Lampiran 2

Nomor : KP.03.05/2/5587/2023
Tanggal : 25 Mei 2023

DAFTAR NAMA PESERTA CAPACITY BUILDING BATCH 1 (5-7 JUNI 2023)

PANGKAT/
NO NAMA NIP ASAL
GOLONGAN
1 LUTHFI RUSYADI, SKM, [Link] 197105181994031001 Penata Tk. I ; III/d Direktorat
Dr. SITI NUR KHOLIFAH, SKM,[Link], 197303101997032002 Pembina Tk.I ; Direktorat
2 [Link] IV/b
3 Dr. IMAM SARWO EDI, [Link].T, [Link]. 197606231995031001 Penata Tk. I ; III/d Direktorat
4 FERRY KRISWANDANA, [Link], MT 197007111994031003 Pembina ; IV/a Direktorat
5 HADI PURWANTO, [Link], [Link] 197310171998031002 Penata Tk. I ; III/d Direktorat
6 ERNI SRI REJEKI, [Link] 197403091995032003 Penata ; III/c Direktorat
Dr. YOHANES KAMBARU WINDI, 196707071995101002 Pembina ; IV/a Direktorat
7 [Link], [Link], MPH
8 HERAMIRANTO, [Link], MM 197003201998031001 Pembina ; IV/a Direktorat
9 HERY SUMASTO , [Link], Ns, [Link] 196801041988031003 Pembina ; IV/a Direktorat
10 MINARTI, [Link], [Link], [Link] 196707301993032004 Pembina ; IV/a Direktorat
SRI SUHARTINI PUSPITANINGTYAS, 197106121993032001 Pembina ; IV/a Direktorat
11 SE, MM
Dr. I DEWA GEDE HARI WISANA, 197504021999031002 Pembina Tk.I ; Direktorat
12 ST,MT IV/b
Dr. SRI UTAMI, [Link]., [Link] 196711141990032001 Pembina Tk.I ; Direktorat
13 IV/b
drg. FITRI PURBASARI 197609232006042023 Pembina Tk.I ; Direktorat
14 IV/b
Drs. EDY HARYANTO, [Link] 196403161983021001 Pembina Tk.I ; Direktorat
15 IV/b
16 ABY YAZID AL BUSTHOMY ROFII, 1987052420101210001 Penata Tk. I ; III/d Direktorat
[Link], Ners, [Link], [Link].M.B
17 ANDI SUHARIYANTO, [Link] 197906012005011003 Penata Tk. I ; III/d Direktorat
18 DIAH ARUMITA CANDRA, SS, M.A 198703012010122002 Penata Tk. I ; III/d Direktorat
19 drg. RATIH LARASATI, [Link] 196406111990102001 Penata Tk. I ; III/d KES. GIGI
20 GUNTORO TEGUH BUDIHARJO, SE 197709011997031001 Penata Tk. I ; III/d Direktorat
21 HENY PURWANTI, SE 198102062009122001 Penata Tk. I ; III/d Direktorat
22 IRA PUSPITASARI, [Link], [Link] 197909262002122001 Penata Tk. I ; III/d Direktorat
23 IRA RAHAYU TIYAR SARI, SST 198604292010122003 Penata Tk. I ; III/d Direktorat
24 NANANG SOEGIARTO, SE 197005221992031002 Penata Tk. I ; III/d Direktorat
NOVIANASARI RETNOWIDJAJATI, 197111252006042009 Penata Tk. I ; III/d Direktorat
25 SE
SOEGENG HADIWIDJOJO 197201291998031002 Penata Tk. I ; III/d Direktorat
26 TRIHATMODJO, ST
27 SURIANA, SST, [Link],Ners,[Link] 197010101993032002 Penata Tk. I ; III/d Direktorat
28 SYAIFUDIN, ST, MT 197408012001121003 Penata Tk. I ; III/d Direktorat
29 TRI KOERNIASIH, [Link], SST 196912131994032004 Penata Tk. I ; III/d Direktorat
30 YAIMIN, [Link], [Link].,[Link]. 197911252005021003 Penata Tk. I ; III/d Direktorat
31 ANITA DWI ANGGRAINI, SST., [Link] 198808042010122001 Penata ; III/c Direktorat
32 ASTRID CAHYA ADIESTI, SE 198704032010122002 Penata ; III/c Direktorat
DWI UTARI WIDYASTUTI, [Link], 197205302001122002 Penata ; III/c Direktorat
33 [Link]
34 MIADI, S. Kep, Ns, [Link] 197406102001121003 Penata ; III/c Direktorat
35 MISNAWAR, [Link] 196709101992031001 Penata ; III/c Direktorat
NIKMATUL FADILAH, [Link], Ners, 197703012002122003 Penata ; III/c Direktorat
36 [Link]
37 NISA KAMILA, SE, MKM 198701272010122001 Penata ; III/c Direktorat
38 PRATIWI HERMIYANTI, SST, [Link] 198605012008122002 Penata ; III/c Direktorat
39 RATIH DEWI ASRININGPURI, SE 198611102010122004 Penata ; III/c Direktorat

