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ltrch \dbch \af4 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \
langfenp14345 Saya yang bertandatangan di bawah ini :}{\fs24 \rtlch \ltrch \dbch \
af0 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \langfenp14345 \
par }\pard \plain \li400 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin400 \rin0 \tql \tx2980 \itap0 \fs20 \rtlch \ltrch \loch \
af4 \hich \af4 \dbch \af4 \lang14345 \langnp14345 \langfe14345 \langfenp14345 {\
fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang14345 \langnp14345 \
langfe14345 \langfenp14345 Nama}{\fs24 \rtlch \ltrch \dbch \af0 \hich \af0 \loch \
f0 \lang14345 \langnp14345 \langfe14345 \langfenp14345 \tab }{\fs24 \rtlch \ltrch \
dbch \af0 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe14345 \langfenp14345 \
tab }{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang14345 \langnp14345
\langfe14345 \langfenp14345 :}{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \
f0 \lang1033 \langnp1033 \langfe14345 \langfenp14345 Eka Indrawati}{\fs24 \rtlch \
ltrch \dbch \af0 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \
langfenp14345 \par }\pard \plain \li400 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin400 \rin0 \itap0 \fs20 \rtlch \ltrch \
loch \af4 \hich \af4 \dbch \af4 \lang14345 \langnp14345 \langfe14345 \langfenp14345
{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang14345 \langnp14345 \
langfe14345 \langfenp14345 Tempat dan Tanggal Lahir }{\fs24 \rtlch \ltrch \dbch \
af4 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe14345 \langfenp14345 \tab }
{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang14345 \langnp14345 \
langfe14345 \langfenp14345 :}{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe14345 \langfenp14345 Banyumas,30 Maret 1996}{\fs24 \
rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe14345 \
langfenp14345 \sect }\sectd \sbknone \pgwsxn11900 \pghsxn16838 \marglsxn1440 \
margrsxn1266 \margtsxn1440 \margbsxn669 \guttersxn0 \headery0 \footery0 \pgbrdropt0
\sectlinegrid360 \sectdefaultcl \cols2 \colno1 \colw2280 \colsr720 \colno2 \
colw6200 \endnhere \pard \plain \li400 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin400 \rin0 \itap0 \fs20 \rtlch \ltrch \
loch \af4 \hich \af4 \dbch \af4 \lang14345 \langnp14345 \langfe14345 \langfenp14345
{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang14345 \langnp14345 \
langfe14345 \langfenp14345 Alamat Rumah}{\fs24 \rtlch \ltrch \dbch \af4 \hich \
af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \langfenp14345 \par }\pard \
plain \fi720 \cufi0 \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin0 \rin0 \itap0 \fs20 \rtlch \ltrch \loch \af4 \hich \af4 \
dbch \af4 \lang14345 \langnp14345 \langfe14345 \langfenp14345 {\fs24 \rtlch \
ltrch \dbch \af4 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \
langfenp14345 \column }{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \
lang14345 \langnp14345 \langfe14345 \langfenp14345 :}{\fs24 \rtlch \ltrch \dbch \
af4 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe14345 \langfenp14345
Selanegara Rt 05/03 Sumpiuh, Banyumas}{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \
loch \f0 \lang1033 \langnp1033 \langfe14345 \langfenp14345 \sect }\sectd \sbknone \
pgwsxn11900 \pghsxn16838 \marglsxn1440 \margrsxn1266 \margtsxn1440 \margbsxn669 \
guttersxn0 \headery0 \footery0 \pgbrdropt0 \sectlinegrid360 \sectdefaultcl \cols2 \
colsx0 \colno1 \colw3000 \colno2 \colw6200 \endnhere \pard \plain \li400 \ri0 \
lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin400 \
rin0 \itap0 \fs20 \rtlch \ltrch \loch \af4 \hich \af4 \dbch \af4 \lang14345 \
langnp14345 \langfe14345 \langfenp14345 {\fs24 \rtlch \ltrch \dbch \af4 \hich \
