SERTIFIKAT KOMPETENSI

Certificate Of Competence

Nomor : 0431731440120180031
Number of Certificate : 0431731440120180031

Diberikan Kepada :
This is to Certify that
Nama Lengkap : BAYU PERMANA
Full Name

Tempat, Tanggal Lahir : BANJARSARI, 12 Juli 1993

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013011041022

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180032
Number of Certificate : 0431731440120180032

Diberikan Kepada :
This is to Certify that
Nama Lengkap : HARI GUMILANG
Full Name

Tempat, Tanggal Lahir : SERANG, 12 Juli 1993

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013011041052

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180033
Number of Certificate : 0431731440120180033

Diberikan Kepada :
This is to Certify that
Nama Lengkap : AMINUDIN
Full Name

Tempat, Tanggal Lahir : SERANG, 08 Agustus 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013012041019

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180034
Number of Certificate : 0431731440120180034

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ASEP SAEPUDIN
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 14 September 1994

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013012041027

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180035
Number of Certificate : 0431731440120180035

Diberikan Kepada :
This is to Certify that
Nama Lengkap : HULDI
Full Name

Tempat, Tanggal Lahir : SERANG, 06 Juni 1986

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013012041056

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180036
Number of Certificate : 0431731440120180036

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ILHAM
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 20 Mei 1992

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013012041061

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180037
Number of Certificate : 0431731440120180037

Diberikan Kepada :
This is to Certify that
Nama Lengkap : LATIF TIRTA HUDA
Full Name

Tempat, Tanggal Lahir : SERANG, 06 Desember 1993

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013012041067

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180038
Number of Certificate : 0431731440120180038

Diberikan Kepada :
This is to Certify that
Nama Lengkap : MULYA KENCANA
Full Name

Tempat, Tanggal Lahir : LEBAK, 08 April 1992

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013012041093

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180039
Number of Certificate : 0431731440120180039

Diberikan Kepada :
This is to Certify that
Nama Lengkap : OKI KHOLILURROHMAN
Full Name

Tempat, Tanggal Lahir : SERANG, 07 Oktober 1994

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013012041101

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180040
Number of Certificate : 0431731440120180040

Diberikan Kepada :
This is to Certify that
Nama Lengkap : RATU EFLIANA SARI
Full Name

Tempat, Tanggal Lahir : SERANG, 27 Mei 1994

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013012041107

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180041
Number of Certificate : 0431731440120180041

Diberikan Kepada :
This is to Certify that
Nama Lengkap : TAUFIKQUROHMAN
Full Name

Tempat, Tanggal Lahir : TANGERANG, 11 Desember 1993

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013012041133

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180042
Number of Certificate : 0431731440120180042

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ABDULLAH
Full Name

Tempat, Tanggal Lahir : SERANG, 09 Januari 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013013041002

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180043
Number of Certificate : 0431731440120180043

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ADE GUNAWAN
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 26 Juni 1990

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013013041004

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180044
Number of Certificate : 0431731440120180044

Diberikan Kepada :
This is to Certify that
Nama Lengkap : AHMAD DASUKI
Full Name

Tempat, Tanggal Lahir : LEBAK, 14 Agustus 1994

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013013041008

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180045
Number of Certificate : 0431731440120180045

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ASEP NURHAMDI
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 06 Agustus 1993

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013013041017

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180046
Number of Certificate : 0431731440120180046

Diberikan Kepada :
This is to Certify that
Nama Lengkap : DEDE SUGISTIAR
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 24 September 1994

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013013041025

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180047
Number of Certificate : 0431731440120180047

Diberikan Kepada :
This is to Certify that
Nama Lengkap : DENDI HERMAWAN
Full Name

Tempat, Tanggal Lahir : SERANG, 25 Agustus 1994

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013013041028

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180048
Number of Certificate : 0431731440120180048

Diberikan Kepada :
This is to Certify that
Nama Lengkap : HERI HARYANTO
Full Name

