Professional Documents
Culture Documents
IDENTITAS DIRI
Nama
Alamat
No. Telp.
Program Studi
Pengalaman Organisasi :
1
......................................................................................................
......................................................................................................
......................................................................................................
......................................................................................................
......................................................................................................
SALAM PEMBUKA
Kami atas nama Keluarga Besar Sekolah Tinggi Ilmu Kesehatan
Nahdlatul Ulama Tuban, mengucapkan selamat datang dikampus Sekolah
Tinggi Ilmu Kesehatan Nahdlatul Ulama Tuban.
Semoga kedatangan anda sebagai mahasiswa dapat memperkokoh
persatuan dan kesatuan keluarga besar ini.
DAFTAR ISI
SALAM PEMBUKA
SAMBUTAN DIREKTUR STIKES NU TUBAN
DAFTAR ISI
PANDUAN PENGENALAN MOKA
PENYELENGGARAAN MOKA
JANJI PESERTA MOKA
TATA TERTIB MOKA
SUSUNAN PANITIA MOKA
VISI DAN MISI STIKES NU TUBAN
STRUKTUR ORGANISASI STIKES NU TUBAN
STRUKTUR ORGANISASI BEM
STRUKTUR ORGANISASI HIMA PRODI
AD/ ART BEM
AD/ ART HIMA PRODI
JADUAL MOKA
LAMPIRAN
PENYELENGGARAAN MOKA
STIKES NAHDLATUL ULAMA TUBAN
T.A. 2014/2015
A. Latar Belakang.
Penyelengaraan Program D-3 Kebidanan dan S-1 Keperawatan
mempunyai tanggung jawab untuk mempersiapkan mahasiswa
menjadi tenaga kesehatan yang professional guna mengemban tugas
dan melaksanakan pembangunan kesehatan. Masa Orientasi Kampus
(MOKA) mempunyai makna yang penting dalam mempersiapkan
mahasiswa sedini mungkin terhadap kehidupan kampus sebagai
prakondisi yang sangat menunjang keberhasilan pembelajaran
dilingkungan barunya, keterlibatan mahasiswa sejak awal sebagai
pelaku utama dalam pendidikan dapat mempercepat proses perubahan
dan pertumbuhan pribadinya dalam Perirasa, Periakal, dan Perilaku
yang diharapkan.
Adapun pedoman sebagai dasar pengaturan penyelengaraan Masa
Orientasi Kampus (MOKA) bagi pendidikan tenaga kesehatan
adalah:
1. Undang Undang No 23 Tahun 1992 Tentang kesehatan.
2. Peraturan Pemerintah No 30 tahun 1990 tentang Pendidikan
Tinggi
3. Peraturan Pemerintah No 32 tahun 1996 tentang Tenaga
Kesehatan
4. Keppres No 34 tahun 1972 tentang Wewenang Pembinaan
Pendidikan dan Latihan.
5. Keputusan Menteri Pendidikan dan Kebudayaan No 0125/U/1979
tentang Penertiban Upacara Penerimaan Mahasiswa dan Siswa
Baru dalam rangka Masa Orientasi Kampus (MOKA)
B. Tujuan
1. Tujuan Umum.
Terciptanya suasana yang serasi dalam proses pembelajaran
sehingga tujuan pendidikan tenaga kesehatan dapat tercapai
secara berhasil guna dan berdaya guna.
2. Tujuan Khusus
a. Mempersiapkan Fisik, mental, social dan cultural mahasiswa
baru dalam memasuki kehidupan dan lingkungan
pembelajaran baru.
b. Mengantar mahasiswa baru mengenal, memahami dari
lingkungan pembelajaran baru
c. Medorong minat dan mengembangkan bakat mahasiswa
melalui:
1) Apresiasi Seni dan Gaya
2) Kegiatan Olahraga dan Karya Nyata
3) Pengenalan Fasilitas dan Sarana Pendidikan.
C. Materi
1. Materi dasar
Paradigma Sehat tahun 2015
2. Materi Inti :
a. Sistem pendidikan di perguruan tinggi.
b. Managemen dan Organisasi dan Etika profesi
c. Kurikulum Perguruan Tinggi
d. Rumah sakit sebagi lahan praktek
e. Struktur Organisasi NU
f. Visi dan misi STIKES NU Tuban.
g. Manajemen Qolbu / Siraman Rohani
h. Menuju STIKES NU Tahun 2015
2)
Peserta
2. Peserta MOKA adalah semua mahasiswa baru
3. Mahasiswa lama yang belum mengikuti MOKA
4. Mahasiswa lama yang dinyatakn belum berhasil mengikuti
MOKA
Panduan MOKA STIKES NU Tuban 2014
10
1.
2.
3.
4.
1)
Metode
Ceramah, Tanya jawab.
Simulasi
Diskusi
Praktek
2)
Nara Sumber
5. Ketua PCNU Cabang Tuban
6. Ketua Senat STIKES NU Cabang Tuban
7. Ketua STIKES NU Tuban.
8. Direktur RS. Nahdlatul Ulama Tuban
9. Ketua PPNI Kabupaten Tuban
10. Ketua IBI Cabang Tuban
11. Panitia MOKA STIKES NU Tuban
1) Tempat Kegiatan
Kampus STIKES NU tuban
2) Pendanaan
12. Sumber dana diperoleh dari Swadana mahasiswa
13. Alokasi Dana :
- Nara Sumber
- Keperluan Administrasi
- Konsumsi
2) Kepanitiaan
1. Penanggung jawab
2. Ketua
3. Sekretaris
4. Bendahara
5. Dekorasi dan perlengkapan
6. Acara
7. Dokumentasi
8. Konsumsi
Panduan MOKA STIKES NU Tuban 2014
11
9. Evaluasi
3) Evaluasi dan pelaporan
14. Evaluasi
a. Prestasi Peserta MOKA :
Catatan kehadiran
Kedisiplinan
Kreatif yang positif
Keberhasilan pemahaman.
