!

I.INIVERSITAS GADJAH MADA

FACULTY OF MEDICII{E, PUBLIC HEALTH AND NURSING
Jalan Farmako, Sekip Utara, Yogyakarta, 55281 INDONESIA,
Phone: +62-274-543278, 543052; Fax: +62-274-548846, Email: dekan.fk@ugm.ac.id

ANNOUNCEMENT
Ref: 75 I 7/UNI/FKKMIVAIVTM 12021

Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada announces that the
following applicants (as attached) have passed the First Phase Test on 17 - 18 June 202I and. can
join the Second Phase Test on Sunday 20 June 2021.

The Applicants are required to join the Interview session, Situational Judgement Test (SJT), and
Minnesota Multiphasic Personality Inventory (MMPI) on:

DaylDate : Sunday, 20 June202l

Time : 06.30 - 17.00 WIB

The test will be held online. ID

Meetings, technical instructions, and group arrangements will
annonnce by the applicant's email on Saturday, 19 June 202I, at 10.00 am. Please check the email
used for registration.

Applicants required to :
1. Upload informed consent (the format will be to the emqil) to
attached
http://ugm.id/informedconsentlUP, the due date for form submission is Saturday, li June
2021at 16.00 Western Indonesian Time.
2. Register as a student in the http://www.elok.ugm.ac.id, then click the, link provided on the
registered email to activate the account.

Applicants who are not listed are declared not passing the exam to join The Second Phase Test.

Yogyakarta, l8 June 2021

Emilia, MD., M.Med.Ed., Consultant Obgyn, Ph.D

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RESULT OF FIRST PHASE
INTERNATIONAL UNDERGRADUATE PROGRAM IN MEDICINE
INTAKE III ACADEMIC YEAR 202112022

No,',,' Nama

1 21 05200001 Louis Danryin Susanto

2 2105200002 Syaqhina Nifa Hidayat
3 21 05200003 Kristian lmanuel Lumban Toruan
4 2105200007 Stephanie Gitareja Mahardika
5 21 05200008 Shafira PutriArdiani
6 2105200015 Bhavesh Nico Lalwani
7 2105200023 Farahiyah Sharfina Saputri
8 2105200024 Lidwina Nadia Adindaputri
9 2105200028 Ajeng Ashri Husna Amelinda
10 2105200029 Evanri Matthew Silitonga
11 2105200034 Gianina Letisha Pramesti
12 2105200037 Aqila Rifzika Arrahma
13 2105200041 lda Ayu Kyara Ferbena Trininta
14 2105200042 Maretta Marlo
15 2105200044 Nayla Eliza Hanavia
16 2105200047 Lira Virna
17 2105200049 Fairoza Husnia Adiba
18 21 05200050 Putri Virda Salsabillah
19 21 05200051 lmanuelArdian
20 21 05200053 Muhammad Dzaky Fadhlullah Thaib
21 21 05200056 Dania Savitri
22 21 05200058 Qonita PutriAnas
23 2105200060 Livia Odelia Bodiwan
24 21 05200063 Arva Adwitya
25 21 05200065 Kiaranisa Asima Colleta Tampubolon
26 2105200067 Dimas Yudistira Wijaya
27 2105200077 Gratia Dearios Ompusunggu
28 2105200081 Muhammad Aqshal Pradipta
29 2105200087 Mu'Adz Al-QolbiArtana
30 21 05200090 Aimee Aurelia Saputro
31 21 05200091 Bagus Dayana Mikdam il)A
32 21 05200095 Rahma Azzalia Rahman hrz\
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Page 1 of4
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 No-' ,

33 21 052001 00 Michelle Blessvisia

34 2105200102 Tamara Aliya Zahra
35 2105200107 Andre Dharmawan
36 2105200110 Danisa Marlin Halim
37 2105200111 David Dior Salurapa Tallulembang
38 2105200112 Fajar Rivaldi
39 2105200114 Frestiani Rahadian Sitoresmi
40 2105200118 Diva Shadiqa Rusli
41 2105200120 Sheila Tirta Ayumurti
42 2105200122 Godwin Saragih
43 2105200123 Annora Clianta Khalida Siregar
44 2105200124 Mahira Khansa Aishaneeqa
45 2105200127 Azzahra Fatinnuha Azmi Prayogi putri
46 2105200131 Eurico Al Nugra
47 2105200135 Shaffira Annisa Herawati
48 2105200137 Kharis Andika Delliando
49 2105200139 Abhista Alwan Putra Prabowo
50 2105200140 Nabila Safitri Dhewanata
51 2105200143 Muhammad Rafii Bonar Siregar
52 2105200144 Clarissa Abelia
53 2105200149 Muhammad Nur lhsan
54 2105200154 Rafaelle Raditya Supandji
55 2105200156 Menza Fadiyan Amriel
56 21 052001 60 Muhammad Diandra Akbarsyah
57 2105200161 Muhammad Andhika Akbarsyah
58 2105200162 Dwiyanti lndah Luthfiyyah
59 2105200165 Muhamad Thariq Herkan
60 2105200167 Ni Kadek Belva Parmeswari
61 21 052001 69 Axel Kenneth Kie
62 2105200172 Antonia Namelia Wahyu Amumpuni
63 2105200176 Mustika lntan Sahifah Hanafi
64 2105200179 Muhammad lrfan Muttaqin
65 2105200181 Nashwa Tazkia Roesli
oo 2105200182
:(
Azzahra Ervina Sa lsabila
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67
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21 052001 89 Samuel King Kurniawan J

Page2 of 4
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 Nama

103 21 05200306 Eunike Marshya Easter Damanik

104 2105200307 Naila Faridah Huda Wasilah
105 21 0520031 0 Vincent Marciano lrawan
106 2105200316 Annamaria Phoebe Swastidharmistha
107 2105200317 Raiqa Nazhira T azkia Zakaria
108 2105200320 Carissa lzzati Fidela
109 2105200321 Ferlin Agustin Anggraeni
110 2105200322 Galena Devi Prajgayatri
111 21 05200333 Armybet ltaq Fitri Sabila
112 2105200334 Roro Dyah Sekar Djatiningrum
113 2105200345 Jessica Cheryl Koeseta
114 21 05200353 Handika Arsyady Muhammad
115 2105200354 Fithriyyah Amini
116 21 05200355 Bismo Panji Kusumo
117 2105200363 Aurelia Tabina Putri Wigianto
118 2105200364 Muhammad Farhan Riskiansyah
119 21 05200368 Siva Allysha Prasanti
120 21 05200369 Keisa Asoka Wardani

Yogyakarta, 18 June 2021

Dean,
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