SURAT KETETAPAN

023/TAP/BSO/BEMFV/XII/2019

Yang bertanda tangan di bawah ini, Ketua Badan Koordinasi Pemandu BEM
Fakultas Vokasi ITS Surabaya periode 2018-2019, menerangkan bahwa nama-nama yang
terlampir dalam surat ini adalah benar-benar Mahasiswa Institut Teknologi Sepuluh
Nopember (ITS) Surabaya dan benar bahwa mahasiswa tersebut telah mengikuti LKMM
PRA TD III yang diselenggarakan oleh Badan Eksekutif Mahasisa Fakultas Vokasi.
Adapun Surat Keterangan ini akan dipergunakan sebagai bukti bahwa mahasiswa
yang bersangkutan telah LOLOS dalam Latihan Keterampilan Manajemen Mahasiswa
Tingkat Pra Dasar.
Demikian Surat Keterangan ini dapat kami informasikan, semoga dapat
digunakan sesuai dengan kepentingan sebagaimana mestinya.

Ketua Bakor FV- ITS

Yoni Ardianto Prabowo

NRP. 10111710000104
Lampiran 1

DAFTAR PESERTA LOLOS LKMM PRA TD III VOKASI ITS 2019

NO. NAMA NRP
1 Auliagitta Kumala Apsari 10111910010001
2 Ali Famalil Faddli 10111910010003
3 Muhammad Harizky Aditia 10111910010004
4 Adie Aulia Perwira 10111910010007
5 Almas Hafizhah 10111910010009
6 Annasia Faza Nadiva 10111910010020
7 Oriza Shafa Ramadita 10111910010025
8 Reihansyach Ardhita Maulana 10111910010026
9 Wira Andini 10111910010027
10 Rewin Ilham Bagus Wicaksono 10111910010028
11 Muhammad Wahyu Firdani 10111910010033
12 Sarah Syafika 10111910010034
13 Bima Aryadhi Syahputra 10111910010036
14 Adetya Rijiyawanto Fajar 10111910010038
15 Anang Yusuf Pratama 10111910010039
16 Zendy Eko Budiarto 10111910010040
17 Thufail Muhammad 10111910010041
18 Azzahra Putri Fidelia Hadju 10111910010043
19 Ane Aulia Destiane 10111910010044
20 Putri Dwi Maharani 10111910010046
21 Kumara Ulya Sari 10111910010047
22 Sonia Indah Nor Yanti 10111910010049
23 Muhammad Rafly Raihan 10111910010051
24 Alifia Diah Febriyanti 10111910010053
25 Bagus Subakti 10111910010054
26 Alvian Rifki Mubarak 10111910010055
27 Bayu Taufik Wahyudi 10111910010056
28 Moch Fenanda Agil Firmansyah 10111910010057
29 Ishak 10111910010058
30 Setyana Shifaul Saidah 10111910010059
31 Dixie Rulanda 10111910010060
32 Rama Baskara Putra Erari 10111910010061
33 Yahya Arif Sutisna 10111910010062
34 Amalia Azizah Hakim 10111910010070
35 Ainun Afifah Tyas Kuntari 10111910010071
36 Dovi Pratama Dion 10111910010072
37 Cindy Rizqi Amelia 10111910010076
38 Fitri Riza 10111910010077
39 Assyifa Nur Adilla 10111910010078
40 Hana Trisnadewi 10111910010081
41 Tasya Azizah Salsabilla M 10111910020002
42 Amalia Hari Cahyanti 10111910020004
43 Alifia Rahmi 10111910020005
44 Genta Alvio Firmansyah 10111910020008
45 Muhammad Nur Rifai 10111910020019
46 Evita Risda Damayanti 10111910020020
47 Dodhy Henri Rachmanto 10111910020022
48 Yanuar Bimantoro Aji 10111910020023
49 Imaduddin Wafi 10111910020025
50 Fakhrudin Naufal Ansori 10111910020026
51 Yoszy Kusuma Wardana 10111910020028
52 Cinta Kasih Ramschie 10111910020029
53 Aviar Yusuf Affendi 10111910020031
54 Gilang Abdul Jabbar 10111910020033
55 Firdaus Laila Ramadhani 10111910020035
56 Imelda Azizah Fitra Lorenza 10111910020036
57 Rillist Rimba Rani 10111910020037
58 Putri Wulandari 10111910020038
59 Dika Khulashotul Lativa 10111910020039
60 Iqbal Muhammed Pahlevi Trisula 10111910020040
61 Sultan Ilham Mahdi 10111910020042
62 Muhammad Sujono 10111910020043
63 Davin Alif Iskandar 10111910020044
64 Muhammad Abi Syamaidzar 10111910020045
65 Akmal Raditya 10111910020046
66 Rosalia Indah 10111910020047
67 Marisa Setyorini 10111910020048
68 Ahmad Faizin Efendi 10111910020049
69 Faiz Kusuma 10111910020050
70 Anugerah Amir Abbad 10111910020051
71 Hafizh Muhammad Rozaan 10111910020052
72 Cahyadi Bayu Nugroho 10111910020053
73 Rahmad Putra Santoso 10111910020055
74 Visy Dwi Octaviany 10111910020056
75 Khoirul Izza Azkiya 10111910020057
76 Ashfi Luthfita Cahyani 10111910020059
77 David Yudha Ardiansyach 10111910020060
78 Naurana Sidaisti Salwa N 10111910020061
 79 Rizky Adinata Pangestu 10111910020064
80 Septayana Ega Pratama 10111910020065
81 Farid Pandu Wijaya 10111910020066
82 Alifani Bima Ananto Putera 10111910020067
83 Gilang Ardianto 10111910020068
84 Ahmad Syahrul Mubarok 10111910020069
85 Salwa Azzahrah 10111910020070
86 Lana Fauziyah 10111910020071
87 Bagas Aryananda 10111910020072
88 Faiz Adifa Prasetio 10111910020073
89 Bima Tridaffa Aditya 10111910020074
90 Naufal Agsa Avadhani 10111910020075
91 Aditya Ramadhana Ragasatti 10111910020076
92 Nurul Hidayati 10111910020077
93 Muhamad Sofian Rehan 10111910020080
94 Rhenima Azzahra Akbar 10211910010001
95 Irvan Trisapta Permana 10211910010002
96 Akbar Satrio 10211910010003
97 Yuniar Aulia Hanifah 10211910010004
98 Fahrur Rossy 10211910010005
99 Fahreza Hafizh Rafif Azmi 10211910010006
100 Galih Sukma Adjie 10211910010007
101 Dhewana Alnafis Han 10211910010008