Tempat, Tanggal Lahir : SERANG, 28 Juli 1993

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013013041052

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180049
Number of Certificate : 0431731440120180049

Diberikan Kepada :
This is to Certify that
Nama Lengkap : IBNU FEBRIANTO
Full Name

Tempat, Tanggal Lahir : TANGERANG, 15 Februari 1993

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013013041056

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180050
Number of Certificate : 0431731440120180050

Diberikan Kepada :
This is to Certify that
Nama Lengkap : IKA SUBAIHAH
Full Name

Tempat, Tanggal Lahir : SERANG, 13 Oktober 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013013041058

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180051
Number of Certificate : 0431731440120180051

Diberikan Kepada :
This is to Certify that
Nama Lengkap : MAKDUM
Full Name

Tempat, Tanggal Lahir : SERANG, 07 Juli 1994

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013013041076

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180052
Number of Certificate : 0431731440120180052

Diberikan Kepada :
This is to Certify that
Nama Lengkap : RISWAN SAPUTRA
Full Name

Tempat, Tanggal Lahir : SERANG, 12 April 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013013041108

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180053
Number of Certificate : 0431731440120180053

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SITI NURMEGA
Full Name

Tempat, Tanggal Lahir : LEBAK, 21 Maret 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013013041118

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180054
Number of Certificate : 0431731440120180054

Diberikan Kepada :
This is to Certify that
Nama Lengkap : UCU NASRUDIN
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 24 Maret 1994

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013013041131

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180055
Number of Certificate : 0431731440120180055

Diberikan Kepada :
This is to Certify that
Nama Lengkap : CHINTIA APRILIANTI DS
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 27 April 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041017

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180056
Number of Certificate : 0431731440120180056

Diberikan Kepada :
This is to Certify that
Nama Lengkap : DEDE RAMDHAN MARDIANA
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 31 Januari 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041020

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180057
Number of Certificate : 0431731440120180057

Diberikan Kepada :
This is to Certify that
Nama Lengkap : DHEANA DWI KENCANA
Full Name

Tempat, Tanggal Lahir : SERANG, 26 Mei 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041023

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180058
Number of Certificate : 0431731440120180058

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ESCHA ILHAM NIKMATULLOH
Full Name

Tempat, Tanggal Lahir : SERANG, 26 November 1993

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041035

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180059
Number of Certificate : 0431731440120180059

Diberikan Kepada :
This is to Certify that
Nama Lengkap : FERINA MEGA LUSIANA
Full Name

Tempat, Tanggal Lahir : SERANG, 16 Juli 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041043

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180060
Number of Certificate : 0431731440120180060

Diberikan Kepada :
This is to Certify that
Nama Lengkap : FITRIA NURHAYANI
Full Name

Tempat, Tanggal Lahir : SERANG, 22 Juli 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041047

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180061
Number of Certificate : 0431731440120180061

Diberikan Kepada :
This is to Certify that
Nama Lengkap : HABIBATNI
Full Name

Tempat, Tanggal Lahir : SERANG, 13 Oktober 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041050

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180062
Number of Certificate : 0431731440120180062

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ISMAWATI
Full Name

Tempat, Tanggal Lahir : CILEGON, 15 Januari 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041067

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180063
Number of Certificate : 0431731440120180063

Diberikan Kepada :
This is to Certify that
Nama Lengkap : MUHAMMAD WINDI RUSNANDI
Full Name

Tempat, Tanggal Lahir : PASURUAN, 23 Desember 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041083

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180064
Number of Certificate : 0431731440120180064

Diberikan Kepada :
This is to Certify that
Nama Lengkap : NENENG NIA HERAWATI
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 01 Agustus 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041088

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180065
Number of Certificate : 0431731440120180065

Diberikan Kepada :
This is to Certify that
Nama Lengkap : RIDWANUL HAKIM
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 26 Februari 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041107

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180066
Number of Certificate : 0431731440120180066

