KEMENTERIAN KESEHATAN RI DIREKTORAT JENDERAL PELAYANAN KESEHATAN RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR Jalan Diponegoro Denpasar Bali (80114) ‘Telepon. (0361) 227911-15, 225482, 223869, Faximile, (0361) 224206 lbali.com, Website : www.sanglahhospitalbali.com Nomor : LB.02.01KIV2.2.1/ (2019 30 Desember 2019 Lamp Hal \akapar rta Did Yth. Koordinator Program Studi .. - FK UNUD/RSUP Sanglah Denpasar Email : ‘Sehubungan dengan penerimaan peserta didik PPDS baru dan akan dilaksanakan Orientasi pada tanggal 6 sampai 20 Januari 2020 (jadwal terlampir), untuk itu kami mohon ‘dapat dikumpulkan kelengkapan peserta didik (hard copy dan soft copy) sebagai berikut: 1. Curiculum Vitae (1 lembar, format terlampir) Foto copy STR-P (1 lembar) Foto copy SIP (1 lembar) Foto copy ljazah Dokter (1 lembar) Keterangan penerimaan sebagai PPDS (1 lembar) Keterangan Kompetensi dari Ketua Program Studi (1 lembar) Pas foto berwama ukuran 4x6 dengan jas dokter latar belakang merah (2 lembar). Kelengkapan tersebut di atas dikumpulkan ke Bagian Pendidikan dan Penelitian RSUP Sangiah Denpasar paling lambat hari Senin tanggal 6 Januari 2020. N@Pgeeon Demikian kami sampaikan, atas perhi dan kerjasamanya, kami ucapkan terima kasih Direktur SOM dan Pendidikan 2_- Dr. dr. I Ketut Surya Negara, Sp.0G(k), MARS NIP 196709031997031001 Tembusan: 1. Direktur Utama (sebagai laporan) 2. Ketua Komite Koordinasi Pendidikanven enn ote-d 1. IDENTITAS DIRT ~ Nama lengkap ~ denis kelamin ~ Tempat dan tanggal lahir Agama Status perkawinan Alamat ~ No. telp HP Alamat emai x . 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