b. Evaluasi terhadap semua peserta
c. Penyampaian hasil evalusi
d. Pencapaian prestasi
e. Pemberian sertifikat
15. Laporan
a. Wajib lapor kepda Pimpinan Institusi STIKES NU Tuban
b. Isi laporan:
Proses penyelengaraan
Evaluasi penyelengaraan
Lain lain :
- Factor penunjang dan penghambat
- Saran perbaikan bentuk bentuk sangsi
c. Lampiran jumlah peserta kepanitiaan, Criteria Kelulusan.
D. Sesuai Ketentuan
Belum lulus MOKA tidak diperkenankan ikut ujian akhir.
12
TINGGI
ILMU
KESEHATAN
NAHDLATUL
13
TATA TERTIB
MASA ORIENTASI KAMPUS (MOKA)
A. PESERTA
1. Peserta moka harus mematuhi dan menjalankan peraturan dan
ketentuan yang berlaku dari panitia.
2. Peserta MOKA harus datang 15 menit sebelum jadwal kegiatan
dimulai.
3. Peserta yang diantar max sampai 200 m dari pintu gerbang
kampus dan atribut harus sudah terpakai lengkap.
4. Selama kegiatan berlangsung peserta diharuskan memakai atribut
yang ditentukan panitia.
5. Sebelum kegiatan MOKA selesai, peserta dilarang untuk
meninggalkan tempat kegiatan tanpa seijin panitia.
6. Peserta MOKA tidak diperkenankan memakai perhiasan ataupun
asesoris kecuali jam tangan.
7. Peserta MOKA dilarang berkuku panjang ataupun memakai cat
kuku.
8. Peserta MOKA dilarang merokok, minum-minuman keras dan
mengkonsumsi NAPZA.
9. Peserta MOKA tidak diperkenankan membawa benda tajam dan
yang membahayakan.
10. Selama kegiatan peserta dilarang mengaktifkan dan
mempergunakan hp, atau alat telekomunikasi lainya.
11. Selama kegiatan berlangsung, peserta dilarang membuat gaduh,
atau keramaian.
12. Peserta diharapkan menggunakan Bahasa Indonesia yang baik
dan benar selama berkomunikasi.
13. Diharuskan bersikap saling menghormati dan menghargai sesama
peserta MOKA.
14. Apapun yang dikatakan dan diperintahkan panitia adalah benar
dan ada rasionalnya.
14
B. PANITIA
1. Panitia moka harus mematuhi dan menjalankan peraturan dan
ketentuan yang berlaku dan telah disepakati bersama
2. Panitia MOKA harus datang 30 menit sebelum jadwal kegiatan
dimulai
3. Selama kegiatan berlangsung panitia diwajibkan memakai
almamater dan tanda pengenal panitia
4. Jika panitia berkenan tidak mengikuti dan meninggalkan sebelum
kegiatan selesai, harus ijin dengan alasan yang jelas terhadap
ketua panitia
5. Panitia MOKA tidak diperkenankan memakai perhiasan ataupun
asesoris kecuali jam tangan.
6. Panitia MOKA dilarang merokok serta melakukan tindakan yang
merugikan dan
mempermalukan.
7. Panitia MOKA diharap menggunakan Bahasa Indonesia yang baik
dan benar selama berkomunikasi.
8. Panitia dilarang memakai HP saat mengkoordinir kegiatan di
hadapan peserta.
9. Panitia dilarang membuat forum sendiri di tempat dan disaat
kegiatan MOKA berlangsung
10. Diharuskan bersikap saling menghormati dan menghargai sesama
panitia MOKA.
15
SUSUNAN PANITIA
ORIENTASI STUDI PENGENALAN KAMPUS (MOKA)
STIKES NAHDLATUL ULAMA TUBAN
TAHUN AKADEMIK 2014/2015
Pelindung
Penasehat
1. Kaprodi S1 Keperawatan
2. Kaprodi D3 Kebidanan
Penanggung Jawab
1. Koord. (II) S-1 Keperawatan
2. Koord. (II) D-3 Kebidanan
Ketua BEM
: Agung Novianto
Ketua Umum
Ketua Pelaksana
Sekretaris I
Sekretaris II
: Anike Febritasari
: Hazhiya Nabila
Bendahara I
Bendahara II
Seksi Acara
16
Seksi Humas
Seksi Pubdekdok
Seksi Perlengkapan
: M. Thobib Shobari
Tofan Bagus S.
Siti Layinatul N
Titin Indraningsih
M. Syaifudin
Seksi Konsumsi
: Leni Marliana
Khoifah
Eriska Ika Puspita
Ulfatus Harisna
Feri Firmansyah
Fajar Dian Rimba
Nailas Saadah
Seksi Kesehatan
Seksi Keamanan
17
2.
18
19
kegiatan
pengabdian
yang
bertujuan
untuk
20
STRUKTUR ORGANISASI
SEKOLAH TINGGI ILMU KESEHATAN
NAHDLATUL ULAMA TUBAN
T.A. 2014 / 2015
1.
2.
3.
M.Kes.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Pembantu Ketua I
: Muntari, SKM
Pembantu Ketua II : Dwi Rukmasanti, SST, M.Kes
Pembantu Ketua III : Yoana Widyasari, SST
Pembantu Ketua IV : Kusno Ferianto, S.Kep., Ns. MM
Ketua LPPM
: Aris Puji Utami, SST.M.Kes.