102 Ramadhany Faishal Tsany 10211910010009

Rahard
103 Daffa Fairuz Izaz 10211910010010
104 M Riza Zakariya 10211910010011
105 Bagus Kharisma Yulianto 10211910010012
106 Arista Tri Kurnia Surin 10211910010013
107 Bagas Paramarta Rofi 10211910010016

108 Odhellia Ines Jane 10211910010017

Pramesty
109 Danendra Nadhif Pramana 10211910010019

110 Muhammad Reduktan 10211910010020

Janki Dausat
111 Aprilia Rizqi Samudra 10211910010022
112 Shafira Aninggar Putri 10211910010023
113 Dyah Hayu Rosyidah 10211910010024

114 Emy Zuraida 10211910010026

Wuryaningrum
115 Immadudin Prima Sudewa 10211910010027
116 Iffanda Putri Wibowo 10211910010030
117 Syaiful Mirza 10211910010032
118 Meganda Mellyana Dewi 10211910010033
119 Muhammad Maftuuh 10211910010034
120 Achmad Dava Al Azzri 10211910010036
121 Muhammad Khoirul Alfan 10211910010038
122 Alan Slamet Rohadi 10211910010039
123 Laode Dynuryhan 10211910010040
124 Danang Dwi Saefulloh 10211910010043
125 Gilang Firmansyah 10211910010044

126 Rahmadina Griyanti 10211910010045

Lestari
127 Tania Ardiyanti Pratama 10211910010046
128 Amanda Evin Muzzaki 10211910010050
129 Cahyo Aji Nugroho 10211910010052
130 Kaylief Tan Abieza 10211910010053

