ASIAN MEDICAL STUDENTS’ ASSOCIATION

FAKULTAS KEDOKTERAN
UNIVERSITAS MUHAMMADIYAH MALANG

Sekretariat : Jl. Bendungan Sutami No. 188-A Tlp. 082147037008 Fax. (0341) 582060 MALANG

Malang, 7 Februari 2024

Nomor : 130/SKet/R/AMSA-UMM/II/2024
Hal : Surat Keterangan Partisipasi Aktif dalam Kegiatan AMSA-UMM
Lampiran :6

SURAT KETERANGAN PARTISIPASI AKTIF DELEGASI DAN KEPANITIAAN

AMSA-UMM

Dengan hormat,
Saya yang bertanda tangan di bawah ini :

Nama : Atika Nopriana

NIM : 202110330311092
Jurusan : Pendidikan Dokter
Jabatan : Representative AMSA-UMM 2023/2024
Organisasi : LSO Asian Medical Students’ Association FK UMM

Menyatakan dengan sesungguhnya bahwa para mahasiswa FK-UMM angkatan 2020 yang
terlampir sebagaimana kegiatan-kegiatan yang diikuti terlampir telah berpartisipasi aktif sebagai
delegasi dan kepanitiaan dalam Asian Medical Students’ Association Fakultas Kedokteran
Universitas Muhammadiyah Malang.

Demikian surat keterangan ini dibuat untuk dipergunakan sebagaimana mestinya.

Mengetahui,
Representative AMSA-UMM 2023/2024

Atika Nopriana
NIM. 202110330311092
 ASIAN MEDICAL STUDENTS’ ASSOCIATION
FAKULTAS KEDOKTERAN
UNIVERSITAS MUHAMMADIYAH MALANG

Sekretariat : Jl. Bendungan Sutami No. 188-A Tlp. 082147037008 Fax. (0341) 582060 MALANG

Lampiran

KEGIATAN ASIAN MEDICAL STUDENTS’ ASSOCIATION (AMSA)

YANG TELAH DIIKUTI

No. Nama Kegiatan Tahun

1. SARASA (Study and Sharing with AMSA) AMSA-UMM 2020 2020

Webinar & Competition Sponsorship Training AMSA-UMM
2. 2020
2020
3. English Training Project AMSA-UMM 2020 2020

4. MYOSIN (Make Your Own Design) AMSA-UMM 2020 2020

Webinar RACHITIC (Research and Design-Editing Club)
5. ‘Improve Knowladge and Writing Skills for Scientific Paper’ 2020
AMSA-UMM 2020
Webinar Charity On Action (COA) : Disability, Not Mis-
6. 2021
Ability AMSA-UMM 2021
Webinar COSINUS AMSA-UMM 'Get to Know about
7. Love Ourselves as A Woman and Sex Education' AMSA-UMM 2021
2021
Webinar Webinar RACHITIC 3 (Research and Design-Editing
8. Club) ‘Find Your Reflection Through Photography, Make 2021
Memories Through Videography’ AMSA-UMM 2021
Workshop dan Webinar EOTY (Event of The Year)
9. 2021
‘HEALTHY’ AMSA-UMM 2021
Webinar & Workshop CITO (Clinic Treat Society) AMSA-
10. 2021
UMM 2021
 ASIAN MEDICAL STUDENTS’ ASSOCIATION
FAKULTAS KEDOKTERAN
UNIVERSITAS MUHAMMADIYAH MALANG

Sekretariat : Jl. Bendungan Sutami No. 188-A Tlp. 082147037008 Fax. (0341) 582060 MALANG

Lampiran

KEGIATAN ASIAN MEDICAL STUDENTS’ ASSOCIATION (AMSA)

YANG TELAH DIIKUTI

No. Nama Kegiatan Tahun

Webinar MYOSIN (Make Your Own Design) 2.0 AMSA-
11. 2021
UMM 2021
12. COSINUS 2.1 ‘World AIDS Day’ AMSA-UMM 2021 2021