Ketua PJM
: Sunanita, S.Kep. Ns.M.Kes.
Ka. Bag. UPT
: Ikha Holan Y, S.Pd.
Ka Prodi. S-1 Keperawatan : Nurus Safaah, SST, M.Kes
Ka Prodi. D-3 Kebidanan
: Eva Silviana R,
SST, M.Kes
13.
Ka Prodi Ners
: M Nurhadi, S.Kep.
Ns.MM
14.
Sekprodi S-1 Keperawatan : Nurul Kartika, S.Kep., Ns.
15.
Sekprodi D-3 Kebidanan
: Mariyatul Qiftiyah,
SST
16.
Sekprodi Ners
: Hamidatus Daris, S.Kep.
Ns
17.
Koord. (I) S-1 Keperawatan : Lukman Hakim, S.Kep.,
Ns.
18.
Koord. (II) S-1 Keperawatan : Karyo, S.Kep., Ns., MM
19.
Koord. (I) D-3 Kebidanan
: Erna Eka W, SST
20.
Koord. (II) D-3 Kebidanan : Dwi Kurnia, S.Keb., Bd.
21.
Bag. Kepeg dan Umum
: Sugiyono, S.Pd.,
MM
Panduan MOKA STIKES NU Tuban 2014
21
22.
23.
BAAK
Bag. Keuangan
Amd.Keb
24.
25.
PJ Perpustakaan
PJ Laboratorium
: Siti Muzaidah, SE
: Nur Cholila,A.Md.,
Keb.
22
STRUKTUR ORGANISASI
BADAN EKSEKUTIF MAHASISWA (BEM)
STIKES NU TUBAN MASA JABATAN 2014/2015
Ketua
Sekretaris
Bendahara
Puket I Bidang Diklat
Puket II Bidang KKM & Olahraga
Puket III Bidang Kerohanian
Puket IV Bidang Kewirausahaan
: Agung Novianto
: Intan Indah
: Santi Ayu Rahmawati
: Jawara Geger Randy Pratama
: M. Syaifuddin
: Siti Layinatul Nimah
: Ria Nur Rosyidah
23
Ketua
Wakil Ketua
Sekretaris
Bendahara
Sekbid Diklat
1. Fajar Dian Rimba
2. Rianto Adi T.
Sekbid Kerohanian
1. M. Thobib Shobari
2. Mila Nur Fadhilah
Sekbid Kesenian Dan Kreativitas Mahasiswa
1. Gilang Dalas
2. Leni Marliana
Sekbid Olahraga
1. M. Itkon Sahara
2. Ferry Firmansyah
Sekbid Usaha
1. Akhmad Bin Sholeh Baagil
2. Elsa Nandha Prahesti
Sekbid Kesejahteraan
1. Nadia Nur Afifah
2. Lala Ilmiyatul Luluah
Panduan MOKA STIKES NU Tuban 2014
24
: Titin Indraningsih
: Hazhiya Nabila
: Naylas Saadah
: Hilda Mursyidah
: Sri Widati
: Eka Selvi
Sub Bidang
1. Sie Kerohanian
- Lissaadatin Nisai
- Ulfatus Harisna
2. Sie Olahraga dan Kesenian
- Putri Khoirun Nisa
- Faiqotin
3. Sie Diklat
- Santy Ayu R
- Ainun Septiana
4. Sie Kesehatan
- Khoifah
- Eriska
5. Sie Bidang Usaha
- Rima Muzayana
- Rohmani Sapta Dewi
- Diyan Lumal
25
ANGGARAN DASAR
BADAN EKSEKUTIF MAHASISWA
STIKES NAHDLATUL ULAMA TUBAN
MUKADIMAH
Dengan mengucap syukur atas nama Allah SWT, kami keluarga
besar mahasiswa STIKES Nahdlatul ulama Tuban membentuk suatu
organisasi institusional yang kami beri nama Badan Eksekutif
Mahasiswa STIKES Nahdlatul Ulama Tuban Yang berdasarkan
pancasila dan UUD 1945.
BAB 1
NAMA ORGANISASI
Pasal 1
Organisasi bernama Badan Eksekutif Mahasiswa STIKES
Nahdlatul Ulama Tuban Yang disingkat BEM
BAB II
KEDUDUKAN
Pasal 2
1.
2.
26
BAB III
DASAR ORGANISASI
Pasal 3
Dasar Organisasi adalah visi dan misi STIKES Nahdlatul Ulama
Tuban yang berlandaskan pancasila dan UUD 1945
BAB IV
TUJUAN
Pasal 4
1.
27
28
Pasal 10
Arti lambang
A. Gambar bola dunia
melambangkan tempat hidup, tempat berjuang, dan beramal di
dunia ini dan melambangkan pula bahwa asal kejadian manusia
itu dari tanah dan akan kembali ke tanah.
B. Gambar tangan berjabat tangan
Panduan MOKA STIKES NU Tuban 2014
29
C.
D.
E.
F.
G.
H.
I.
1.
a.
b.
c.
d.
30
1.
a.
berlaku
b.
31
a.
Rapat paripurna
Diadakan
a.
sekali dalam setahun
b.
Merupan
puncak dari segala rapat BEM
c.
Mempunyai
hak tertinggi dalam pangambilan keputusan
2.
Rapat Khusus
Diadakan
bila ada masalah khusus yang perlu segera diatasi
b.
Minimal
dihadiri oleh pengurus inti dan koordinator seksi
c.