Diberikan Kepada :
This is to Certify that
Nama Lengkap : RIKI SEPTIAWAN
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 12 September 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041108

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180067
Number of Certificate : 0431731440120180067

Diberikan Kepada :
This is to Certify that
Nama Lengkap : RIZMA SEPTIANI YUSUP
Full Name

Tempat, Tanggal Lahir : BAYAH LEBAK, 04 September 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041112

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180068
Number of Certificate : 0431731440120180068

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ROUDOH
Full Name

Tempat, Tanggal Lahir : LEBAK, 08 Februari 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041114

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180069
Number of Certificate : 0431731440120180069

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SITI HALIMAH
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 16 April 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041118

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180070
Number of Certificate : 0431731440120180070

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SUDIYAH
Full Name

Tempat, Tanggal Lahir : SERANG, 26 Juni 1990

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041121

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180071
Number of Certificate : 0431731440120180071

Diberikan Kepada :
This is to Certify that
Nama Lengkap : YULITA ANGGRAINI
Full Name

Tempat, Tanggal Lahir : SERANG, 10 Oktober 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013014041134

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180072
Number of Certificate : 0431731440120180072

Diberikan Kepada :
This is to Certify that
Nama Lengkap : AGUS RIZAL
Full Name

Tempat, Tanggal Lahir : SERANG, 01 Agustus 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041002

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180073
Number of Certificate : 0431731440120180073

Diberikan Kepada :
This is to Certify that
Nama Lengkap : AHMAD FAUZI
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 12 Maret 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041003

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180074
Number of Certificate : 0431731440120180074

Diberikan Kepada :
This is to Certify that
Nama Lengkap : AHMAD MUNAWIR
Full Name

Tempat, Tanggal Lahir : SERANG, 31 Januari 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041004

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180075
Number of Certificate : 0431731440120180075

Diberikan Kepada :
This is to Certify that
Nama Lengkap : AHMAD RIFAI
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 03 Mei 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041005

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180076
Number of Certificate : 0431731440120180076

Diberikan Kepada :
This is to Certify that
Nama Lengkap : AI NAYIROTUL AISYIYAH
Full Name

Tempat, Tanggal Lahir : SERANG, 15 Juli 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041006

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180077
Number of Certificate : 0431731440120180077

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ALFIAN
Full Name

Tempat, Tanggal Lahir : SERANG, 08 April 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041008

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180078
Number of Certificate : 0431731440120180078

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ALINE BANJARNHOR
Full Name

Tempat, Tanggal Lahir : ONAN GANJANG, 12 Agustus 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041010

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180079
Number of Certificate : 0431731440120180079

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ANIS KAMALIA
Full Name

Tempat, Tanggal Lahir : CIKULUR-LEBAK, 27 September 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041011

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180080
Number of Certificate : 0431731440120180080

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ANNA MELINDA
Full Name

Tempat, Tanggal Lahir : SERANG, 02 Juni 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041012

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180081
Number of Certificate : 0431731440120180081

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ANNIDA DESRINA SOPIAN
Full Name

Tempat, Tanggal Lahir : LEBAK, 08 Desember 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041013

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180082
Number of Certificate : 0431731440120180082

Diberikan Kepada :
This is to Certify that
Nama Lengkap : APRIYANI
Full Name

Tempat, Tanggal Lahir : SINAR BANTEN, 03 April 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041015

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180083
Number of Certificate : 0431731440120180083

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ARDIANSYAH
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 14 Agustus 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041016

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180084
Number of Certificate : 0431731440120180084

Diberikan Kepada :
This is to Certify that
Nama Lengkap : AYU ISTIKOMAH
Full Name

Tempat, Tanggal Lahir : SERANG, 27 Februari 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041019

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180085
Number of Certificate : 0431731440120180085

Diberikan Kepada :
This is to Certify that
Nama Lengkap : DARMAYANTI
Full Name

Tempat, Tanggal Lahir : LAMPUNG, 26 September 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041021

