PEMERINTAH KABUPATEN JEM B ER

BADAN KEPEGAWAIAN DAN PENGEMBANGAN

SUMBER DAYA MANUSIA
JALAN SUDARMAN NO. 1 TELP. (0331) 486361
JEMBER

SURAT TUGAS
Nomor : 8 9 3 . 3 / 414/ 2022

Dasar : Surat Kepala Badan Pengembangan Sumber Daya Manusia Provinsi

Jawa Timur Nomor : 893.5/32738/205.2.3/2022 Tanggal 25 April 2022
Perihal Pemanggilan Calon Peserta Pelatihan Dasar (LATSAR) CPNS dan
Golongan II Tahun 2022.

MENUGASKAN

Kepada : Calon Peserta Pelatihan Dasar (LATSAR) CPNS Golongan II Angkatan

XXIV dan XXV Tahun 2022 Kabupaten Jember sebanyak 80 (delapan
puluh) orang sebagaimana daftar nama terlampir

Untuk : 1. Mengikuti Pelatihan Dasar (LATSAR) CPNS Golongan II Angkatan

XXIV dan XXV Tahun 2022 mulai tanggal 12 Mei s/d 21 Juli 2022
dengan metode Blended Learning;

2. Selama pelaksanaan Pelatihan Dasar (LATSAR) CPNS tersebut harus

dibebastugaskan dari rutinitas melaksanakan tugas jabatan.

Demikian Surat Tugas ini dibuat untuk dilaksanakan dengan penuh

tanggung jawab.

Dikeluarkan : J EMBER
Tanggal : April 2022
A.N. BUPATI JEMBER
KEPALA BADAN KEPEGAWAIAN DAN
PENGEMBAfiGAiiSUMBER DAYA MANUSIA
BUPATEJN MEMBER

INARNO, SH, .P d, M .Si

Pembina Tirigicat I
NIP. 19660215 198602 1 005
 D A F T A R N A M A P E S E R T A P E N D ID IK A N P E L A T IH A N D A S A R ( L A TS A R ) G O L. II C P N S P E M E R IN T A H K A B U P A T E N J E M B E R TA H U N 2022
T A N G G A L 12 Mei s/d 21 Juli 2022

NO NAMA N IP B A R U PANGKAT GOL JA B A TA N U N IT K E R JA

P e la k s a n a / T e r a m p il - P r a n a ta L a b o r a t o r iu m
1 L U K M A N E F E N D I, A .M d . A K 198611282022031001 P e n g a tu r M /c U PT P u s k e s m a s C a k ru
K e s e h a ta n

P e la k s a n a / T e r a m p il - P r a n a ta L a b o r a t o r iu m UPT P uskesm as
2 G A N D H A H E R M A W A N , A .M d . A K 199601252022031002 P e n g a tu r ll/ c
K e s e h a ta n S u m b e r ja m b e

3 S O N Y D W I P R A S E T Y O , A .M d . K e p . 199205252022031005 P e n g a tu r N /c P e la k s a n a / T e r a m p il - P e r a w a t UPT P uskesm as S u k o w o n o

UPT P uskesm as
4 A D E K D E V I P U R N A M A S A R I, A .M d . K e p . 199112272022032002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t
S u m b e r ja m b e

UPT Puskesm as
5 H E N D R A P U JI P U R W A N T O R O , A .M d . K e p 199409052022031002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t
S u m b e r ja m b e

P e la k s a n a / T e r a m p il - P r a n a ta L a b o r a t o r iu m
6 N U R I M A M A Y U N I A N G G E L A W A T I, A .M d . A K 199512142022032007 P e n g a tu r ll/ c UPT P uskesm as L e d o k o m b o
K e s e h a ta n

7 A N A M U F ID A H , A .M d . K e p 198808172022032002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t UPT P uskesm as L e d o k o m b o

8 S U T R I D IA N N O V IT A S A R I, A .M d . K e p 198611222022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t UPT P uskesm as L e d o k o m b o

P e la k s a n a / T e r a m p il - P r a n a ta L a b o r a t o r iu m
9 R O O M A N A B Y A T I F IT R IA H , A .M d .K e s 200001052022032001 P e n g a tu r ll/ c RSD d r . S o e b a n d i
K e s e h a ta n

P e la k s a n a / T e r a m p il - P r a n a ta L a b o r a t o r iu m
10 Y U S R IN A F A R A H A U L IA Z U L F A N Y , A .M d .K e s . 199911032022032002 P e n g a tu r ll/ c U PT P u skesm as S u m b e rb a ru
K e s e h a ta n

11 L IA F A R A H A D IB A H , A .M d .G z 199206062022032002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - N u t r is io n is U P T P u s k e s m a s S u k o r e jo