Bila rapat
mengalami macet, bisa dihentikan dan kemudian dikonsultasikan
ke Puket kemahasiswaan
d.
Hasil rapat
dianggap sah apabila disetujui oleh 85% pengurus
a.
3.
32
sumber keuangan :
a.
Iuran mahasiswa STIKES NU Tuban
b.
Sumbangan khusus atau insidental dari luar
BAB XIII
HAK PREROGERATIF PRESIDEN
Pasal 15
1.
2.
BAB XIV
LAIN-LAIN
Pasal 16
1.
2.
33
34
35
BAB III
PEMBAGIAN TUGAS
Pasal 3
1.
Presiden
Bersama pengurus inti membentuk
a.
RKT
b.
Sekretaris
Bertanggung jawab atas administrasi
a.
BEM
b.
Bendahara
a.
Menertibkan keuangan bulanan organisasi
b.
Menghimpun dana, mencatat dan menyerahkan laporan keuangan
dari iuran anggota ke Puket STIKES NU
36
c.
Bendahara berhak mengeluarkan uang atas ijin / persetujuan dari
presiden
d.
Membuat laporan keuangan dan mempertanggung jawabkan melalui
presiden kepada BEM
4.
Puket
a. Bertanggung jawab membantu Presiden sesuai dengan bidang
yang diemban
b. Membuat laporan kerja sesuai dengan bidang yang diemban
c. Memantau laporan kegiatan Himpunan Mahasiswa dari masingmasing Program Studi sesuai dengan bidang yang diemban
BAB IV
KEPANITIAAN
Pasal 4
1.
Kegiatan yang
ada di bawah BEM dibentuk, dibubarkan, dan bertanggung jawab
kepada departemen yang membidanginya
2.
Dibentuk dari
pengurus BEM dari anggota selain presiden
BAB V
MASA JABATAN
Pasal 5
1.
37
2.
1.
2.
38
1.
2.
3.
4.
5.
6.
39
Pasal 12
1. Rapat pengurus diadakan setiap ada kegiatan dan sebulan 1 kali
2. Rapat anggota paripurna diadakan setahun sekali
3. Dalam keadaan darurat dianggap perlu mengadakan rapat
istimewa atas usul minimal 50% anggota
BAB XIII
KEUANGAN
Pasal 13
1. Keuangan diperoleh dari Iuran semua anggota BEM yang
besarnya ditetapkan oleh pengurus
2. Keuangan digunakan untuk kepentingan peningkatan kinerja
BEM
3. Keuangan digunakan biaya operasional
BAB XIV
PENUTUP
Pasal 14
Hal-hal yang belum diatur dalam AD/ART akan diatur tersendiri
dalam aturan tambahan atau addendum yang dikeluarkan sebagai
keputusan rapat anggota paripurna yang disetujui oleh Ketua STIKES
NU Tuban
40
41
ANGGARAN DASAR
HIMPUNAN MAHASISWA S-1 KEPERAWATAN
STIKES NU TUBAN (HIMKANU)
PERIODE 2014/2015
ANGGARAN DASAR
MUKADIMAH
Dengan mengucap syukur atas rahmat Allah SWT, kami keluarga besar
mahasiswa STIKES NU TUBAN membentuk suatu
organisasi
institusional yang kami beri nama HIMKANU Himpunan Mahasiswa
Keperawatan STIKES NU Tuban yang berdasarkan Pancasila dan UUD
1945.
BAB I
NAMA ORGANISASI
Pasal 1
Organisasi bernama Himpunan Mahasiswa Keperawatan STIKES
NU Tuban yang disingkat HIMKANU Prodi S1 Keperawatan STIKES
NU Tuban.
BAB II
KEDUDUKAN
Pasal
1. Alamat Organisasi ini berada di kampus B, Jln. Letda Sucipto No
211 Tuban.
2. Himpunan Mahasiswa (HIMA) ini berdiri pada tanggal 26
September 2008 dengan anggaran dasar dan anggaran rumah
tangga yang telah disahkan.
3. Himpunan Mahasiswa Keperawatan STIKES NU Tuban
(HIMKANU) ini berdiri pada tanggal 22 Januari 2011 dengan
anggaran dasar dan anggaran rumah tangga yang telah disahkan.
Panduan MOKA STIKES NU Tuban 2014
42
BAB III
DASAR ORGANISASI
Pasal 3
Dasar Organisasi adalah visi dan misi HIMKANU yang berpedoman
pada visi dan misi STIKES NU Tuban yang berlandaskan Pancasila dan
UUD 1945.
BAB IV
VISI DAN MISI ORGANISASI
Pasal 4
VISI:
Menjadikan HIMKANU sebagai organisasi yang maju, berkembang,
berprestasi dan professional yang berlandaskan aqidah islam ahlussunah
wal-jamaah
MISI :
1. Mengembangkan segala potensi yang ada di HIMKANU
berdasarkan Iptek dan Imtaq
2. Mengharumkan nama STIKES NU Tuban ke tingkat kabupaten,
provinsi, maupun nasional dengan segala prestasinya.
BAB V
TUJUAN
Pasal 5
1. Membentuk Mahasiswa yang berpancasila melalui pembinaan
mental sosial bagi anggota HIMKANU
2. Membentuk Mahasiswa yang profesional dengan mendukung
sepenuhnya visi dan misi HIMKANU
43
BAB VI
SIFAT ORGANISASI
Pasal 6
Merupakan organisasi non-politik, tidak dipengaruhi dan terkait pada
ideologi di luar Pancasila maupun golongan atau partai apapun di dalam
maupun di luar negeri.