13. Webinar GRAND RACHITIC 1 AMSA-UMM 2022 2022

14. MYOSIN (Make Your Own Design) AMSA-UMM 2022 2022

15. CITO (Clinic Treat Society) AMSA-UMM 2022 2022

Webinar MYOSIN (Make Your Own Design) 2.0 ‘How to
16. Make an Attractive Coloring With Adobe Illustrator’ 2022
AMSA-UMM 2022
17. RAKERNAS (Rapat Kerja Nasional) AMSA-Indonesia 2022 2022

18. COA(Charity on Action) x SSCM AMSA-UMM 2022 2022

19. SPARTA (Sponsorship Training) AMSA-UMM 2022 2022

Webinar GRAND RACHITIC x MYOSIN ‘LEVODOPA
20. 2023
(Level Up Do Your Part)’ AMSA-UMM 2O23
 ASIAN MEDICAL STUDENTS’ ASSOCIATION
FAKULTAS KEDOKTERAN
UNIVERSITAS MUHAMMADIYAH MALANG

Sekretariat : Jl. Bendungan Sutami No. 188-A Tlp. 082147037008 Fax. (0341) 582060 MALANG

Lampiran

KEGIATAN ASIAN MEDICAL STUDENTS’ ASSOCIATION (AMSA)

YANG TELAH DIIKUTI

No. Nama Kegiatan Tahun

21. COSINUS 2023 ‘NOCICEPTOR (New Hope for Cancer 2023

Survivor) AMSA-UMM 2023
22. DOCTORPRENEUR 2023 2023

23. Webinar GRAND RACHITIC II “EXTRACTION (Expert 2023

Training for Science Paper Competition) AMSA-UMM 2023
24. EOTY (Event of The Year) AMSA-UMM 2023 2023

25. Webinar MYOSIN 2.0 ‘CAPTOPRIL (Chance to Improve 2023

Editing Video Skills with Adobe Premiere)’ AMSA-UMM
2023
26. DEXTRAN (Discussing Experience Together With Medical 2023
Faculty Organizations Universitas Muhammadiyah Malang)
2023
27. COA ‘CANDESARTAN (Cek Kesehatan Dalam Rangka 2023
Memperingati Kemerdekaan) AMSA-UMM 2023
28. CITO ‘ACETYLCHOLINE (Application of Clean and Health 2023
Lifestyle to Yourself and Your Surrounding Environtment)
AMSA-UMM 2023
 ASIAN MEDICAL STUDENTS’ ASSOCIATION
FAKULTAS KEDOKTERAN
UNIVERSITAS MUHAMMADIYAH MALANG

Sekretariat : Jl. Bendungan Sutami No. 188-A Tlp. 082147037008 Fax. (0341) 582060 MALANG

Lampiran

No. Nama NIM Jabatan

1. MUHAMMAD RIDHO IRIANTORO 202010330311112 • Advisory Board
2023/2024
• Representative
2022/2023
• Secretary of
Division CO
2021/2022
• Member AMSA-
UMM 2020-2021
2. AZ-ZAHRA FARRAS HIDAYAH 202010330311007 • Advisory Board
2023/2024
• Vice
Representative
External
2022/2023
• Secretary of
Division PnP
2021/2022
• Member AMSA-
UMM 2020-2021
3. AKBAR PANDU WAHYONO 202010330311106 • Advisory Board
2023/2024
• Vice
Representative
Internal
2021/2022
• Chief of RnA
2022/2023
• Member AMSA-
UMM 2020-2021
4. SYAHDANIAR HAMAMI TSALISA 202010330311077 • Advisory Board
HAQ 2023/2024
• Chief of MnD
2022/2023
• Member AMSA-
UMM 2020-2022
5. SILVANA GADIS ARDHISTIX'S 202010330311101 • Advisory Board
2023/2024
• Chief of PnP
2022/2023
• Member AMSA-
UMM 2021-2022
 ASIAN MEDICAL STUDENTS’ ASSOCIATION
FAKULTAS KEDOKTERAN
UNIVERSITAS MUHAMMADIYAH MALANG