131 Saktiawan Okto Bertha 10211910010054

Agustien
132 Widi Murananta 10211910010056
133 Selo Banyu Ramadhan 10211910010057
134 Urip Kurniadi 10211910010058

135 Muh Dimasromanda 10211910010060

Hidayatullah
136 Fanoki Natri Ananda 10211910010061

137 Gusti Gilang Satrio 10211910010062

Pamungkas
138 Mahdaniar Bellaumi 10211910010064
139 Rizky Ari Maruf 10211910010065
140 Ferdina Ramadhansyah 10211910010066

141 Sekar Syadila Mulyaning 10211910010067

Tias
142 Aristo Ramadhani 10211910010068
143 Athallah Ramadhan 10211910010069
144 Hafid Rahman 10211910010070
145 Fajrian Zahara Salma 10211910010071
146 Nur Muhammad Adi Yahya 10211910010072
147 Said Ath Thaariq Alattas 10211910010073
148 Rizal Ashar Mahendra 10211910000001
149 Moch Bagus Adi Setiawan 10211910000004
150 Rieke Egitha Fiarisky 10211910000007
151 Ghita Tiara 10211910000008
152 Sudirman 10211910000009
153 Muhammad Bayu Ady Prasetyo 10211910000010
154 Alifah Syah 10211910000011
155 Selvario Setia Alfario 10211910000014
156 Andi Mulyanto 10211910000015
157 Fairiza Naghda Biwai 10211910000016
158 Muhammad Faza Revisyah 10211910000017
159 Aznar Fauzan 10211910000020
160 Farah Khosfirah 10211910000021
161 Fajar Putra Cahyadi 10211910000022
162 Ghalib Fakhrizul Akmal 10211910000023
163 Arya Setya Abdillah 10211910000024
164 Fahrizal Thoriq 10211910000025
165 Dimas Althaf Ramadhani 10211910000027
166 Krisna Aristyo Wibowo 10211910000028
167 Muhammad Rozan Garibaldi 10211910000030
168 Raihan Thalita Salsabilah 10211910000032
169 Hamdan Nur Prakosa 10211910000033
170 Akhmad Al Fairuz 10211910000034
171 Agsulikin Kasih Saputra 10211910000036
172 Achmad Yugo Marhadi 10211910000037
173 Nur Afni Wirda Nabila 10211910000038
174 Asyifa Darin Asla 10211910000039
175 Mico Nawa Maulana 10211910000040
176 Khofifah Indah Trisnawati 10211910000043
177 David Armando Saragih 10211910000044
178 Dhimas Bagus Prasetyo 10211910000046
179 Ridwan Bismi Ahmadi 10211910000049
180 Hafiz Sulthon 10211910000050
181 Alvian Rizki Mahesruri 10211910000051
182 Ahmad Yusron Yaqin 10211910000052
183 Bagus Perwira Pratama 10211910000054
184 Figo Anugrah 10211910000057
185 Henry Ageng Magrifan 10211910000058
186 Sayyid Maulana 10211910000059
187 Ilham Mustofa Putra 10211910000060
188 Dhiyamarsa Azhar 10211910000061
189 Dzulkarnaen Radhin Rachman F 10211910000062
190 Titus Vanadio 10211910000063
191 Aprial Iqbal Lubis 10211910000065
192 Muhammad Hasbi Afrizal 10211910000066
193 Muhammad Thoriq Firdaus 10211910000068
194 Muhammad Irsyad Ahnafi 10211910000069
195 Gigih Jalu Winedar 10311910000001
196 Yolanda Putri Rahayu 10311910000008
197 M Zulfikar Romadhoni Samsul 10311910000009
198 Ahsanul Hadi Nugraha 10311910000010
199 Mas Mohammad Tamim 10311910000012
200 Jasmina Azizi Fatiha Rahma 10311910000013
201 Awang Al Rasyid 10311910000014
202 Yayang Rama Fadila 10311910000015
203 Muhammad Abdul Hafizh Salam A 10311910000016
204 Mahendra Kristyan Dhanurendra 10311910000017
205 Rifqi Rizaldi 10311910000019
206 Mukhammad Lizam Syihabuddin 10311910000020
207 Isaac Ronggo Kuswanto 10311910000021