12 LA ILI T R I H A Y U N IN G SR IPI, A .M d . K e p . 198911062022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U P T P u s k e s m a s S a b ra n g

13 R O N Y H A R IY O N O , A .M d .G z 199809182022031001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - N u t r is io n is UPT P uskesm as M a y a n g

14 D E W I N IS A , A . M d . F a r m . 199502122022032002 P e n g a tu r — Il/e P e la k s a n a / T e r a m p il - A s is te n A p o t e k e r UPT P uskesm as G u m u k m a s

15 S O F I N IN A IH T IA R IN I, A .M d . F a r m . 199204212022032002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - A s is te n A p o t e k e r RSD B a lu n g

16 A N N IS A M E Y S I C A H Y A N IN G R U M , A .M d .K e s . 199805112022032003 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - S a n it a r ia n U P T P u s k e s m a s J e m b e r K id u l

17 B O B Y W A H Y U N U S A N T A R A , A .M d . K e p . 199702042022031002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U P T P u s k e s m a s M u m b u ls a r i

18 M E L Y A H O S T A N T IY A N I, A .M d .K e p .G i 199405072022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - T e r a p is G ig i D a n M u l u t U PT P uskesm as C u ra h n o n g k o

19 F IN D I P R A D A N A , A .M d . K e p . 199901192022031001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U P T P u s k e s m a s T e m p u r e jo

20 R A F IK A N A D IA D E V I, A .M d . K e p . 199810252022032003 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U P T P u s k e s m a s M u m b u ls a r i

P e la k s a n a / T e r a m p il - P r a n a ta L a b o r a t o r iu m
21 S O F IA F A R IS C A , A .M d .K e s 199904262022032001 P e n g a tu r ll/ c U P T P u s k e s m a s A r ja s a
K e s e h a ta n

22 Y O N N A D H E A N Y S A V IT A , A .M d .K e s . 199806172022032004 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r e k a m M e d is U P T P u s k e s m a s A r ja s a

23 A F IF A H N U R J A N A H , A .M d . K e p . 199108062022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U P T P u s k e s m a s A r ja s a

24 A Z IZ A T U N N U R U L A F IF A , A . M d . K e p 198910122022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U P T P u s k e s m a s A r ja s a

25 N O V I N U R P R A T IW I, A .M d .K L 199611022022032002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - S a n it a r ia n U P T P u s k e s m a s M u m b u ls a r i

26 FEBRI P R IA N T1, A .M d . K e b 199102012022032002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - B id a n RSD K a lis a t

27 N IH A Y A T U L M U K A R O M A H , A .M d .K e b . 198906202022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - B id a n RSD K a lis a t

28 S ITI M A S R U R O H , A .M d . F a r m . 199212292022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - A s is t e n A p o t e k e r U P T P u s k e s m a s K a s iy a n

29 VELLA A L D A M A S , A M K G 199511222022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - T e r a p is G ig i D a n M u l u t UPT P uskesm as P uger

30 R IZ K IY A T U L D Y A H R A T N A S A R I, A .M d . K e b 199504042022032003 P e n g a tu r II / c P e la k s a n a / T e r a m p il - B id a n U P T P u s k e s m a s S ilo li

31 R E N A S U C IA R I D U W I U T A M I, A .M d . K e p . 199701102022032003 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U P T P u s k e s m a s S ilo li

32 W ID IW A T I R IN J A N I O C T A V IA , A .M d . K L 199610032022032003 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - S a n it a r ia n U PT P uske sm a s S e m b o ro

33 A L F A N M A H R U S , A .M d . K e p . 199802272022031001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U PT P u ske sm a s K a ra n g d u re n

34 Y U N I A N N U R Y A N T IN I, A .M d . K e b 199006052022032002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - B id a n RSD K a lis a t

35 M U F ID A T U Z Z A H R O , A .M d .G z . 199503202022032004 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - N u t r is io n is RSD K a lis a t

36 R E N I A N G G R A E N I, A . M d . F a r m . 199306052022032002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - A s is t e n A p o t e k e r RSD B a lu n g

37 G IO V A N N I Z, A . M d . F a r m . 199106042022032002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - A s is t e n A p o t e k e r U P T P u s k e s m a s B a n g s a ls a ri

38 S A F IR A A R T A N T I, A .M d .G z . 199808252022032004 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - N u t r is io n is UPT P uskesm as T anggul

39 R IZ K IY A N T O A R IF W IB O W O , A .M d . K e p . 199210072022031001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U P T P u s k e s m a s J e lb u k

40 Y A N IT A D E W I A Y U W A R D A N I, A .M d . K e p 199605042022032002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U PT P u ske sm a s S e m b o ro