BAB VI1
KEWAJIBAN
Pasal 7
1. Meningkatkan mutu sumber daya manusia Mahasiswa STIKES
NU Tuban dalam IPTEK dan Etika Umum Kesehatan dengan
memberikan kesempatan secara luas untuk mengikuti kegiatan
baik intern maupun ekstern.
2. Membantu meningkatkan pegetahuan secara menyeluruh
termasuk mental sosial dan spiritual yang tidak bertentangan
dengan tata tertib akademik.
3. Semua peraturan STIKES NU Tuban yang berlaku baik tertulis
maupun tidak tertulis agar ditaati oleh semua pengurus dan
anggota HIMKANU
4. Memfasilitasi inspirasi dan aspirasi seluruh anggota HIMKANU
5. Menjaga nama baik serta menjunjung tinggi martabat alamamater
dalam keadaan apapun.
BAB VIII
SUSUNAN ORGANISASI HIMKANU
Pasal 8
1.
2.
3.
4.
Pelindung
Penasihat
Penanggung Jawab
Majelis Pembina HIMKANU (MPH)
44
5. Pengurus Inti :
a. Ketua
b. Wakil Ketua
c. Sekretaris 1
d. Sekretaris 2
e. Bendahara 1
f. Bendahara 2
g. Seksi Bidang :
- Pendidikan dan Pelatihan
- Usaha
- Kesenian dan Kreativitas Mahasiswa
- Kerohanian dan Budi pekerti
- Keolahragaan
- Kesejahteraan dan Kesehatan
6. Anggota
BAB IX
PENGURUS HIMKANU
Pasal 9
1. Pengurus HIMKANU adalah seluruh Mahasiswa Prodi S1
Keperawatn tingkat I, II dan III yang pernah mengikuti moka dan
dinyatakan lulus dalam seleksi perekrutan Pengurus HIMKANU
2. Calon ketua dan Wakil ketua dipilih oleh partai yang sudah
ditetapkan
3. Ketua HIMKANU dipilih langsung oleh seluruh anggota
HIMKANU melalui voting yang dilaksanakan oleh panitia
pelaksana.
4. Kepengurusan HIMKANU yaitu sekretaris, bendahara, dan seksi
bidang dipilih melalui musyawarah pengurus HIMKANU.
5. Susunan kepengurusan HIMKANU sebagai berikut :
a. Pelindung : Ketua STIKES NU Tuban
b. Penasihat : Kaprodi S1 keperawatan
c. Penanggung jawab : Koordinator II bidang Kemahasiswaan
d. Majelis Pembina HIMKANU (MPH)
Panduan MOKA STIKES NU Tuban 2014
45
e. Pengurus inti
f. Seksi bidang
6. Masa jabatan pengurus HIMKANU adalah 1 tahun
7. Pengurus HIMKANU maksimal berjumlah 35 mahasiswa.
BAB X
ANGGOTA HIMKANU
Pasal 10
Anggota HIMKANU adalah seluruh Mahasiswa program studi S1
keperawatan STIKES NU Tuban.
BAB XI
JOB DISKRIPTION PENGURUS INTI HIMKANU
Pasal 11
1. Kewajiban
a. Membantu jalannya proses pembelajaran dalam mencapai
tujuan dengan mengajak para mahasiswa untuk belajar
secara serius menuju profesionalisme.
b. Mempererat rasa persaudaraan, kekeluargaan dan
membina rasa loyalitas Mahasiswa terhadap almamater
c. Meningkatkan mutu SDM Mahasiswa program studi S1
keperawatan STIKES NU Tuban dalam IPTEK dan etika
ilmu kesehatan untuk mengikuti kegiatan baik intern
maupun ekstern
d. Menampung dan menyalurkan aspirasi positif dari anggota
ke koordinator kemahasiswaan.
e. Mentaati AD dan ART serta semua peraturan Program
studi S1 keperawatan STIKES NU Tuban
f. Menjaga, membina dan menjunjung tinggi nama baik serta
martabat almamater dalam keadaan apapun
g. Mengelola semua inventaris yang dimiliki HIMKANU
program studi S1 Keperawatan STIKES NU Tuban
Panduan MOKA STIKES NU Tuban 2014
46
2. Wewenang
a. Mengadakan pertemuan yang bersifat persaudaraan antara
pengurus dan senior HIMKANU program studi S1
keperawatan STIKES NU Tuban
b. Menyampaikan usul studi banding dengan proposal yang
jelas kepada koordinator bidang kemahasiswaan
c. Ikut serta secara aktif dalam MOKA (Masa Orientasi
Kampus) bagi mahasiswa baru.
3. Tanggung Jawab
a. Mempertanggung jawabkan jalannya organisasi
b. Mempertanggung jawabkan administrasi dan keuangan
HIMKANU
c. Mempertanggung jawabkan tercapainya program kerja
tahunan secara efektif dan efisien
d. Mempertanggung jawabkan kehidupan kampus yang
damai dan akademik
BAB XII
KEWAJIBAN DAN HAK PENGURUS
Pasal 12
1. Kewajiban Anggota
a. Taat pada aturan pendidikan dan HIMKANU yang berlaku
b. Membayar iuran secara periodic persemester
c. Memiliki Kartu Tanda Mahasiswa program studi S1
Keperawatan STIKES NU Tuban
d. Setiap Mahasiswa dikenakan sanksi bila kelengkapan
atribut Mahasiswa tidak lengkap misal, celana dikenakan
denda Rp 5.000 dan untuk pin serta papan nama
dikenakan denda Rp 1.000
e. Setiap Mahasiswa tingkat I,II dan III diwajibkan
mengikuti 1 ekskul.