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180086
Number of Certificate : 0431731440120180086

Diberikan Kepada :
This is to Certify that
Nama Lengkap : DELIS ANDRIANI
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 05 Maret 1994

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041024

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180087
Number of Certificate : 0431731440120180087

Diberikan Kepada :
This is to Certify that
Nama Lengkap : DEVI RISMAYANTI
Full Name

Tempat, Tanggal Lahir : SERANG, 06 Maret 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041026

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180088
Number of Certificate : 0431731440120180088

Diberikan Kepada :
This is to Certify that
Nama Lengkap : DIAN HARDIYANTI
Full Name

Tempat, Tanggal Lahir : SERANG, 19 Maret 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041029

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180089
Number of Certificate : 0431731440120180089

Diberikan Kepada :
This is to Certify that
Nama Lengkap : DIDI HARYADI
Full Name

Tempat, Tanggal Lahir : SERANG, 10 Agustus 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041030

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180090
Number of Certificate : 0431731440120180090

Diberikan Kepada :
This is to Certify that
Nama Lengkap : DINI EPRIANI
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 27 Desember 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041032

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180091
Number of Certificate : 0431731440120180091

Diberikan Kepada :
This is to Certify that
Nama Lengkap : DWI ABDUL AZIZ PRAKOSO
Full Name

Tempat, Tanggal Lahir : SERANG, 12 Maret 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041034

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180092
Number of Certificate : 0431731440120180092

Diberikan Kepada :
This is to Certify that
Nama Lengkap : EKA SRI MULYATI
Full Name

Tempat, Tanggal Lahir : SERANG, 31 Maret 1998

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041036

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180093
Number of Certificate : 0431731440120180093

Diberikan Kepada :
This is to Certify that
Nama Lengkap : EKA WATI
Full Name

Tempat, Tanggal Lahir : SERANG, 16 November 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041037

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180094
Number of Certificate : 0431731440120180094

Diberikan Kepada :
This is to Certify that
Nama Lengkap : EMUT MUTMAINAH
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 13 Juni 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041038

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180095
Number of Certificate : 0431731440120180095

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ENDAH DWI BUDIARTI
Full Name

Tempat, Tanggal Lahir : BANYUMAS, 07 April 1994

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041039

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180096
Number of Certificate : 0431731440120180096

Diberikan Kepada :
This is to Certify that
Nama Lengkap : EVA HUDOEFAH
Full Name

Tempat, Tanggal Lahir : SERANG, 30 Oktober 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041040

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180097
Number of Certificate : 0431731440120180097

Diberikan Kepada :
This is to Certify that
Nama Lengkap : EVA NURUL AMALIA
Full Name

Tempat, Tanggal Lahir : SERANG, 22 Februari 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041041

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180098
Number of Certificate : 0431731440120180098

Diberikan Kepada :
This is to Certify that
Nama Lengkap : EVA ROSDIANA
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 11 Maret 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041042

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180099
Number of Certificate : 0431731440120180099

Diberikan Kepada :
This is to Certify that
Nama Lengkap : EVI NURHAYATI
Full Name

Tempat, Tanggal Lahir : SERANG, 05 Maret 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041043

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180100
Number of Certificate : 0431731440120180100

Diberikan Kepada :
This is to Certify that
Nama Lengkap : FEBRIYANTI SAFITRI
Full Name

Tempat, Tanggal Lahir : SERANG, 04 Februari 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041045

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180101
Number of Certificate : 0431731440120180101

Diberikan Kepada :
This is to Certify that
Nama Lengkap : GILANG FAHRUZA
Full Name

Tempat, Tanggal Lahir : SERANG, 17 Agustus 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041051

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180102
Number of Certificate : 0431731440120180102

Diberikan Kepada :
This is to Certify that
Nama Lengkap : HAYATI NUPUS SUNDAWA
Full Name

