SECTION B ‘Summary of Education Complete the summary of education below for the nursing oF micwif gramme completed by the applica Please note that the clinical laboratory hours are Counted as theory as they are self-directed learning hours. Clinical practice hours must refer to hours of direct patient care that are mentored, supervised and assessed. If the transcript for the programme states ‘units’ or “ereaits of instruction, please state the number of ‘clock hours’ in a‘unit’or ‘creat’ nthe table on the right, Fpasy otal ours of Clinical Practice Fae] Tota Hours of Theory Instruction otal of bath Theory and 61189 Prinio! Pra Instruction Measure _ Equals X Clock Hours One Credit o ‘One Unit is other aan Number of Weeks: st ina Semester SECTION C Declaration and Contact Details clinical practice of the applicant. Signature J] cert tat tne information provided inthis form represents a true cutie ofthe theory and pate May 152023, Print Name Official stamp Dein Inayaht Kep Title or Position (Chairman Magister Science ia Nursing Work Email (orcs werk emai aosres of egratory) riningyahmkep@ pmsl com University or College Email keperawatan.s2@fts.unjani.ac.id @& Dipindai dengan CamScanner