af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \langfenp14345 Asal Perguruan}{\
fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langfe14345 \langfenp14345 Tinggi}{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe14345 \langfenp14345 \par }\pard \plain \fi720 \
cufi0 \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin0 \rin0 \itap0 \fs20 \rtlch \ltrch \loch \af4 \hich \af4 \dbch \af4
\lang14345 \langnp14345 \langfe14345 \langfenp14345 {\fs24 \rtlch \ltrch \dbch \af4
\hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \langfenp14345 \column }
{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang14345 \langnp14345 \
langfe14345 \langfenp14345 :}{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe14345 \langfenp14345 Universitas Gadjah Mada}{\fs24 \
rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe14345 \
langfenp14345 \sect }\sectd \sbknone \pgwsxn11900 \pghsxn16838 \marglsxn1440 \
margrsxn1266 \margtsxn1440 \margbsxn669 \guttersxn0 \headery0 \footery0 \pgbrdropt0
\sectlinegrid360 \sectdefaultcl \cols2 \colno1 \colw2280 \colsr720 \colno2 \
colw6200 \endnhere \pard \plain \li400 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin400 \rin0 \itap0 \fs20 \rtlch \ltrch \
loch \af4 \hich \af4 \dbch \af4 \lang14345 \langnp14345 \langfe14345 \langfenp14345
{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang14345 \langnp14345 \
langfe14345 \langfenp14345 Tahun Lulus}{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \
loch \f0 \lang14345 \langnp14345 \langfe14345 \langfenp14345 \par }\pard \plain \
fi720 \cufi0 \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin0 \rin0 \itap0 \fs20 \rtlch \ltrch \loch \af4 \hich \af4 \dbch \af4
\lang14345 \langnp14345 \langfe14345 \langfenp14345 {\fs24 \rtlch \ltrch \dbch \af4
\hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \langfenp14345 \column }
{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang14345 \langnp14345 \
langfe14345 \langfenp14345 :}{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe14345 \langfenp14345 2019}{\fs24 \rtlch \ltrch \dbch \
af4 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe14345 \langfenp14345 \sect }\
sectd \sbknone \pgwsxn11900 \pghsxn16838 \marglsxn1440 \margrsxn1266 \
margtsxn1440 \margbsxn669 \guttersxn0 \headery0 \footery0 \pgbrdropt0 \
sectlinegrid360 \sectdefaultcl \endnhere \pard \plain \fi0 \cufi0 \li400 \culi200 \
ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin400
\rin0 \itap0 \fs20 \rtlch \ltrch \loch \af4 \hich \af4 \dbch \af4 \lang14345 \
langnp14345 \langfe14345 \langfenp14345 {\fs24 \rtlch \ltrch \dbch \af4 \hich \
af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \langfenp14345 No. Sertifikat
Kompetensi }{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang1033 \
langnp1033 \langfe14345 \langfenp14345 \tab }{\fs24 \rtlch \ltrch \dbch \af4 \
hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \langfenp14345 :}{\fs24 \
rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe14345 \
langfenp14345 0010011530120200002}{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \
loch \f0 \lang1033 \langnp1033 \langfe14345 \langfenp14345 \par }\pard \plain \
li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin0 \rin0 \itap0 \fs20 \rtlch \ltrch \loch \af4 \hich \af4 \dbch \af4 \lang14345 \
langnp14345 \langfe14345 \langfenp14345 {\fs24 \rtlch \ltrch \dbch \af0 \hich \
af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \langfenp14345 \par }\pard \
plain \li400 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin400 \rin0 \itap0 \fs20 \rtlch \ltrch \loch \af4 \hich \af4 \dbch \
af4 \lang14345 \langnp14345 \langfe14345 \langfenp14345 {\fs24 \rtlch \ltrch \
dbch \af4 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \langfenp14345
Dengan ini menyatakan dengan sesungguhnya bahwa saya akan mematuhi dan melaksanakan