41 M O H A M M A D IL H A M A K B A R , A .M d .K e s 199801132022031002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - T e r a p is G ig i D a n M u l u t U P T P u s k e s m a s K a liw a te s

42 N U R U L A IN I, A .M d .K e s . 199711082022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r e k a m M e d is UPT Puskesm as M a ya n g

43 S H IF W A T U L J A Y Y ID A H L U T H F I, A . M d . K e p . 199909072022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t UPT P uskesm as P uger

44 O G H I F E B R IA N T O , A .M d .K e p . 199902072022031001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U P 1 P u s k e s m a s s i lo i

45 A L IF IA C A H Y A N IN G R A M A D A N I, A .M d .K e s . 199901102022032004 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r e k a m M e d is U P T P u s k e s m a s S u k o r e jo
 UPT P uskesm as
46 E N D A H N IA N S U R Y A N IN G T Y A S , A .M d .K .G . 198705012022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - T e r a p is G ig i D a n M u l u t
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47 D E W I R A T IH A N D A L A S A R I, A .M d .G z . 198706012022032002 P e n g a tu r 11/c P e la k s a n a / T e r a m p il - N u t r is io n is U P T P u s k e s m a s K la ta k a n

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48 D E S IT H A M A Y A N G R A M A D H A N T I, A .M d .K e s 199912282022032002 P e n g a tu r ll/ c U P T P u s k e s m a s B a lu n g
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49 T R IA O K T A N A N D A N O O R F A T T A H , A .M d .G z . 199610302022031001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - N u t r is io n is U P T P u s k e s m a s P a le ra n

50 A K H M A D P E R M A D I S Y U K U R , A .M d . R a d 199108102022031003 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - R a d io g r a f e r RSD K a lis a t

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51 A S T IK A P R A W A S D I, A .M d . A K . 199608262022032002 P e n g a tu r ll/ c RSD K a lis a t
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52 A N IL F A U Z IA H , A .M d . K e b 199006062022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - B id a n U PT P uskesm as C u ra h n o n g k o

53 S IN T A W ID Y A S A R I, A .M d .G z . 200003012022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - N u t r is io n is RSD K a lis a t

54 A N G G U N D E W I LE S T A R I, A .M d . K e p 198808212022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U P T P u s k e s m a s K a s iy a n

55 P R IT A S A R I, A .M d . R a d . 199509262022032003 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - R a d io g r a f e r RSD K a lis a t

56 W A H Y U S E TY A B U D I, A .M d . K e p 198910192022031001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U PT P uskesm as S u m b e rb a ru

57 UN V IT R IA N I, A .M d . K L 199405122022032001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - S a n it a r ia n U P T P u s k e s m a s M a n g li

58 S H A N IA N U R R O H M A T U L IZ Z A H , A .M d .G z . 199811222022032002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - N u t r is io n is UPT P uskesm as G u m u k m a s

P e la k s a n a / T e r a m p il - P r a n a ta L a b o r a t o r iu m
59 T IF A N I Y E G A PRIZK1, A .M d . A K 199606292022032003 P e n g a tu r ll/ c U P T P u s k e s m a s P a tr a n g
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60 RYZKI D W I P U S P IT A S A R I, A . M d . Kes. 199703042022032002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - S a n it a r ia n U P T P u s k e s m a s P a tr a n g

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63 A G U N G J A N U A R I, A . M d . K e p 199301042022031001 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t UPT P uskesm as A n d o n g s a ri

P e la k s a n a / T e r a m p il - P r a n a ta L a b o r a t o r iu m
64 A S T R ID C L A U D IA W IN A N D Y , A .M d . A K 199604162022032002 P e n g a tu r ll/ c UPT Puskesm as T anggul
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UPT P uskesm as
65 T IK O A R M A N S A H , A .M d . K e p 198706152022031003 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t
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U P T P u s k e s m a s G la d a k
71 A Y U N U R U L H U D A , A .M d .K e s 199807122022032004 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - S a n it a r ia n
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72 F A R IE Z S E T IA W A N , A .M d . K e p 199510022022031002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U PT P u ske sm a s S e m b o ro

73 SRI IN D A L U T J A T I, A .M d . K e p . 199803042022032004 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t UPT P uskesm as K encong

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75 D Y A H L IU S S U R Y A N I, A .M d . F a r m . 199701292022032002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - A s is t e n A p o t e k e r U P T P u s k e s m a s K la ta k a n

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77 M O N E IK H E R L IN A P U R I, A .M d . K e p . 199507122022032002 P e n g a tu r ll/ c P e la k s a n a / T e r a m p il - P e r a w a t U P T P u ske sm a s K a ra n g d u re n

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UPT P uskesm as
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