Lampiran Surat No. : 315/BPSDMI.

2/VII/2019

Daftar Peserta Diklat RCC Asesor Kompetensi Angkatan I

Kelas LSP BDI Surabaya – LSP BPIPI
Sidoarjo, 24-25 Juli 2019

NO. NAMA INSTANSI/LSP SKEMA

1. EVI SEPTIANA PANE BDI SURABAYA
2. FERI YULINANTO BDI SURABAYA Operator Terlatih
3. VIAND CAHYA DWI PUTRA BDI SURABAYA Assembly & Solder 3
4. TRIYONO BDI SURABAYA
5. AGUNG HARYANTO BDI SURABAYA Menjahit Pakaian
Sesuai Style- Operator
6. SIMON DUAPADANG BDI MAKASSAR Pengolahan Ikan
7. AKHMAD SUGIARTO BPIPI
8. AFRIANDRI JOHAN WAHYUDI BPIPI
9. ANWAR RUSDI BPIPI
10. COSMAS WISNU DEWANTO BPIPI
11. EKO BAWONO BPIPI
12. ERIK BAGUS P. BPIPI
Pengoperasian Mesin
13. FAJAR ALAM YUDHA BPIPI
Jahit Sepatu Flat Bed
14. GALIH SETO P. BPIPI
Berkecepatan Tinggi
15. HARDIANA SETYANI SUNARDI BPIPI
(High Speed)
16. HARIYONO BPIPI
17. MUC. IRZIK BPIPI
18. NASRUL MUFID BPIPI
19. RURUH SATRIYO UTOMO BPIPI
20. SUN’AN BPIPI
21. TOTOK MARJIYANTO BPIPI
22. TRI HARSONO PENS Konsep Pemrograman
23. AGUS INDRA GUNAWAN PENS Pemrograman PLC
24. NUR ROSHID MUBTADA'I PENS Pemrograman Web
Lampiran Surat No. : 315/BPSDMI.2/VII/2019

Daftar Peserta Diklat RCC Asesor Kompetensi Angkatan I

Kelas LSP Batik – LSP PAL
Sidoarjo, 24-25 Juli 2019

NO. NAMA INSTANSI/LSP SKEMA

1. BUDI DARMAWAN BATIK Tukang Gambar Motif Batik,
2. DAMAR ABSORO BATIK Tukang Pola, Perancang
3. FATWA DIANA WIDI BATIK Motif Batik, Pembatik Tulis,
4. YUSUF BATIK Tukang Cap, Tukang Lorod,
5. WIDHIARSO BATIK Peracik Malam, Peracik
6. AMALIA BATIK Warna Sintetis, Tukang
7. SARWOKO BATIK Celup Warna Sintetis,

8. TAMZIZ AL ANAS BATIK Pewarna Warna Alam,

9. DWI ERINA AMALIA BATIK Tukang Celup Warna Alam,

10. ANDREAS AGUS WIBAWA Pembuat Canting, Pembuat

BATIK Canting Cap
11. MOHAMMAD KHALILI PAL
12. BINA SUSILA PAL
13. DWI HENDRA SETYAWAN PAL
Juru Beli, Asisten Welder
14. DWI KURNIAWAN ASMORO PAL
FCAW, Designer Electric &
15. ENDRO YUKRISTIONO PAL
Electronic Outfitting Pertama,
16. HARIYANTO PAL
Fitter, Marker, Welding
17. HENDRO DJOKO TJAHJONO PAL
Supervisor, Designer
18. RUSAEFUL ARIEF PAL
Machinery Outfitting Level 4,
19. SUDARIJANTO PAL
Dock, Junior Work Planner
20. SUDI UTOMO PAL
21. WIDIJO UTOMO PAL
22. ANANG SUDI AHMADI PAL
23. IRA PRASETYANINGRUM PENS Pemrograman Data Base
24. FITRI SETYORINI PENS Jaringan Komputer
 FORMULIR BIODATA PESERTA

Diklat RCC Asesor Kompetensi Angkatan I

Pusdiklat Industri, BPSDMI
Kementerian Perindustrian

1. Nama peserta (gelar) : .................................................................

2. Nama peserta (KTP) : .................................................................
3. NIK (KTP) : .................................................................
4. Jenis Kelamin : .................................................................
5. Tempat / Tgl. Lahir : .................................................................
6. Agama : .................................................................
7. Instansi / Unit Kerja : .................................................................
8. Jabatan : .................................................................
9. Alamat Kantor : .................................................................
.................................................................
No. Telp. /Fax : .................................................................
Kota : ......................... Kode Pos : ...................
Propinsi : .................................................................
10. Alamat Rumah : .................................................................
.................................................................
No. Telp. /HP : .................................................................
Kota : ......................... Kode Pos : ...................
Propinsi : .................................................................
11. E-mail : .................................................................
12. Pendidikan formal terakhir : .................................................................
Jurusan : .................................................................
Ijazah Tahun : .................................................................

Pas foto yang ditempelkan berwarna, dengan latar belakang merah.

....................., ............................
Peserta,
Pas Foto
3x4

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