Dokumen ini telah ditandatangani secara elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN
19
40 TEGUH SALAN JUNIANTO, SE 197806092006041003 Penata ; III/c Direktorat
41 WIDODO, SE 198501202010121002 Penata ; III/c Direktorat
AYUB KRISDIANTO, SE 197904132007011016 Penata Muda Tk. Direktorat
42 I ; III/b
CITRA MAHAPUTRI, [Link] 198603272009122001 Penata Muda Tk. Direktorat
43 I ; III/b
DEDY KURNIAWAN, SKM 198601292009041001 Penata Muda Tk. Direktorat
44 I ; III/b
ERNITA SARI, SST, [Link] 198701072009122002 Penata Muda Tk. Direktorat
45 I ; III/b
FITRI ROKHMALIA, SST, [Link] 198805272010122004 Penata Muda Tk. Direktorat
46 I ; III/b
LIULLIYAH, [Link], [Link] 198605242010122002 Penata Muda Tk. Direktorat
47 I ; III/b
NOER AMELIA, AmdTP., [Link] 198002192008122002 Penata Muda Tk. Direktorat
48 I ; III/b
NUR HUDA, SE 196907282007012022 Penata Muda Tk. Direktorat
49 I ; III/b
PRINGGO KUSUMO, Amd 197603192008121001 Penata Muda Tk. Direktorat
50 I ; III/b
PUTU WIDIARSA KURNIAWAN S, 198510072015031002 Penata Muda Tk. Direktorat
51 [Link] I ; III/b
RINI EKA LESTARI, [Link] 197706152008012016 Penata Muda Tk. Direktorat
52 I ; III/b
RIZKI RAHMAWATI, SKM 198609302010122004 Penata Muda Tk. Direktorat
53 I ; III/b
SEPTIAN ADISTYANA PUTRA, SE 198812202015031001 Penata Muda Tk. Direktorat
54 I ; III/b
SETIYA BUDI SANTOSO, SE 198303052008121002 Penata Muda Tk. Direktorat
55 I ; III/b
SHINTA SISCA ZURAIDA, [Link] 198305102005012001 Penata Muda Tk. Direktorat
56 I ; III/b
SITI MAR’ATUS SHOLIKAH, [Link], 197112251992032004 Penata Muda Tk. Direktorat
57 [Link], [Link]. I ; III/b
SRI RAHMAWATI, [Link] 198107222008012006 Penata Muda Tk. Direktorat
58 I ; III/b
SRIATMININGSIH SISDIAH, [Link], 197112101997032001 Penata Muda Tk. Direktorat
59 [Link] I ; III/b
SUPARMAN, SE 197009081998031001 Penata Muda Tk. Direktorat
60 I ; III/b
WULYO ADI, [Link] 196907092006041003 Penata Muda Tk. Direktorat
61 I ; III/b
YUDHA PRAMANA PUTRA, SE 198411112015031001 Penata Muda Tk. Direktorat
62 I ; III/b
ERNA SARI, [Link] 198402232010122003 Penata Muda ; Direktorat
63 III/a
IKA MAYA KURNIAWATI, S.A. 198905042022032001 Penata Muda ; Direktorat
64 III/a
MADINA AMALIA, [Link]. KL 199410062022032002 Penata Muda ; Direktorat
65 III/a
NANIK INDRA PUTRI SARI, [Link] 198610032010122004 Penata Muda ; Direktorat
66 III/a
SUKILAN 196706192007011038 Penata Muda ; Direktorat
67 III/a
ANANG PRIONGGO 197505022008121002 Pengatur Tk. I ; Direktorat
68 II/d
69 AIMMATUS SYA’DIYAH, [Link]. Lib 199808142022032002 Pengatur ; II/c Direktorat
70 DEDE RACHMAD SETIAWAN, [Link] 199402192022031001 Pengatur ; II/c Direktorat
IMAS RAHMADHTUL HIDAYAH, 199801152022032002 Pengatur ; II/c Direktorat
71 [Link].
72 JOHANA AZIS 197008102014122001 Pengatur ; II/c Direktorat
73 MANSUR SUCAHYONO 196911202014121001 Pengatur ; II/c Direktorat
74 PURWANTO 197605192008121002 Pengatur ; II/c Direktorat
75 SHIRLY QURROTA AINY, A. Md. Lib 199902152022032002 Pengatur ; II/c Direktorat
SYEFIRA SALSABIELA PARWATI, 199407292022032004 Pengatur ; II/c Direktorat
76 [Link]
77 TANIA EMILIA FATIHAH, [Link] 199911212022032001 Pengatur ; II/c Direktorat
ADI SISWANDONO 198511222008121001 Pengatur Muda Direktorat
78 Tk. I ; II/b
SUROTO 196701022014121004 Pengatur Muda ; Direktorat
79 II/a
80 SUYANTO 197509052014051000 Pengatur Muda ; Direktorat