Sekretariat : Jl. Bendungan Sutami No. 188-A Tlp. 082147037008 Fax. (0341) 582060 MALANG

No. Nama NIM Jabatan

6. FADISA SASKY AZAHRUL 202010330311038
General •
PERMADANI Secretary
2022/2023
• Member AMSA-
UMM 2020-2022
7. AULIA PUTRI AYUNINGTYAS 202010330311052 • Treasurer
2022/2023
• Member 2020-
2022
8. PELANGI NADA WIDYADARI 202010330311120 • Chief of CO
2022/2023
• Member AMSA-
UMM 2020-2022
9. ULIL AMRI MUFIDAH HANIYAH 202010330311020 • Chief of FnP
2022/2023
• Member AMSA-
UMM 2020-2022
10. HIKARI RAHMA AFIDA 202010330311046 • Secretary of
Divison FnP
2021/2022
• Member AMSA-
UMM 2020-2022
11. IRSALINA CAHYANI ARIYANTI 202010330311149 • Secretary of
Division MnD
2021/2022
• Member AMSA-
UMM 2020-2022
12. RADYTA RADWA MAUDYNA 202010330311061 Member AMSA-UMM
2020-2022
13. SHAFA AULIA TIFFANI 202010330311060 Member AMSA-UMM
KARTINI 2021-2022
14. SHOFIE NABILA HARLYANTI 202010330311083 Member AMSA-UMM
2021-2022
15. FARAH GHAZELYA PUTRI 202010330311006 Member AMSA-UMM
2021-2022
16. AUDI PRAMUDIA 202010330311045 Member AMSA-UMM
2020-2022
17 WENNY SEPTI ANDARINI 202010330311141 Member AMSA-UMM
ANHAR 2020-2022
18 RAJA AULIYA PERDANA 202010330311026 Member AMSA-UMM
2020-2022
19 WIRA KUSUMAWATI 202010330311018 Member AMSA-UMM
2020-2022
20 AISYAH AZIZAH NUR 202010330311108 Member AMSA-UMM
SYAHRUL HAJJAH 2020-2022
21 ABDUL MUIS MAHRUS 202010330311019 Member AMSA-UMM
2021-2022
 ASIAN MEDICAL STUDENTS’ ASSOCIATION
FAKULTAS KEDOKTERAN
UNIVERSITAS MUHAMMADIYAH MALANG

Sekretariat : Jl. Bendungan Sutami No. 188-A Tlp. 082147037008 Fax. (0341) 582060 MALANG

No. Nama NIM Jabatan

22. ABSHAR SAIFUL AHMAD 202010330311054 Member AMSA-UMM
2021-2022
23. CANTIK IVANA PAVITA PUTRI 202010330311137 Member AMSA-UMM
2020-2022
24. TABINA TRISTA RAMADHANI 202010330311136 Member AMSA-UMM
2020-2022
25. NAHDIA MIFTHACHUL AULIA 202010330311068 Member AMSA-UMM
PUTRI NEYSELLA 2020-2022
26. NIELANAWALUL PUTRI 202010330311051 Member AMSA-UMM
ROSYANTI 2020-2022
27. DARA SALSABILLA 202010330311111 Member AMSA-UMM
PURWANTO 2020-2022
28. NADYA MAHARANI HUSNA 202010330311079 Member AMSA-UMM
INAYAH AL-HUMAIROH INDRA 2021-2022
KARNO
39. DEWI ZHAFIRA RIZQIYAH 202010330311055 Member AMSA-UMM
TABRIZ 2021-2022
30. KARUNIA MAHARDIKA 202010330311125 Member AMSA-UMM
LESTARI 2020-2022
31. SYAHRUL BAGUS AMANAR 202010330311091 Member AMSA-UMM
2020-2022
32. ANGGITA AURELIA 202010330311070 • Secretary of
CHATRINANDA Division RnA
2021/2022
• Member AMSA-
UMM 2020-2022
33. NABILA AMALIA FAJRIN 20201033031088 Member AMSA-UMM
2021-2022