208 Muhammad Arif Maulana 10311910000022
209 Farhan Izzuddin Prasetyo 10311910000023
210 Nicholas Emanuel Gavin P 10311910000024
211 Amanda Putri Erwanto 10311910000026
212 Mohamad Raka Wirakesuma 10311910000028
213 Anelita Risanti 10311910000031
214 Januar Aji Nugroho 10311910000033
215 Mohammad Osama Putra 10311910000034
216 Dicky Reza Darmawan 10311910000036
217 Gilang Aji Pratama 10311910000037
218 Bagas Abiyu Putra 10311910000039
219 Dimas Pufardandi 10311910000041
220 Achlia Dewi Anjani 10311910000042
221 Muzaidin Saputra 10311910000043
222 Bima Bagas Adji Nugroho 10311910000045
223 Mohammad Insanul Kamil P 10311910000048
224 Athala Rafi Revanda 10311910000051
225 Irfan Hamzah Fansyuri 10311910000055
226 Yulfi Arista 10311910000056
227 Muhammad Dwi Prasetyo 10311910000059
228 Elita Indah Cahyani 10311910000060
229 Jalu Iman Fazlurrahman 10311910000061
230 Beni Putra Kurniawan 10311910000063
231 Galih Lia Wulan Agustya 10311910000064
232 Mohammad Rijal Khaqim 10311910000065
233 Ahmad Fauzi 10311910000066
234 Miftahul Arifin 10311910000067
235 Bintang Ramadhan Pambudi 10311910000068
236 Asad Asfihany Tsaqif 10311910000069
237 Isvaldy Ariffitra 10311910000071
238 Dzulkifli Rayyan Rachman F 10311910000072
239 Moch Deny Triatmaja 10311910000073
240 Muhammad Daffa Firyandhika 10311910000075
241 Salsabila Shafwa Azzahra 10311910000076
242 Safira Nurazizah 10311910000077
243 Mohammad Arrohman 10311910000078
244 Syahrani Fildzah Laiasach 10311910000079
245 Nico Maulana 10311910000081
246 Ivan Januardi Rizky Supriyanto 10311910000082
247 Naufal Rizky Toti Pratama 10311910000083
248 Novelia Gita Romadhona 10411910000002
249 Ahmad Dwi Arga 10411910000005
250 Fatima Az Zahra 10411910000006
251 Anisa Tiara Damayanti 10411910000012
252 Baskoro David Berlian 10411910000013
253 Naurah Nahdah Zahrandika 10411910000014
254 Renda Rachmaningtrias 10411910000015
255 Sekar Ajeng Oktaviana 10411910000016
256 Muhammad Duta Albany Satria 10411910000018
257 Ahmad Nezard Dhiaulhaq 10411910000019
258 Anggit Astungkarasatyas 10411910000022
259 Tesa Ulima Zhafira 10411910000023
260 Ridha Kurnia Putri 10411910000024
261 Ramadhani Yusdhaliyanti Anwar 10411910000025
262 Yayan Dwi Putra 10411910000027
263 Ramadhan Firdausy 10411910000028
264 Hanna Mazaya 10411910000029
265 Zahryan Oka 10411910000030
266 Aigah Amelia 10411910000031
267 Siti Alicia Anara 10411910000033
268 Cefiro Martha Yudhistira 10411910000034
269 Arwinata Dhiyaa 10411910000035
270 Aurum Chandra 10411910000037
271 Siti Fatimah Azzahroh 10411910000038
272 Aminati Afiat 10411910000039
273 Deden Eko 10411910000041
274 Rafi Rajfan Hanif 10411910000043
275 Alvionita Adzani Putri 10411910000044
276 Dea Rastra 10411910000045
277 Lulu Sekar Taji 10411910000046
278 Ahmad Rifky Azis 10411910000047
279 Frida Nuraeni 10411910000048
280 Oktavianus Nugroho 10411910000049
281 Khairun Nisa 10411910000050
282 Sunia Rahma 10411910000051
283 Fahri Nailur Rochmat 10411910000052
284 Suprihatin 10411910000053
285 Pramuja Baydillah 10411910000054
286 Windy Anaputri 10411910000055
