RUMAH SAKIT PUSAT
RSPP AT PERTAMINA
PERTAMEDIKA
Jakarta.” Maret 2019
Nomor : 477 /B41000/2019- SB
Lampiran: —
Perihal : Industrial Training
Kepada Yth.
Bapak Dr. Hau Yuan Wen
Industrial Training Coordinator
‘School Of Bicemdical Engineering and Health Sciences
Faculty of Engineering
Univerisiti Teknologi Malaysia
81310 UTM, Johor Baru
Johor
Dengan hormat,
Menjawab Surat Saudara , dengan ini kami beritahukan behwe pada prinsipnya
RSPP dapat menyetujul Mahasiswa Universiti Teknologi Malaysia (UTM), jurusan
Bio-Medical atas nama
HUSNUL MUFIDA F WD No : 201608F 10111 Matric No : A16MB4001
untuk mengadakan Industrial Training di Rumah Sakit Pusat Pertamina pada tanggal
40 Juni 2019 sd 30 Agustus 2019.
Sehubungan dengan hal tersebut, sesuai dengan ketentuan yang berlaku di RSPP
bahwa pelaksanaan Penelitian tersebut dikenakan biaya administras! ‘sebesar
Rp.750.000,-/ orang/ bulan
jt yM
Untuk prosedur pelaksanaannya Gapat menghubungi Sdr, Erlan Herlan (Diklat SDI
RSP) di pesawat (021)7219. 975, HP : 08131 832 7425.
perhatiannya diucapkan terima kasih.
Demikian untuk dimaklumi dan atasINDUSTRIAL TRAINING REPLY FORM
Name Or Hau Yuan Wen
industtiat Training Coordinator
Schoo} of Bioemdical Engineering and Health Sciences
Facuity of Engineering
Universiti Teknologi Malaysia
81310 UTM, Johor Bahru
Johor
INDUSTRIAL TRAINING REFLY FORM FOR UNDERGRADUATE STUDENT
FACULTY OF ENGINEERING, SEMESTER 3 - 2018/2019 SESSION
We would like to inform you that we * agree / do not agree (* Delate where applicable) to accept
this/these student/s to undergo his/heritheir industrial training from 10 June 2019 until 30 August
2049 in our companyorganization.
Please fill in the relevant information:
i. Accommodation provided Dyes [No
ji, Training Allowance provided Dyes No
iii, The number of student/ accepted —;
jected:
‘Student accepted! rejecte: MATRIC AO AIBA pAgAN
1 HUchuL MYFIPA Vp Ne. 20160RF [0tl
3
Notes: .....
‘Thank you
Yours
Tame TP ATIF, 5.505 +
Position HRD -RSPP
Company name and address
(Company's Stamp)
he,
CRA RU. Seiad TA.
OAV74199 72,