2. Hak Anggota
Panduan MOKA STIKES NU Tuban 2014
47
BAB XIII
Panduan MOKA STIKES NU Tuban 2014
48
KEUANGAN
Pasal 14
1. Sumber keuangan :
a. Iuran periodic per semester dari anggota
b. Sumbangan khusus atau insidental dari luar/donator
2. Penyaluran Keuangan
a. Total sumber keuangan di salurkan untuk (
) diberikan
HIMKANU program studi S1 keperawatan untuk semua
kegiatan dan operasional dan diberikan ( ) kepada BEM
STIKES NU Tuban untuk operasional
BAB XIV
HAK KETUA HIMKANU
Pasal 15
1. Berhak mengajukan nama-nama calon pengurus HIMKANU
program studi S1 keperawatan STIKES NU Tuban
2. Berhak mengambil keputusan dalam keadaan darurat atas
persetujuan kaprodi dan kemahasiswaan
BAB XV
LAIN-LAIN
Pasal 16
1. Revisi Anggaran dasar
2. Kebutuhan akan revisi/perubahan AD diadakan rapat paripurna
atau rapat khusus
BAB XVI
Panduan MOKA STIKES NU Tuban 2014
49
Pasal 17
1. Hal-hal yang salah satu atau kurang sempurna pada pasal-pasal
anggaran akan dibetulkan atau disempurnakan sebagaimana
mestinya
2. Hal-hal yang belum diatur dan belum jelas pada anggaran dasr
akan dijabarkan dalam anggaran rumah tangga.
50
51
BAB III
PEMBAGIAN TUGAS
Pasal 3
1. Ketua
a. Bersama pengurus inti membentuk RKT (Rencana Kegiatan
Tahunan)
b. Mengkoordinir kerjasama yang baik antar pengurus,
khususnya dalam proses kegiatan
c. Menjalin koordinasi dengan presiden BEM STIKES NU
TUBAN
d. Mempertanggung jawabkan kepada Koordinator II bidang
Kemahasiswaan tentang seluruh kegiatan yang telah
dilaksanakan selama satu tahun
e. Mempertanggung jawabkan setiap kegiatan secara tidak
langsung apabila berhalangan kepada Koordinator II bidang
Kemahasiswaan
f. Menunjuk untuk mengisi kekosongan staf kepengurusan yang
bersifat sementara dan pertanggungjawabannya kepada rapat
anggota
2. Wakil Ketua
a. Mewakili ketua saat berhalangan
b. Membantu ketua dalam melaksanakan kegiatan HIMKANU
3. Sekretaris
a. Bertanggung jawab atas administrasi HIMKANU
b. Membuat serta menandatangani surat keluar yang diketahui
oleh ketua
c. Membuat laporan kerja mengenai organisasi untuk
disampaikan kepada pengurus, anggota, kaprodi, Kabid
Kemahasiswaan dan Ketua STIKES NU TUBAN
4. Wakil sekretaris
a. Mewakili sekretaris apabila sekretaris berhalangan dan tidak
hadir
b. Membantu dan bekerja sama dalam melaksanakan tugas
Panduan MOKA STIKES NU Tuban 2014
52
5. Bendahara
a. Mencairkan keuangan periodik semester kepada Institusi
b. Menghimpun dana, mencatat dan menyerahkan laporan
keuangan dari iuran anggota ke Kaprodi S1 Keperawatan
c. Membuat Laporan keuangan dan mempertanggung jawabkan
melalui ketua kepada seluruh anggota HIMKANU
d. Bendahara berhak mengeluarkan uang atas persetujuan dari
ketua HIMKANU
6. Wakil Bendahara
a. Mewakili bendahara pada saat tidak hadir
b. Membantu bendahara menerbitkan dana dan seluruh tugas
bendahara
7. Anggota
a. Ikut serta dalam pelaksanaan progker yang telah disusun
b. Mensukseskan
semua
kegiatan
yang
dilaksanakan
HIMKANU
BAB IV
KEPANITIAAN
Pasal 4
1. Kepanitiaan yang ada di bawah HIMKANU dibentuk,
dibubarkan, dan bertanggung jawab kepada anggota yang
membidanginya
2. Dibentuk dari pengurus HIMKANU selain ketua HIMKANU
BAB V
MASA JABATAN
Pasal 5
1. Masa jabatan pengurus HIMKANU adalah 1 tahun, terhitung saat
dilantik
2. Serah terima jabatan pengurus dilaksanakan sebelum plantikan
pengurus HIMKANU baru
Panduan MOKA STIKES NU Tuban 2014
53
BAB VI
PEMBERHENTIAN PENGURUS
Pasal 6
1. Diputuskan dalam rapat pengurus HIMKANU
2. Atas permintaan sendiri dan sesuai dengan prosedur serta
tanggung jawab atas kegiatan yang di emban
3. Habis masa jabatannya
4. Tidak menjadi mahasiswa STIKES NU TUBAN
BAB VII
PEMILIHAN KETUA DAN WAKIL KETUA
Pasal 7
Pemilihan ketua dan wakil ketua dipilih oleh seluruh anggota
HIMKANU dengan suara terbanyak sesuai dengan prosedur
BAB VIII
KEANGGOTAAN
Pasal 8
1. Anggota HIMKANU terdiri dari seluruh mahasiswa prodi S1
Keperawatan STIKES NU TUBAN