287 Zel Andersa 10411910000056
288 Shinta Amelia 10411910000057
289 Unieka Miroatul Insana 10411910000058
290 Liwaul Wilayah 10411910000059
291 M Dimas Hafani 10411910000060
292 Tisnuliah Muyassaroh 10411910000061
293 Nurul Aisha 10411910000062
294 M Bagas Ikmal Rifki 10411910000063
295 Ajeng Susanti 10411910000064
296 Vineza O 10411910000065
297 Adinda Lulyta 10411910000067
298 Ahmad Ramadhani 10411910000068
299 Salma Aul 10411910000069
300 Hilmy Dzaky 10411910000070
301 Aurellia Valmai 10411910000071
302 Khairunnisa Afifah A Q 10411910000072
303 Reyhan Ps 10411910000073
304 Erlangga Ardiansyah 10411910000074
305 Hanifah 10411910000077
306 Nesha Permata 10411910000078
307 Sulthon Sidiq Wicaksana 10511910000002
308 Halen Dinata Atmaja 10511910000003
309 Restu Sanjaya Putra 10511910000004
310 Moch. Fikri Romadhon 10511910000005
311 Tri Nanda Apriansyah 10511910000006
312 Ilham Aiman Lutfi 10511910000007
313 Mochammad Zidni Ilman 10511910000008
314 Muhammad Rifqi Febrianto 10511910000009
315 Muhammad Arsy Ringadi 10511910000011
316 Nur Yulia Puspita 10511910000014
317 Faalih Allam 10511910000016
318 Manuntun Jaya Mulia Simangunsong 10511910000017
319 Rivaldi Dwi Pramana Saputra 10511910000018
320 Dimas Akbart Raganata 10511910000019
321 Ahmad Arif Ismail Arroziqi 10511910000020
322 Teuku Syahrian Azril Alamsyah 10511910000021
323 Rendi Yanuar Setiantoro 10511910000022
324 Muh Rayhan Naufal Rafi 10511910000023
325 Muhammad Ikhsanuddin Zein 10511910000025
326 Ervin Darmawan 10511910000026
327 Annisa Dyah Cahyaning Nugraha 10511910000027
328 Pramitha Marsha Budiarsih 10511910000028
329 Wildan Irsa Nugraha 10511910000029
330 Pandu Galih Saputro 10511910000030
331 Dafarik Fildahni 10511910000031
332 Andreas Pratama Putra 10511910000033
333 Ayu Nur Lestari 10511910000034
334 Prayogo Budiman 10511910000035
335 Dewi Cindy Kartikasari 10511910000036
336 Rafli Aji Prabowo 10511910000037
337 Elsa Retno Wulandari 10511910000038
338 Moh. Taufiqurrouf 10511910000039
339 Alfikri Aqil Muqoffli 10511910000040
340 Agung Muhammad Ikhsan A 10511910000041
341 Novi Indah Puspita 10511910000043
342 Muhammad Fawwaz Syarif 10511910000044
343 Delima 10511910000045
344 Dandy Gangga Azis 10511910000047
345 Rizal Alfarizi Suwartana 10511910000048
346 Devi Roro Safitri 10511910000049
347 Idha Nurmalita Sari 10511910000051
348 Figur Febri Dwiyansyah 10511910000052
349 Dyah Ayu Retno Winanrni W 10511910000053
350 Tri Novanto Putro Suhandoko 10511910000054
351 Friska Aprilia Kusuma 10511910000055
352 Alya Kirana Adriyani 10511910000056
353 Bintang Kalahari 10511910000058
354 Albert Kurniawan Wilitricahya 10511910000059
355 Muhammad Zharfan M 10511910000060
356 Mochammad Nizar 10511910000061
357 Alfianudin Achmad Fa 10511910000062
358 Muhammad Fadhul Fhryza 10511910000063
359 Dion Pratama Danendra 10511910000064
360 Dia Ayu Candraningrum 10511910000065
361 Maulina Kartika 10511910000066
362 Moch Yusuf Al Bastomi 10511910000068
363 Difanata Fariz Arthandia 10511910000069
364 Dewi Lailatus Sa'Adah 10511910000071
