KDXTRTZFO B@\DKRT\ \TGFM ZFK@R RF\TGFNFPF

OCGC\ > 14/ZK/B@\/]@@/<819

RDORFOI

XDGLDORTKFO R@G Z@Z\TRD

\TGFM ZFK@R RF\TGFNFPF B@\

DKRT\ \TGFM ZFK@R RF\TGFNFPF

Gdo`glfoi > f. Lfmwf s`stdg rujukfo tdr`otdirfs` (Z@Z\TRD) gdrupfkfo

pdoydadoiifrffo pdafyfofo kdsdmftfo yfoi gdoiftur
pda`gpfmfo tuifs bfo tfoiiuoi jfwfl pdafyfofo kdsdmftfo
sdjfrf t`glfa lfa`k lf`k vdrt`kfa gfupuo mcr`zcotfa;
l. Lfmwf tujufo pdodrfpfo Z@Z\TRD fbfafm sdlfif`
afoikfm- afoikfm fifr sdguf tdofif gdb`s b` \ugfm Zfk`t
Rfrugfjfyf bfpft gdoifpa`kfs`kfo prcsds rujukfo
tdr`otdirfs` bdoifo lf`k bfo ldofr sdlfif`gfof gdst`oyf;
j. Lfmwf ldrbfsfrkfo pdrt`glfoifo sdlfif`gfof b`gfksub
pfbf lut`r (f) bfo (l) pdrau gdodtfpkfo Zurft Kdputusfo
B`rdktur \ugfm Zfk`t Rfrugfjfyf Xdgldotukfo R`g Z@Z\
TRD pfbf \ugfm Zfk`t Rfrugfjfyf;

Gdoi`oift > 1. Tobfoi - Tobfoi Oc.35 tfmuo <889 tdotfoi kdsdmftfo.

<. Tobfoi - Tobfoi Oc.22 tfmuo <889 tdotfoi \ugfm Zfk`t.
3. Xdrfturfo Gdotdr` Kdsdmftfo Oc.1171 tfmuo <811 tdotfoi
Z`stdg @oecrgfs` \ugfm Zfk`t.
2. Xdrfturfo Gdotdr` Kdsdmftfo Oc.=< tfmuo <813 tdotfoi
Z`stdg @oecrgfs` Gfofjdgdo \ugfm Zfk`t.
4. Kdputusfo bfr` Kdpfaf B`ofs Kdsdmftfo Kflupftdo Ldkfs`
uotuk @z`o Cpdrfs`cofa \ugfm Zfk`t Rfrugfjfyf
Oc.483/83/B`okds/\Z/<817

GDGTRTZKFO

Gdodtfpkfo >
KDZFRT > Kdputusfo B`rdktur \ugfm Zfk`t Rfrugfjfyf Ldkfs` tdotfoi
Xdgldotukfo R`g Z@Z\TRD b` \ugfm Zfk`t Rfrugfjfyf
bdoifo susuofo foiictfoyf sdlfif`gfof tdrafgp`r bfafg
kdtdtfpfo `o`.
KDBTF > R`g Z@Z\TRD ldrtuifs >
f. Gdgldr`kfo Zcaus` pdrjdpftfo afyfofo rujukfo ldrlfs`s
b`i`tfa.
l. Gdafksfofkfo faur Z@Z\TRD b` \ugfm Zfk`t tfrugfjfyf.
j. Gdgfst`kfo kcguo`kfs` bfo `oecrgfs` fwfa pfs`do sdldaug
b` rujuk ldrjfafo sdsuf` faur.
 b. Gdgfoefftkfo Z@Z\TRD sdlfif` sfrfof pdo`oikftfo gutu
afyfofo bdoifo s`stdg `oecrgfs` rujukfo tdr`otdirfs` yfoi
ldrbfgpfk pfbf kdpufsfo pfs`do.
KDR@IF > Bfafg gdafksfofkfo tuifsoyf R`g Z@Z\TRD ldrtfoiiuoi
jfwfl kdpfbf Gfofjdr Xdafyfofo Gdb`s \ugfm Zfk`t
Rfrugfjfyf
KDDGXFR > Zurft Kdputusfo `o` ldrafku sfgpf` bdoifo 8<-1<-<8<1, bdoifo
jftftfo fkfo b`afkukfo pdgldtuafo sdpdrauoyf fpfl`af
b`kdgub`fo mfr` tdrbfpft kdkda`rufo bfafg Zurft Kdputusfo `o`.

B`tdtfpkfo b` Ldkfs`,

Xfbf tfoiifa, 8<-1<-<819

B@\DKRT\ \TGFM ZFK@R

RF\TGFNFPF

Br. \`zk` Bw` Zukfrb`

AFGX@\FO 1
KDXTRTZFO B@\DKRT\ \TGFM ZFK@R RF\TGFNFPF
OCGC\ >
14/ZK/B@\/]@@/<819 RFOIIFA >
8<-1<-<819

R@G Z@Z\TRD
\TGFM ZFK@R RF\TGFNFPF

Nflftfo Ofgf Oc Rdap

Gfofjdr Xdafyfofo : dr. Siti Nurhayati 081298686670
Gdb`s
X@J @IB : Nelly Ortio Panjaitan 082125829386
X@J Xdrfwftfo AR.< : Andini Pratiwi 081213709691
X@J Xdrfwftfo AR.3 : Yanti Nopi Purwanti 081293727174
@R : Mohamad Rizal 089660186991
Fbg`o`strfs` : Wuri Dwi Nastiti 087781054014

B`tdtfpkfo b` Ldkfs`,

Xfbf tfoiifa, 8<-1<-<819

B@\DKRT\ \TGFM ZFK@R RF\TGFNFPF

Br. \`zk` Bw` Zukfrb`