Dokumen ini telah ditandatangani secara elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN
20
 II/a
81 VIKY ANJAR RIZKI PRATAMA, [Link] 919911117202011101 RM Direktorat
82 DODIK SISWORO, SE 919800524201102101 BLU Direktorat
83 EDI YULIANTO, S.M 919870724200801101 BLU Direktorat
84 ENDRO SETIOWANTO, SE 919851107201305101 BLU Direktorat
85 HARI TRIYONO, [Link] 919860111200601101 BLU Direktorat
86 TRI AGNE INDRIANI, ST 919890816201102201 BLU Direktorat
87 WAHYU PURNAMA, SE 919871116201001101 BLU Direktorat
88 YUNI GINARSIH, [Link], [Link] 919780624200701201 BLU Direktorat
Dra. SRI SULAMI ENDAH ASTUTI, 196309271989032001 Pembina Utama TLM
89 [Link] Muda ; IV/c
drh. DIAH TITIK MUTIARAWATI, 195808061991032001 Pembina Utama TLM
90 [Link] Muda ; IV/c
PESTARIATI, [Link],[Link] 196110061983032002 Pembina Utama TLM
91 Muda ; IV/c
92 Dr. Dra. ANIK HANDAYATI , [Link] 196406171983032004 Pembina ; IV/a TLM
93 Drs. SYAMSUL ARIFIN, ST, [Link] 196106131989031001 Pembina ; IV/a TLM
94 DWI KRIHARIYANI, [Link],[Link] 197012091998032001 Pembina ; IV/a TLM
95 SULIATI, [Link], [Link], [Link] 196409051986032003 Pembina ; IV/a TLM
RETNO SASONGKOWATI, [Link], 196510031988032002 Penata Tk. I ; III/d TLM
96 [Link],[Link]
97 EVY DIAH WOELANSARI, [Link], [Link] 197501212000032001 Penata Tk. I ; III/d TLM
98 AYU PUSPITASARI, ST, [Link] 198003252005012003 Penata ; III/c TLM
99 LULLY HANNI ENDARINI, [Link] 198707312015032004 Penata ; III/c TLM
100 RATNO TRI UTOMO, SST 198204212006041013 Penata ; III/c TLM
101 RIYA AGUSTIN, SST, [Link] 198108242006042014 Penata ; III/c TLM
102 SUHARIYADI, [Link], [Link] 196808291989031003 Penata ; III/c TLM
103 TACIK IDAYANTI, SST, [Link] 198105182006042030 Penata ; III/c TLM
104 WISNU ISTANTO, [Link], [Link] 197310072007011020 Penata ; III/c TLM
CHRIST KARTIKA RAHAYUNINGSIH, 198206122009122001 Penata Muda Tk.I TLM
105 ST, [Link] ; III/b
MARLINDA RENANINGTYAS, [Link] 198607102010042001 Penata Muda Tk.I TLM
106 ; III/b
MUSEYAROH, [Link]., [Link] 199410212022032001 Penata Muda Tk.I TLM
107 ; III/b
ERA FITRIA YUNITA, S, [Link] 199503042019022001 Penata Muda ; TLM
108 III/a
MUSHOLLI HIMMATUN NABILAH, 199701272022032002 Penata Muda ; TLM
109 [Link]. III/a
RETNO WERDININGSIH, S.S.T 199501292022032003 Penata Muda ; TLM
110 III/a
111 RIN ANTARI MUHARINGRUM, SH 919800911200503201 BLU TLM

DAFTAR NAMA PESERTA CAPACITY BUILDING BATCH 2 (7-9 JUNI 2023)

