SERTIFIKAT KOMPETENSI

Certificate Of Competence

Nomor : 4050311447420220057
Number of Certificate : 4050311447420220057

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SELVIANA DOLFINA LAUCE KOMBAYOR
Full Name

Tempat, Tanggal Lahir : BIAK, 28 April 1991

Place, Date of Birth

Nomor Induk Mahasiswa : 40503114474PO7120711068

Student ID Number

Nama Perguruan Tinggi : Poltekkes Kemenkes Jayapura

Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : Pendidikan Tinggi Vokasi
dan 298/MENKES-KESOS/SK/IV/2001
Under the law of Vocational School in Higher Education 298/MENKES-KESOS/SK/IV/2001

Program Studi : Program Diploma III Keperawatan

Major : Diploma III Nursing Program

Dinyatakan telah LULUS UJI KOMPETENSI PROGRAM DIPLOMA III KEPERAWATAN

Has passed the Competency Test of Diploma III Nursing Program

Berdasarkan Keputusan Bersama Panitia Uji Kompetensi Nasional Khusus Retaker Lulusan DIII
Keperawatan dan Profesi Ners Nomor Nomor DPP PPNI: 050/DPP.PPNI/SK/K.S/V/2021, AIPNI:
001/KEP/AIPNI/2021, AIPViKI: 05/I/V/2021, HPTKes: 40.7/Ukom/HPTKES/2021 dan APKESI:
034.1/APKESI/V/2021
Based on Decree of the National Competency Examination Joint Committee Special for Retaker of
Diploma III Nursing Program Graduates and Nursing Profession Program Graduates, Number Nomor DPP
PPNI: 050/DPP.PPNI/SK/K.S/V/2021, AIPNI: 001/KEP/AIPNI/2021, AIPViKI: 05/I/V/2021, HPTKes:
40.7/Ukom/HPTKES/2021 dan APKESI: 034.1/APKESI/V/2021

Diterbitkan di Jayapura, 04 Februari 2022

Issued in Jayapura, 04 (Date) 02 (Month) 2022 (Year)

Pengurus Pusat Persatuan Perawat Nasional Indonesia Pimpinan Perguruan Tinggi

Indonesian National Nurses Association - Central Board (Head of Higher Education Institution)
Ketua Umum
President

Foto

Harif Fadhillah ARWAM H. M. ZETH