Tempat, Tanggal Lahir : KLATEN, 12 Oktober 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041053

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180103
Number of Certificate : 0431731440120180103

Diberikan Kepada :
This is to Certify that
Nama Lengkap : HERMAWATI
Full Name

Tempat, Tanggal Lahir : SERANG, 01 Agustus 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041055

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180104
Number of Certificate : 0431731440120180104

Diberikan Kepada :
This is to Certify that
Nama Lengkap : HIDAYATUL ILMIYAH
Full Name

Tempat, Tanggal Lahir : SERANG, 16 Februari 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041056

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180105
Number of Certificate : 0431731440120180105

Diberikan Kepada :
This is to Certify that
Nama Lengkap : HILDA LIANA PUTRI
Full Name

Tempat, Tanggal Lahir : SERANG, 28 Agustus 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041057

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180106
Number of Certificate : 0431731440120180106

Diberikan Kepada :
This is to Certify that
Nama Lengkap : HILMA LESTIA
Full Name

Tempat, Tanggal Lahir : LEBAK, 05 Juli 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041058

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180107
Number of Certificate : 0431731440120180107

Diberikan Kepada :
This is to Certify that
Nama Lengkap : HIMAYATUT THOBIBAH
Full Name

Tempat, Tanggal Lahir : SERANG, 19 Januari 1998

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041059

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180108
Number of Certificate : 0431731440120180108

Diberikan Kepada :
This is to Certify that
Nama Lengkap : HOLIDAH
Full Name

Tempat, Tanggal Lahir : SERANG, 22 Mei 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041060

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180109
Number of Certificate : 0431731440120180109

Diberikan Kepada :
This is to Certify that
Nama Lengkap : INAH SYAKINAH
Full Name

Tempat, Tanggal Lahir : SERANG, 27 Oktober 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041063

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180110
Number of Certificate : 0431731440120180110

Diberikan Kepada :
This is to Certify that
Nama Lengkap : INEU RAHMAWATI
Full Name

Tempat, Tanggal Lahir : LEBAK, 02 Maret 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041066

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180111
Number of Certificate : 0431731440120180111

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ISLAIYAH
Full Name

Tempat, Tanggal Lahir : SERANG, 09 Desember 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041068

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180112
Number of Certificate : 0431731440120180112

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ISMIYANTI ATFALIYAH
Full Name

Tempat, Tanggal Lahir : SERANG, 09 Desember 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041069

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180113
Number of Certificate : 0431731440120180113

Diberikan Kepada :
This is to Certify that
Nama Lengkap : KASNA
Full Name

Tempat, Tanggal Lahir : SERANG, 27 Oktober 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041071

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180114
Number of Certificate : 0431731440120180114

Diberikan Kepada :
This is to Certify that
Nama Lengkap : LAILA HILALLIAH
Full Name

Tempat, Tanggal Lahir : BANDUNG, 04 April 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041072

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180115
Number of Certificate : 0431731440120180115

Diberikan Kepada :
This is to Certify that
Nama Lengkap : M. RYAN HIDAYATTULLAH
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 28 Desember 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041075

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180116
Number of Certificate : 0431731440120180116

Diberikan Kepada :
This is to Certify that
Nama Lengkap : MARDILASARI
Full Name

Tempat, Tanggal Lahir : SERANG, 29 Maret 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041077

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180117
Number of Certificate : 0431731440120180117

Diberikan Kepada :
This is to Certify that
Nama Lengkap : MEGA ANJARWATI
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 25 Desember 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041079

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180118
Number of Certificate : 0431731440120180118

Diberikan Kepada :
This is to Certify that
Nama Lengkap : MELISA HAMDIYAH
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 06 Mei 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041080

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180119
Number of Certificate : 0431731440120180119

Diberikan Kepada :
This is to Certify that
Nama Lengkap : MUHAMAD REZA FAHLEFI
Full Name

Tempat, Tanggal Lahir : SERANG, 27 Maret 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041083