2. Syarat-syarat menjadi anggota HIMKANU
a. Mahasiswa S1 Keperawatan STIKES NU Tuban
b. Mempunyai KTM S1 Keperawatan STIKES NU Tuban
c. Membayar iuran anggota persemester
BAB IX
HAK DAN KEWAJIBAN ANGGOTA
Pasal 9
Hak anggota:
1. Berhak memilih dan dipilih menjadi pengurus HIMKANU sesuai
dengan ketentuan yang berlaku
Panduan MOKA STIKES NU Tuban 2014
54
55
BAB XI
KARTU PENGURUS
Pasal 11
1. Dianggap sah apabila ditanda tangani oleh ketua STIKES NU
TUBAN
2. Digunakan sebagai tanda pengenal pengurus HIMKANU
BAB XII
KETENTUAN RAPAT
Pasal 12
1. Rapat pengurus diadakan setiap ada kegiatan dan sebulan dua kali
pada tanggal 1 dan 15 jika tanggal tersebut hari sabtu dan minggu
bias diajukan atau ditunda sesuai dengan kesepakatan
2. Rapat anggota paripurna diadakan setahun sekali
3. Dalam keadaan darurat dianggap perlu mengadakan rapat khusus
minimal dihadiri pengurus inti dan seksi bidang dan keputusan di
anggap sah jika lebih dari 50% pengurus yang hadir
BAB XIII
KEUANGAN
Pasal 13
1. Keuangan diperoleh dari iuran semua anggota HIMKANU yang
besarnya ditetapkan oleh pengurus HIMKANU
2. Keuangan digunakan untuk kepentingan peningkatan kinerja
HIMKANU
3. Keuangan digunakan untuk memberi bantuan berupa penyediaan
obat-obatan ringan P3K dan biaya dari berbagai kegiatan
56
BAB XIV
PENUTUP
Pasal 14
Hal-hal yang belum diatur dalam AD / ART akan diatur tersendiri
dalam aturan tambahan atau addendum yang dikeluarkan sebagai
keputusan rapat pengurus paripurna yang di ketahui oleh kaprodi,
koordinator II bidang kemahasiswaan danh disetujui oleh STIKES NU
TUBAN
57
58
BAB II
DASAR DAN AZAS
Pasal 2
1.
2.
1.
2.
3.
59
Pasal 6
Lambang organisasi ini bersifat nasional dan di gunakan beserta lambang
sekolah
BAB VI
KEANGGOTAAN
Pasal 7
1.
2.
60
1.
2.
Pasal 11
Anggota hima merupakan perwakilan dari mahasiswa dari Tingkat
1,2,3
Mereka bertanggung jawab kepada ketua STIKES NU TUBAN
BAB X
PENGURUS HIMA
Pasal 12
1.
2.
3.
4.
5.
6.
1.
2.
3.
Ketua dan wakil ketua HIMA bekerja menurut Anggaran Dasar dan
Anggaran Rumah Tangga.
Dalam melaksanaan kwajibannya ketua dan wakil ketua HIMA
dibantu oleh pengurus HIMA lainnya.
Ketua dan wakil ketua HIMA memegang jabatan selama masa
bakti atau selama 1 periode.
61
Pasal 14
Jika Ketua dan Wakil Ketua HIMA meninggal dunia, berhenti,
atau tidak melaksanakan kwajibannya dalam masa jabatan,bias
digantikan oleh pengurus HIMA yang lain yang sudah ditetapkan oleh
ketua prodi.
BAB XI
MAJELIS PEMBIMBING HIMA
Pasal 15
1.
2.
62
JADWAL KEGIATAN
PERSIAPAN
Tanggal 25 Agustus 2014
No
1.
Waktu
07.30 08.00
Kegiatan
Pembukaan
2.
08.00 09.00
4.
09.00 09.30
5.
09.30 10.30
Pembagian
kelompok dan
identitas diri
Pembagian tas dan
seragam olahraga
Pembekalan
Narasumber
Tempat
Achmad
Masfyuk
Afif
Agung Novianto
Titin Indraningsih
Akhmad Bin Soleh Prodi D3
Baagil
Kebidanan
Hazhiya Nabila
Gilang Dalas
Meiwira
Panitia
Panitia
PRAMOKA
Tanggal 26 Agustus 2014
No
1.
Waktu
07.00-07.30
Kegiatan
Pembukaan
Narasumber
Panitia
Tempat
Auditorium DIII
kebidanan
2.
07.30-10.00
Panitia
3.
10.00-12.00
Auditorium DIII
kebidanan
Auditorium DIII
kebidanan
4.
12.00-12.30
Gladi kotor
upacara
Lagu Mars
STIKES NU,
IBI, PPNI
ISHOMA
5.
12.30-14.00
Panitia
6.
14.00-15.00
Panitia
Panitia
Panitia
Auditorium DIII
kebidanan
Auditorium DIII
kebidanan
Auditorium DIII
kebidanan
PJ
Achmad
Masyfuk
Afif
Agung
Novianto
Ajeng Gita
dan
Elsa Nandha
Hazhiya
Nabila
M. Thobib S
Nadia Nur
Afifah
63
MOKA
Tanggal 27 Agustus 2014
No
1.
Waktu
05.00-05.30
Kegiatan
Apel Panitia
2.
05.30-06.30
Kedisiplinan
3.
06.30-07.00
Panitia
4.
07.00-07.30
5.
07.30-08.00
6.
08.00-08.30
Persiapan
upacara
ceremony
Upacara
pembukaan
Sejarah dan
struktur PCNU
Tuban
Makan pagi
7.
08.30-09.00
Pre test
Panitia
8.
10.00-11.00
Dinamika
kelompok
Panitia
9.
11.00-12.00
H. Miftahul
Munir,
SKM,
M.Kes.
10.
12.00-12.30
Struktur
organisasi dan
tri dharma
perguruan tinggi
STIKES NU
Tuban
ISHOMA
Panitia
11.
