MAJELIS TENAGA KESEHATAN INDONESIA

THE INDONESIA HEALTH PROFESSION BOARD

SURAT TANDA REGISTRASI PERAWAT

REGISTRATION CERTIFICATION OF NURSE

NOMOR REGISTRASI :
REGISTRATION NUMBER

NAMA : Kholish
NAME

TEMPAT / TANGGAL LAHIR : BANGKALAN, 15 September 1988

PLACE / DATE OF BIRTH

JENIS KELAMIN : Laki-Laki

T
SEX Male

NOMOR IJAZAH : Ns/0340/IK/2014

CERTIFICATE NUMBER

TANGGAL LULUS
AF : 14 Maret 2014
DATE OF GRADUATION

PERGURUAN TINGGI : Universitas Muhammadiyah Surabaya

UNIVERSITY

KOMPETENSI : Ners
R
Bachelor Nurse
COMPETENCE

NOMOR SERTIFIKAT KOMPETENSI : 9054/DPW.PPNI/R/K.S/VI/2022

COMPETENCE CERTIFICATION NUMBER
D

STR BERLAKU SAMPAI : 15 September 2027

VALID UNTIL