ketentuan etika profesi bidan.}{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0
\lang14345 \langnp14345 \langfe14345 \langfenp14345 \par }\pard \plain \li0 \ri0 \
lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \
rin0 \itap0 \fs20 \rtlch \ltrch \loch \af4 \hich \af4 \dbch \af4 \lang14345 \
langnp14345 \langfe14345 \langfenp14345 {\fs24 \rtlch \ltrch \dbch \af0 \hich \
af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \langfenp14345 \par }\pard \
plain \li400 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin400 \rin0 \itap0 \fs20 \rtlch \ltrch \loch \af4 \hich \af4 \dbch \
af4 \lang14345 \langnp14345 \langfe14345 \langfenp14345 {\fs24 \rtlch \ltrch \
dbch \af4 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \langfenp14345
Demikian pernyataan ini saya buat dengan sesungguhnya dan bila saya dinyatakan
terbukti melanggar kode etik oleh organisasi profesi, saya bersedia mendapatkan
sanksi.}{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang14345 \
langnp14345 \langfe14345 \langfenp14345 \par }\pard \plain \li0 \ri0 \lisb0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \
itap0 \fs20 \rtlch \ltrch \loch \af4 \hich \af4 \dbch
\af4 \lang14345 \langnp14345 \langfe14345 \langfenp14345 {\fs24 \rtlch \ltrch \
dbch \af0 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \
langfenp14345 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs20 \rtlch \ltrch \loch \af4 \
hich \af4 \dbch \af4 \lang14345 \langnp14345 \langfe14345 \langfenp14345 {\fs24 \
rtlch \ltrch \dbch \af0 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \
langfenp14345 \par }\pard \plain \qr \fi720 \cufi0 \li0 \ri0 \lisb0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs20 \rtlch \
ltrch \loch \af4 \hich \af4 \dbch \af4 \lang14345 \langnp14345 \langfe14345 \
langfenp14345 {\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang1033 \
langnp1033 \langfe14345 \langfenp14345 Banyumas, 26 November 2020}{\fs24 \rtlch \
ltrch \dbch \af4 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe14345 \
langfenp14345 \par }\pard \plain \qr \fi720 \cufi0 \li0 \ri0 \lisb0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs20 \rtlch \
ltrch \loch \af4 \hich \af4 \dbch \af4 \lang14345 \langnp14345 \langfe14345 \
langfenp14345 {\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang14345 \
langnp14345 \langfe14345 \langfenp14345 Yang membuat pernyataan,}{\fs24 \rtlch \
ltrch \dbch \af0 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \
langfenp14345 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs20 \rtlch \ltrch \loch \af4 \
hich \af4 \dbch \af4 \lang14345 \langnp14345 \langfe14345 \langfenp14345 {\fs24 \
rtlch \ltrch \dbch \af0 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \
langfenp14345 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs20 \rtlch \ltrch \loch \af4 \
hich \af4 \dbch \af4 \lang14345 \langnp14345 \langfe14345 \langfenp14345 {\fs24 \
rtlch \ltrch \dbch \af0 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \
langfenp14345 \par }\pard \plain \qr \li120 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin120 \rin0 \itap0 \fs20 \rtlch \ltrch \
loch \af4 \hich \af4 \dbch \af4 \lang14345 \langnp14345 \langfe14345 \langfenp14345
{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langfe14345 \langfenp14345 (}{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \
lang14345 \langnp14345 \langfe14345 \langfenp14345 \uc1 \u8230 ?\uc1 \u8230 ?\uc1 \
u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?.}{\fs24 \
rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe14345 \
langfenp14345 )}{\fs24 \rtlch \ltrch \dbch \af4 \hich \af0 \loch \f0 \lang14345 \
langnp14345 \langfe14345 \langfenp14345 }{\fs24 \rtlch \ltrch \dbch \af4 \hich \
af0 \loch \f0 \lang14345 \langnp14345 \langfe14345 \langfenp14345 \par }}