13.00-14.00
Pengenalan
organisasi
kemahasiswaan
STIKES NU
Tuban
Ketua BEM
Narasumber
Dwi Kurnia
PS, S.Keb
Bd
Panitia
Panitia
Ketua Senat
STIKES
NU Tuban
Panitia
Tempat
Halaman
Kampus DIII
Kebidananan
Halaman
Kampus DIII
kebidanan
Auditorium DIII
kebidanan
PJ
Agung
Novianto
Halaman Prodi
DIII kebidanan
Auditorium DIII
kebidanan
Agung
Novianto
Eriska Ika
Puspita
Auditorium DIII
kebidanan
Auditorium DIII
kebidanan
Auditorium DIII
kebidanan
Auditorium DIII
kebidanan
Lala
Ilmiyatul
Dalatun
Nimah
Gilang
Dalas
Meiwira
Rima
Muzayana
Auditorium DIII
kebidanan
Auditorium DIII
kebidanan
Mila Nur
Fadhilah
Dalatun
Nimah
Jawara
Geger
Randi
Agung
Novianto
64
12.
15.00-16.00
RS sebagai
lahan praktik
Dr. Didik
Suharsoyo
Auditorium DIII
kebidanan
13.
16.00-16.30
ISHOMA
Panitia
14.
16.30-17.30
Pembekalan
Panitia
Auditorium DIII
kebidanan
Auditorium DIII
kebidanan
Elsa
Nandha
Prahesti
Mila Nur
Fadhilah
Hazhiya
Nabila
Waktu
05.00 -05.30
Kegiatan
Apel Panitia
2.
05.30-07.00
Kedisplinan
Narasumber
Karyo,
S.Kep Ns,
MM
Panitia
3.
07.00-07.30
Makan pagi
Panitia
4.
07.00-08.00
Kurikulum
STIKES NU
Tuban
Muntari,
SKM.,
M.Kes
5.
09.30-10.30
6.
11.30-13.30
Layanan peserta
didik STIKES
NU Tuban
ISHOMA
( Sholat
Berjamaah )
Organisasi
PPNI
Karyo,
S.Kep Ns,
MM
Panitia
7.
8.
13.30-14.30
14.30-15.30
Organisasi
IBI
PBB
Kusno
Ferianto
S.Kep Ns,.
MM
Bu Dri Yuli
MENWA
Tempat
Halaman
Kampus SI
keperawatan
Halaman
Kampus SI
keperawatan
Halaman
Kampus SI
keperawatan
Aula Kampus
SI
keperawatan
PJ
Agung
Novianto
Aula Kampus
SI
keperawatan
Kampus
STIKES NU
Tuban
Aula Kampus
SI
keperawatan
Leni
Marliana
Halaman
Kampus SI
keperawatan
Jawara
Geger
Randi
Lala
Ilmiyatul
Ria Nur
Rosyidah
Mila Nur
Fadlillah
Rianto Adi
Taruna dan
Ainun
Septiana
Fitri
M. Itkon
Sahara
65
9.
15.30-16.00
10.
16.00-17.00
11.
17.00-selesai
Sholat
berjamaah
Dinamika
kelompok
Panitia
Pembekalan
Panitia
Panitia
Ruang kelas SI
keperawatan
Aula Kampus
SI
keperawatan
Aula Kampus
SI
keperawatan
Ulfatus
Harisna
Gilang
Dalas
Meiwira
Hazhiya
Nabila
Tempat
Halaman
Kampus SI
keperawatan
Halaman
Kampus SI
keperawatan
Halaman
Kampus SI
keperawatan
Mangrove
PJ
Jawara
Geger
Randi
Anike
Febritasari
Waktu
05.00-05.30
Kegiatan
Kedisiplinan
Narasumber
Panitia
2.
05.30-06.30
Senam
Instruktur
3.
06.30-08.00
Makan pagi
Panitia
4.
08.00-14.00
Panitia
5.
14.00
14.15
Kegiatan
outdoor
Ishoma
6.
14.15
16.30
16.30
17.00
Mental down
Panitia
Apel penutupan
Panitia
8.
17.00-18.00
Panitia
9.
18.00-23.00
Persiapan
inagurasi
Malam
Inagurasi
10.
23.00-23.30
Renungan
malam
panitia
7.
Panitia
Panitia
Aula Kampus
SI
keperawatan
Kampus SI
keperawatan
Kampus
STIKES NU
Tuban
Ruang kelas SI
keperawatan
Halaman
Kampus SI
keperawatan
Ruang kelas
S1
Keperawatan
Lala
Ilmiyatul
Tofan
Bagus
Ria Nur
Rosyidah
Fajar Dian
Rimba
M. Thobib
Shobari
Hilda
Mursyida
Eka
Selviana
Sari
Achmad
Masyfuk
Afif
66
67
68
69
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
70
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
71
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
72
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
73
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
74
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
75
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
76
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
77
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
78
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
79
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
80
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
81
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
82
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
83
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
84
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
85
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
86
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
87
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
88
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
89
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
.....................................................................................................................
Panduan MOKA STIKES NU Tuban 2014
90
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
91
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Subjek :
Tanggal/date
Hari/day
Tahun/year
:
:
:
92
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
DAFTAR NAMA
KARYAWAN DAN PENGURUS HIMA
STIKES NU TUBAN
Panduan MOKA STIKES NU Tuban 2014
93
NO
NAMA
JABATAN
TANDA TANGAN
NO
NAMA
JABATAN
TANDA TANGAN
94
NO
NAMA
JABATAN
TANDA TANGAN
95
96