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180120
Number of Certificate : 0431731440120180120

Diberikan Kepada :
This is to Certify that
Nama Lengkap : NENENG QOMARIYAH
Full Name

Tempat, Tanggal Lahir : SERANG, 07 Juli 1998

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041087

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180121
Number of Certificate : 0431731440120180121

Diberikan Kepada :
This is to Certify that
Nama Lengkap : NINIK LAILATASSIYAMI
Full Name

Tempat, Tanggal Lahir : SERANG, 26 Januari 1998

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041088

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180122
Number of Certificate : 0431731440120180122

Diberikan Kepada :
This is to Certify that
Nama Lengkap : NOVI LESTARI
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 28 Oktober 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041089

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180123
Number of Certificate : 0431731440120180123

Diberikan Kepada :
This is to Certify that
Nama Lengkap : PUNI SULISTYAWATI
Full Name

Tempat, Tanggal Lahir : SERANG, 26 Juli 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041095

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180124
Number of Certificate : 0431731440120180124

Diberikan Kepada :
This is to Certify that
Nama Lengkap : PUTRI SUGHESTI
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 06 Agustus 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041097

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180125
Number of Certificate : 0431731440120180125

Diberikan Kepada :
This is to Certify that
Nama Lengkap : QUROTUL UYUN
Full Name

Tempat, Tanggal Lahir : CILEGON, 01 Agustus 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041098

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180126
Number of Certificate : 0431731440120180126

Diberikan Kepada :
This is to Certify that
Nama Lengkap : RAHMAT KURNIAWAN
Full Name

Tempat, Tanggal Lahir : SERANG, 25 Maret 1998

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041101

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180127
Number of Certificate : 0431731440120180127

Diberikan Kepada :
This is to Certify that
Nama Lengkap : RATNA PALUPI NINGTYAS
Full Name

Tempat, Tanggal Lahir : SERANG, 11 November 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041102

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180128
Number of Certificate : 0431731440120180128

Diberikan Kepada :
This is to Certify that
Nama Lengkap : RESTI ASTARINA
Full Name

Tempat, Tanggal Lahir : SERANG, 18 Maret 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041103

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180129
Number of Certificate : 0431731440120180129

Diberikan Kepada :
This is to Certify that
Nama Lengkap : RESTI HERLIKA
Full Name

Tempat, Tanggal Lahir : SERANG, 03 September 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041104

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180130
Number of Certificate : 0431731440120180130

Diberikan Kepada :
This is to Certify that
Nama Lengkap : RESTU AISYA MAUDINA
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 09 Juli 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041105

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180131
Number of Certificate : 0431731440120180131

Diberikan Kepada :
This is to Certify that
Nama Lengkap : RIKA NUR HILATIYAH
Full Name

Tempat, Tanggal Lahir : RANGKASBITUNG, LEBAK, 06 Oktober 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041109

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180132
Number of Certificate : 0431731440120180132

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ROBBY KURNIAWAN
Full Name

Tempat, Tanggal Lahir : BULUNGAN, 01 Juni 1998

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041113

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180133
Number of Certificate : 0431731440120180133

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ROSDIANA
Full Name

Tempat, Tanggal Lahir : SERANG, 22 Juli 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041115

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180134
Number of Certificate : 0431731440120180134

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SARDI
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 11 Mei 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041116

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180135
Number of Certificate : 0431731440120180135

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SITI MASITOH
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 16 Juni 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041122

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180136
Number of Certificate : 0431731440120180136

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SITI MERIANI SARFINDAH
Full Name

Tempat, Tanggal Lahir : LAMPUNG, 13 Maret 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041123

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180137
Number of Certificate : 0431731440120180137

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SOPIYANA DWI RAHAYU
Full Name

Tempat, Tanggal Lahir : SERANG, 18 April 1998

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041126

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180138
Number of Certificate : 0431731440120180138

