LEMBAGA PENDIDIKAN DAN PELATIHAN POLRI

PUSAT PENDIDIKAN ADMINISTRASI

PENJELASAN COACH
TENTANG KEMAMPUAN PESERTA

Nama Peserta Diklat : Nadya Thifal Harsono

Nosis : 201904073184

Saya menilai peserta Sangat Mampu/ Mampu / Kurang Mampu / Tidak

Mampu melaksanakan Perencanaan Inovasi / Manajemen Perubahan,
dengan penjelasan sebagai berikut:
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Bandung,..........., 20....
COACH

Heni M., S.Sos.,S.Ip.,M.Sc

AKP NRP. 74030201
 LEMBAR PERSETUJUAN

LAPORAN AKHIR AKTUALISASI HABITUASI

NILAI-NILAI DASAR PROFESI ASN DI UPTD
PUSKESMAS KALIJATI KABUPATEN SUBANG

Perserta Diklat :
Nama : Nadya Thifal Harsono S.Tr.Kes
Nosis : 201904073184

Telah disetujui pada tanggal: ..............

Di Pusdikmin Lemdiklat Polri Bandung

Menyetujui, Mengetahui,
Coach Mentor

Heni Mardiatmi, S.Sos, S.Ip, M.Sc Herman Nurdin, S.Kep, Ners

AKP NRP. 74030201 NIP. 198002142003121002

LEMBAGA PENDIDIKAN DAN PELATIHAN POLRI

PUSAT PENDIDIKAN ADMINISTRASI

PENJELASAN MENTOR
TENTANG KEMAMPUAN PESERTA

Nama Peserta Diklat : Nadya Thifal Harsono

Nosis : 201904073184

Saya menilai peserta Sangat Mampu/ Mampu / Kurang Mampu / Tidak

Mampu melaksanakan Perencanaan Inovasi / Manajemen Perubahan,
dengan penjelasan sebagai berikut:
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
.......................................
Bandung,..........., 20....
MENTOR

Herman Nurdin, S.Kep, Ners

NIP. 198002142003121002