERTA RCC
LSP ASNAKES JAWA BARAT

No. Nama Lengkap Reg Met Skema Masa Habis

1 Anggita Puspasari, S.Kep., Ners Met.000.008607 2015 Keperawatan 30/12/2018
2 Elma Kholfiana, S.Kep., Ners. Met.000.001895 2017 Keperawatan 20/02/2020
3 Erna Susilawati, S.Kep., Ners Met.000.008014 2015 Keperawatan 30/12/2018
4 Heddy Ruchtugi HM Met.000.008163 2015 Keperawatan 30/12/2018
5 Ika Wahyuni, S.Kep Met.000.008600 2015 Keperawatan 30/12/2018
6 Imas Nurhayati Met.000.008017 2015 Keperawatan 30/12/2018
7 Lina Yuliana, SKM Met.000.001892 2017 Keperawatan 20/02/2020
8 Metha Yunizar M. J., S.Kep Met.000.001905 2017 Keperawatan 20/02/2020
9 Siti Munawaroh, S.Kep., Ners Met.000.008602 2015 Keperawatan 30/12/2018
10 Sutisna, S.Kep., Ners Met.000.008609 2015 Keperawatan 30/12/2018
11 Teten Rukmana, S.Kep Met.000.008167 2015 Keperawatan 30/12/2018
12 Yeni Sugiarti, S.Kep., Ners Met.000.008016 2015 Keperawatan 30/12/2018
 BIODATA PESERTA
KEGIATAN UP GRADDING DAN RCC
LSP ASNAKES INDONESIA

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