SURAT REKOMENDASI

MENGIKUTI PROGRAM BEASISWA YBJ PEMPROV DKI JAKARTA

Yang bertanda tangan di bawah ini:

Nama : Ilah Muhafilah, S.Kep., M.Kes

Jabatan : Ka. Prodi S1 Keperawatan

Instansi : Universitas Mohammad Husni Thamrin

Alamat : Jl. Raya Pd.Gede No.23-25, Dukuh, Kec.Kramat Jati, Kota Jakarta
Timur,Daerah Khusus DKI Jakarta 13550
Telp. : 082112609602

Email : ners.mhthamrin@gmail.com

Memberikan rekomendasi kepada:

Nama : Alan Anggara

NIM : 1032191002

Prodi : S1 Keperawatan

Fakultas : Ilmu kesehatan

Perguruan : Universitas Mohammad Husni Thamrin

Penilaian terhadap calon peserta (isi dengan tanda X)

Kurang Cukup Baik Sangat Baik

Berkelakuan baik

Jujur

Rajin

Kepemimpinan

Integritas

Sehat jasmani dan rohani

Alasan memberikan rekomendasi:

Ketentuan pengisian:
1. Seberapa dekat dengan pelamar;
2. Prestasi yang telah dicapai pelamar beserta aktivitasnya;
3. Alasan memberikan rekomendasi;
4. Boleh menambah lembaran.

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Demikian surat rekomendasi ini dibuat dengan sesungguhnya dan tanpa ada paksaan dari
pihak manapun serta akan dilaksanakan dengan sebagaimana mestinya.

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Pembuat Rekomendasi

(Ka. Prodi)