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SERTIFIKAT KOMPETENSI

Certificate Of Competence

Nomor : 3440101440120190017
Number of Certificate : 3440101440120190017

Diberikan Kepada :
This is to Certify that
Nama Lengkap : MUHAMMAD SAFTIAN SIREGAR
Full Name

Tempat, Tanggal Lahir : KOTA PINANG, 18 Maret 1996


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401141266


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220003
Number of Certificate : 3440101440120220003

Diberikan Kepada :
This is to Certify that
Nama Lengkap : WINDI ARVITA SARI
Full Name

Tempat, Tanggal Lahir : PULO JANTAN, 05 Februari 1996


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401161340


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220004
Number of Certificate : 3440101440120220004

Diberikan Kepada :
This is to Certify that
Nama Lengkap : MUHAMMAD MARULI RITONGA
Full Name

Tempat, Tanggal Lahir : HASAHATAN, 01 Februari 1995


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401141267


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220005
Number of Certificate : 3440101440120220005

Diberikan Kepada :
This is to Certify that
Nama Lengkap : PEPI PEBRIANI TANJUNG
Full Name

Tempat, Tanggal Lahir : PULO PADANG, 23 Oktober 1996


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401161332


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220006
Number of Certificate : 3440101440120220006

Diberikan Kepada :
This is to Certify that
Nama Lengkap : AHMAD DOLI PARANGIN-ANGIN
Full Name

Tempat, Tanggal Lahir : RANTAUPRAPAT, 30 Mei 1994


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401131204


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220007
Number of Certificate : 3440101440120220007

Diberikan Kepada :
This is to Certify that
Nama Lengkap : WAHYU HADI
Full Name

Tempat, Tanggal Lahir : PASAR BATU, 02 Juni 1998


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401161339


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220008
Number of Certificate : 3440101440120220008

Diberikan Kepada :
This is to Certify that
Nama Lengkap : NURASIYAH
Full Name

Tempat, Tanggal Lahir : RANTAUPRAPAT, 04 Mei 1997


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401161331


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220009
Number of Certificate : 3440101440120220009

Diberikan Kepada :
This is to Certify that
Nama Lengkap : RISKI PADILAH SIREGAR
Full Name

Tempat, Tanggal Lahir : HUTAGODANG, 23 Juni 1998


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401161333


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220010
Number of Certificate : 3440101440120220010

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SAMIA HASAN SIREGAR
Full Name

Tempat, Tanggal Lahir : PER BANGAI, 04 Juli 1997


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401161335


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220011
Number of Certificate : 3440101440120220011

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ZAINAL ABIDIN
Full Name

Tempat, Tanggal Lahir : SEI BEROMBANG, 13 Juni 1996


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401161341


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220012
Number of Certificate : 3440101440120220012

Diberikan Kepada :
This is to Certify that
Nama Lengkap : HATMA SUHENDRA
Full Name

Tempat, Tanggal Lahir : UJUNG PADANG, 25 Oktober 1994


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401131211


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220013
Number of Certificate : 3440101440120220013

Diberikan Kepada :
This is to Certify that
Nama Lengkap : RAJA INAL SIREGAR
Full Name

Tempat, Tanggal Lahir : NAHULA, 07 April 1993


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401131222


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220014
Number of Certificate : 3440101440120220014

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SRI WAHYUNI
Full Name

Tempat, Tanggal Lahir : RANTAUPRAPAT, 16 Juni 1996


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401161337


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220015
Number of Certificate : 3440101440120220015

Diberikan Kepada :
This is to Certify that
Nama Lengkap : AHMAD IRFAN
Full Name

Tempat, Tanggal Lahir : RANTAUPRAPAT, 16 April 1997


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401161317


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220016
Number of Certificate : 3440101440120220016

Diberikan Kepada :
This is to Certify that
Nama Lengkap : JAINAL MUSTOFA RITONGA
Full Name

Tempat, Tanggal Lahir : PASAR SIMUNDOL, 10 Mei 1997


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401161326


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220017
Number of Certificate : 3440101440120220017

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ARYANTO SINAGA
Full Name

Tempat, Tanggal Lahir : RANTAUPRAPAT, 08 Juli 1990


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401121150


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220018
Number of Certificate : 3440101440120220018

Diberikan Kepada :
This is to Certify that
Nama Lengkap : MAHLIL SAY SIREGAR
Full Name

Tempat, Tanggal Lahir : RANTAUPRAPAT, 31 Mei 1997


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401161328


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220019
Number of Certificate : 3440101440120220019

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SANDI AURID NASUTION
Full Name

Tempat, Tanggal Lahir : KAMPUNG PADANG, 02 Mei 1994


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401131228


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220020
Number of Certificate : 3440101440120220020

Diberikan Kepada :
This is to Certify that
Nama Lengkap : SARIPUDDIN HASIBUAN
Full Name

Tempat, Tanggal Lahir : TANJUNG SIRAM, 29 November 1992


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401111129


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220021
Number of Certificate : 3440101440120220021

Diberikan Kepada :
This is to Certify that
Nama Lengkap : MUHAMMAD RUSDY
Full Name

Tempat, Tanggal Lahir : TELUK PULAI LUAR, 16 Desember 1996


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401161330


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220022
Number of Certificate : 3440101440120220022

Diberikan Kepada :
This is to Certify that
Nama Lengkap : EKO ANUGRAH
Full Name

Tempat, Tanggal Lahir : RANTAUPRAPAT, 28 Maret 1997


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401161321


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN


SERTIFIKAT KOMPETENSI
Certificate Of Competence

Nomor : 3440101440120220023
Number of Certificate : 3440101440120220023

Diberikan Kepada :
This is to Certify that
Nama Lengkap : ADI USMAN ROSA
Full Name

Tempat, Tanggal Lahir : SEI BEROMBANG, 16 Februari 1998


Place, Date of Birth

Nomor Induk Mahasiswa : 34401014401161316


Student ID Number

Nama Perguruan Tinggi : Akademi Keperawatan Pemkab Labuhan Batu


Name of Institution

Jenis dan No. Keputusan Pendirian Perguruan Tinggi : PENDIDIKAN TINGGI


VOKASI dan 354/E/O/2012
Under the law of Vocational School in Higher Education 354/E/O/2012

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 Labuhan Batu, 04 Juni 2022


Issued in Labuhan Batu, 04 (Date) 06 (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 TINUR BULAN

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