SERTIFIKAT KOMPETENSI
Certificate Of Competence —
Nomor : 4050161335320210009
Number of Certificate : 4050161335320210009
Diberikan Kepada :
This is to Certify that
Nama Lengkap SYAFIRA RIZQY FASILATURROHMAH_
Pull Name
‘Tempat, Tanggal Lahir NGAWI, 22 Februari 1999
Place, Date of Birth
Nomor Induk Mahesiswa __: 40501619353P27834117005
‘Student ID Number
Nama Perguruan Tinggi Poltekkes Kemenkes Surabaya
Name of Institution
Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Pendidikan Tinggi Vokasi
dan 355/E/0/2012
Under the law of Vocational School in Higher Education 355/E/0/2012
Program Studi : Program Sarjana Terapan Teknologi Laboratorium Medis
Major Applied Bachelor Medical Laboratory Technology
Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM SARJANA TERAPAN TEKNOLOGI
LABORATORIUM MEDIS
Has passed the Competency Test of Applied Bachelor Medical Laboratory Technology
Berdasarkan Keputusan Panitia Uji Kompetensi Nasional Program Diploma D4
Teknologi Laboratorium Medis Nomor 520/KOM-Kes/VI/2021
Based on the decision of the National Committee for the Competency Test of Diploma D4
Medical Laboratory Technology Program, Number 520/KOM-Kes/VI/2021
Diterbitkan di Surabaya, 23 Juni 2021
Pm Sera, 24) 0 (el) 1 Yor)
PengursPna Patan A Toi! Labor Khan nen Finan Peru Ting
‘Si en a aby Taal (ead of gr Edam tin)