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SRI ARYANTI
Full Name

Tempat, Tanggal Lahir : SERANG, 13 November 1998

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041127

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180139
Number of Certificate : 0431731440120180139

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SUKANAH
Full Name

Tempat, Tanggal Lahir : SERANG, 05 Juli 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041132

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180140
Number of Certificate : 0431731440120180140

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SULHIYAH
Full Name

Tempat, Tanggal Lahir : SERANG, 12 April 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041133

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180141
Number of Certificate : 0431731440120180141

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SUNARYA HEGAR PERMANA
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 30 Mei 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041134

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180142
Number of Certificate : 0431731440120180142

Diberikan Kepada :
This is to Certify that
Nama Lengkap : TATU HOLIATIN
Full Name

Tempat, Tanggal Lahir : SERANG, 06 September 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041136

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180143
Number of Certificate : 0431731440120180143

Diberikan Kepada :
This is to Certify that
Nama Lengkap : TEJA PERMANA
Full Name

Tempat, Tanggal Lahir : SERANG, 27 Maret 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041138

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180144
Number of Certificate : 0431731440120180144

Diberikan Kepada :
This is to Certify that
Nama Lengkap : TIKA SUHERTI NUPUS
Full Name

Tempat, Tanggal Lahir : SERANG, 18 Juli 1996

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041139

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180145
Number of Certificate : 0431731440120180145

Diberikan Kepada :
This is to Certify that
Nama Lengkap : TRI INTAN PERMATA SARI
Full Name

Tempat, Tanggal Lahir : SERANG, 11 Oktober 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041140

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180146
Number of Certificate : 0431731440120180146

Diberikan Kepada :
This is to Certify that
Nama Lengkap : WAWAN SETIAWAN
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 10 Agustus 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041143

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180147
Number of Certificate : 0431731440120180147

Diberikan Kepada :
This is to Certify that
Nama Lengkap : WIDI ARSI PURNAMI
Full Name

Tempat, Tanggal Lahir : SERANG, 06 April 1993

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041144

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180148
Number of Certificate : 0431731440120180148

Diberikan Kepada :
This is to Certify that
Nama Lengkap : WINDA CAHYANI
Full Name

Tempat, Tanggal Lahir : SERANG, 28 Juni 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041145

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180149
Number of Certificate : 0431731440120180149

Diberikan Kepada :
This is to Certify that
Nama Lengkap : YULIANA
Full Name

Tempat, Tanggal Lahir : SERANG, 30 Juni 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041149

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180150
Number of Certificate : 0431731440120180150

Diberikan Kepada :
This is to Certify that
Nama Lengkap : YUSUF SAEPUDIN ANSORI
Full Name

Tempat, Tanggal Lahir : PANDEGLANG, 04 November 1997

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041150

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.

 SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 0431731440120180151
Number of Certificate : 0431731440120180151

Diberikan Kepada :
This is to Certify that
Nama Lengkap : CINDI CRISTIANI
Full Name

Tempat, Tanggal Lahir : SERANG, 26 Februari 1995

Place, Date of Birth

Nomor Induk Mahasiswa : 043173144013015041152

Student ID Number

Nama Perguruan Tinggi : Sekolah Tinggi Ilmu Kesehatan Faletehan

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Sekolah Tinggi Ilmu
Kesehatan Faletehan dan 65/D/O/2001
Under the law of Vocational School in Higher Education 65/D/O/2001

Program Studi : Keperawatan

Major : Nursing

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma III

Kebidanan, Diploma III Keperawatan, dan Profesi Ners Nomor
580/PUK-Nas/XI/2018
Based on the decision of the National Committee for the Competency Test of Diploma III in
Midwifery, Diploma III in Nursing Program, and Professional Nursing Program, Number
580/PUK-Nas/XI/2018

Diterbitkan di Serang, 17 Desember 2018

Issued in Serang, 17 (Date) 12 (Month) 2018 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah Andiko Nugraha Kusuma, SKM., MKM.