365 Ibnu Ari Wahyudi 10511910000072
366 Ellen Anjelina S 10511910000073
367 Meidika Ilhami Aditia 10511910000074
368 Yusvita Lailatul Mardiyah 10511910000075
369 Syahrul Akmal 10511910000076
370 Tasya Fadia Choirunnisa 10611910000001
371 Asna Norma Pristika 10611910000002
372 Ahmad Rizqi Perdana Putra Samu 10611910000003
373 Dzauqiyah Khijar Rodhiyah 10611910000004
374 Raihan Daffa Muhammad 10611910000005
375 Salsabila Thufaila Wafi 10611910000006
376 Brilliant Ayang Iswenda 10611910000007
377 Fita Asri Karomah 10611910000008
378 Anjani Silmiya Ummi Najla 10611910000009
379 Muhammad Syafa Tirtana Sanjaya 10611910000010
380 Maria Ulfa Yanuar 10611910000011
381 Nur Hidayatul Nihla 10611910000012
382 Najma Zavira Nisaul Aghni 10611910000013
383 Safadila Oemari Putri 10611910000014
384 Nabila Hanna Rilobestari 10611910000016
385 Mustiko Aji 10611910000017
386 Sonia Rosanti 10611910000018
387 Muhammad Fatich Baharudin 10611910000019
388 Mochamad Rifky Dwi Fani 10611910000020
389 Nucifera Permatasari Sumarsono 10611910000021
390 Daffa Rihhadatul Aisy Maslia 10611910000022
391 Lidwina Galuh Wandira 10611910000023
392 Marsya Salsa Bella Ramadhanti 10611910000024
393 Maharani Callista Shafhah 10611910000025
394 Safira Azizah 10611910000026
395 Sindy Aprilia Arintasari 10611910000027
396 Ayu Adearista Putri 10611910000028
397 Dinda Khusnul Khotimah 10611910000029
398 Rachma Awantina 10611910000030
399 Hanifa Krisdarianti Ramadhani 10611910000031
400 Della Jesica Bilqis 10611910000032
401 Devina Haritsa Carmeilia Sukam 10611910000033
402 Kharis Affandi Ramadhan Syah 10611910000034
403 Andini Mediana Pramita 10611910000035
404 Aulia Rahmah Ramadlana 10611910000036
405 Nabila Lilia Rahmawati 10611910000037
406 Ahmad Thoriq Nur Mahdi 10611910000038
407 Nuzul Widiawati 10611910000040
408 Atika Putri 10611910000041
409 Shaqilla Shafa Imanda 10611910000043
410 Sitta Oktova Rizka Putri 10611910000044
411 Vidmaldhin Nova Viery Umagapi 10611910000045
412 Adhinda Kenzhi Aprilliani 10611910000046
413 Rizke Zuhrotul Latifah 10611910000047
414 Afina Sany Saffana 10611910000048
415 Ikhlasul Ikhwan Wijaya 10611910000049
416 Airlangga Bhara Tantra 10611910000050
417 Muhammad El Izzul Haq 10611910000051
418 Kumara Gilang Bahtiaristanto 10611910000052
419 Fasya Byan Rahmi 10611910000053
420 Beatrik Selvidie Salsabella 10611910000054
421 Zati Adila Nurifa 10611910000055
422 Deti Dea Widya 10611910000056
423 Muhammad Mulyana Wiryawan 10611910000057
424 Aries Abdillah Nasikh 10611910000058
425 Tarissa Yusrina Firdaus 10611910000059
426 Muhammad Abiyyu Asad 10611910000060
427 Yunita Cahyaningtyas 10611910000061
428 Dioda Mevena Ayuhan 10611910000062
429 Devina Cici Wulandari 10611910000063
430 Haritsah Shofiyah Yasmin 10611910000064
431 M Rizqi Amda Insani 10611910000065
432 Nurul Facrotul Umami 10611910000066
433 Nabila Isnaini Febriyanti 10611910000067
434 Anisa Putri Aliya Diana 10611910000068
435 Robiatus Salwa 10611910000069
436 Arsya Auliati Balqist 10611910000070
437 Moch Gasar Agusali 10611910000072
438 Nabiela Rahma Izzaty 10611910000073