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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 atas INDUSTRIAL 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,

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