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Hal : Surat Permohonan Pembiayaan Keanggotaan Perhimpunan Organisasi Profesi

Lampiran: 1 bendel

Kepada : Yth. Dekan Fakultas Kedokteran UNISSULA

Di tempat

Assalamu’alaikum wr.wb.

Bersama ini, saya:

Nama : dr. Afridatul Luailiyah, MHPE

Unit Kerja : Fakultas Kedokteran UNISSULA

Bermaksud mengajukan permohonan penggantian pembiayaan iuran anggota organisasi profesi


di bidang Pendidikan kedokteran dan Kesehatan yaitu Indonesian College of Health
Professions Education (I AM – HPE). Adapun besaran iuran anggota selama 5 tahun adalah
Rp. 1.600.000,
- dengan manfaat tambahan dapat mengikuti kegiatan seminar tahunan yang diselenggarakan
oleh organisasi secara gratis. Selama pandemi, I AM-HPE telah menyelenggarakan webinar
serial sepanjang tahun. Profil mengenai organisasi I AM-HPE dapat diakses melalui laman web
https://iamhpe.org/ Bukti biaya transfer iuran anggota terlampir.

Atas perhatian dan perkenan terkabulnya permohonan ini, saya haturkan terimakasih.

Wassalamu’alaikum wr.wb.

Semarang, 26 April 2021


Hormat Saya,

dr.Afridatul Luailiyah, MHPE


3/18/2021 Profile | Indonesian College of Health Professions Education

PROFILE
HOME ABOUT ORGANIZATION MEMBERSHIP NEWS & EVENTS RESOURCES

Indonesian College of Health Professions Education (I AM – HPE) is established as a forum aiming for leading the
development of Medical and Health Professions Education. The formation of I am HPE is driven by a strong desire to
contribute and devote to the progress and welfare of the people and the Republic of Indonesia, in accordance with the
dignity and noble traditions of the medical profession, as well as contribute to the strengthening of Medical Education and
Health all over the world and equal access to quality Medical and Health Professions Education for every Indonesian citizen.
On Thursday, February 22, 2018 in Yogyakarta, an initial meeting was held to approve the establishment of the I am HPE,
attended by expert representatives of medical education and health professions Indonesia on the background different
health professions as the beginning of the establishment of the organization.

Vision of the I am HPE

Become the pioneer in advancing the development and implementation of Medical and Health Professions Education in
Indonesia towards superior quality based on the most updated scientific evidences in order to realize the best health
care services for the Indonesian community.

Mission of the I am HPE

1. To unite and maintain the interests and scientific position of Medical and Health Professions Education in
accordance with the regulations of the Republic of Indonesia.

2. To develop and promote medical education science based on the latest scientific evidence.

3. To serve, foster and enhance the professionalism of the academic community, students and graduates in the fields
of Medical and Health Professions Education in Indonesia.

4. To carry out advocacy on behalf of members and the community in regards to Medical and Health Professions
Education.

5. To establish and maintain relationships with health care professionals associations at national and international
level.

https://iamhpe.org/profile/ 1/2
3/18/2021 Registration of Membership | Indonesian College of Health Professions Education

REGISTRATION
HOME
OF MEMBERSHIP
ABOUT ORGANIZATION MEMBERSHIP NEWS & EVENTS RESOURCES

PLEASE FILL THIS FOLLOWING MEMBERSHIP FORM.


YOU CAN FILL THE FORM AND ATTACH THE FIELD IN .JPEG / .PNG / .PDF FORMAT WITH 1MB MAXIMUM SIZE.
(NO MANDATORY FILE ATTACHMENTS)

1. COLORED SCAN PHOTOS


2. IDENTITY CARD SCAN
3. SCAN EVIDENCE OF MEMBERSHIP PAYMENT

FULL NAME (REQUIRED)

EMAIL ADDRESS (REQUIRED)

GENDER (REQUIRED)

Male

DATE OF BIRTH (DD-MM-YYYY) (REQUIRED)

INSTITUTION ORIGIN (REQUIRED)

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3/18/2021 Registration of Membership | Indonesian College of Health Professions Education

INSTITUTION ADDRESS (REQUIRE


D)

HOME ABOUT ORGANIZATION MEMBERSHIP NEWS & EVENTS RESOURCES

LATEST EDUCATION (REQUIRED)

LATEST EDUCATIONAL INSTITUTION (REQUIRED)

MEMBERSHIP (REQUIRED)

Regular Member

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SCAN KTP/ IDENTITY CARD


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SCAN S2/ S3 MHPE QUALIFICATION


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HEREBY I DECLARE TO COMPLY AND UNDERSTAND OF KIPPKI (IAMHPE) MEMBERSHIP T


ERMSAND CONDITION.

SEND

Please contact our secretariat via email at infoiamhpe@gmail.com or via Whatsapp at phone number 082144005869.

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3/18/2021 Expertise | Indonesian College of Health Professions Education

EXPERTISE
HOME ABOUT ORGANIZATION MEMBERSHIP NEWS & EVENTS RESOURCES

The Indonesian Health Professional Education Column (I AM-HPE) facilitates the provision of seminars, workshops, and
provision of training speakers in the fields of medical education and health professionals. The fields that are
accommodated include:

Curriculum Development in Medical and Health Professions

Education Facilitating Learning in Medical and Health Professions

Education Assessment in Medical and Health Professions Education

Workplace-based Education (clinical- or community-based education)

Leadership, Management, and Policy in Medical and Health Professions

Education Quality Assurance in Medical and Health Professions Education

Research in Medical and Health Professions Education

The certification provided by the Collegium on training organized by the institution aims to obtain recognition from Collegium.
The institution planning a training and intending to get recognition from the College must send an instructional design for board
review. This training recognition is used for recommendations for promotion.

Request for Training


Recognition

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