PANGKAT/
NO NAMA NIP ASAL
GOLONGAN
Pembina Tk.I ; Kebidanan
1 K. Kasiati, [Link], [Link] 196404301985032003 IV/b Sutomo
Pembina Tk.I ; Kebidanan
2 Dr. MAMIK, SKM, [Link] 195808051985032012 IV/b Sutomo
REKAWATI SUSILANINGRUM, [Link]. Pembina Tk.I ; Kebidanan
3 Pend,[Link] 196706011989032002 IV/b Sutomo
Kebidanan
4 DWI PURWANTI, [Link],[Link] 196702061990032003 Pembina ; IV/a Sutomo
SUKESI, [Link], [Link], [Link], Kebidanan
5 Ners 196404021988032001 Pembina ; IV/a Sutomo
Kebidanan
6 ANI MEDIA HARUMI, [Link], [Link] 197802142002122001 Penata Tk. I ; III/d Sutomo
Kebidanan
7 ASTUTI SETIYANI, SST, [Link] 196810201988032001 Penata Tk. I ; III/d Sutomo
Kebidanan
8 DINA ISFENTIANI, [Link], M. Ked 196401221988032001 Penata Tk. I ; III/d Sutomo
DWI WAHYU WULAN Kebidanan
9 SULISTYOWATI, [Link], [Link] 197910302005012001 Penata Tk. I ; III/d Sutomo
Kebidanan
10 EVI PRATAMI, [Link], [Link] 197905242002122001 Penata Tk. I ; III/d Sutomo
KHARISMA KUSUMANINGTYAS, Kebidanan
11 [Link].T, [Link] 198103232008012014 Penata Tk. I ; III/d Sutomo
QUEEN KHOIRUN NISA MAIRO, SST, Kebidanan
12 [Link] 198212132008012007 Penata Tk. I ; III/d Sutomo

Dokumen ini telah ditandatangani secara elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN
21
 Kebidanan
13 RIJANTO, [Link], [Link] 196708051991031001 Penata Tk. I ; III/d Sutomo
Kebidanan
14 SHERLY JENIAWATY, [Link], [Link] 198001202002122003 Penata Tk. I ; III/d Sutomo
TATARINI IKA PIPITCAHYANI, [Link], Kebidanan
15 [Link] 198012052006042002 Penata Tk. I ; III/d Sutomo
Kebidanan
16 ERVI HUSNI, [Link], Ns, [Link] 197003181990012001 Penata ; III/c Sutomo
Kebidanan
17 EVI YUNITA NUGRAHINI, SST, [Link] 198006212002122001 Penata ; III/c Sutomo
NOVITA EKA KUSUMA WARDANI, Kebidanan
18 SST, [Link] ‘198411302009122001’ Penata ; III/c Sutomo
Kebidanan
19 RATNA SARI, [Link]. Keb 198112062006042011 Penata ; III/c Sutomo
Kebidanan
20 SITI ALFIAH, [Link], Ns., [Link] 198006212002122001 Penata ; III/c Sutomo
Kebidanan
21 TITI MAHARRANI, SST, [Link] 198503202006042003 Penata ; III/c Sutomo
Kebidanan
22 USWATUN KHASANAH, [Link] 197910052014022001 Penata ; III/c Sutomo
Penata Muda Tk.I Kebidanan
23 AHDATUL ISLAMIAH, [Link] 199006062020122008 ; III/b Sutomo
DOMAS NURCHANDRA Penata Muda Tk.I Kebidanan
24 PRAMUDIANTI, [Link] 198902232020122005 ; III/b Sutomo
Penata Muda Tk.I Kebidanan
25 DWI PURWANTI, [Link]. Keb 198804042010122003 ; III/b Sutomo
Penata Muda Tk.I Kebidanan
26 ELFIRA NURUL AINI, [Link] 198901252020122004 ; III/b Sutomo
Penata Muda Tk.I Kebidanan
27 FITRIA NURWULANSARI, M. Keb 199304202020122009 ; III/b Sutomo
Penata Muda Tk.I Kebidanan
28 MUNTIANAH, SE 197402062007012026 ; III/b Sutomo
Penata Muda ; Kebidanan
29 LEANITA BRILLIANTIKA, [Link]. 199407242022032002 III/a Sutomo
Penata Muda ; Kebidanan
30 PUSPITA ZELLA WIGATI, [Link] 199511092022032003 III/a Sutomo
Penata Muda ; Kebidanan
31 RISKA DWI PRAMITA SARI, [Link] 199407072022032002 III/a Sutomo
Penata Muda ; Kebidanan
32 ULFA HIDAYAH, [Link]. 199407182022032001 III/a Sutomo
Pengatur Tk.I ; Kebidanan
33 DWI SETIAWAN 198401052008121004 II/d Sutomo
Pengatur Tk.I ; Kebidanan
34 RETNO WULAN NINGSIH 198303162008122003 II/d Sutomo
Pengatur Tk.I ; Kebidanan
35 ROY CANDRA 197910272008121001 II/d Sutomo
Kebidanan
36 ANANG SJAMSUDDIN 197106262014121001 Pengatur ; II/c Sutomo
Kebidanan
37 WARGONO 196906172007011038 Pengatur ; II/c Sutomo
Kebidanan
38 SUGITO 919790711200901101 RM Sutomo
Kebidanan
39 NUGROHO VEBRIKARNO, SE 919830221200501101 BLU Sutomo
Keb
40 ELLYATI FARIDA, [Link], M. Psi 197704082001122001 Pembina ; IV/a Bangkalan
Keb
41 Dr. FITRIAH, [Link], Ns, [Link] 197012091995032001 Pembina ; IV/a Bangkalan
Keb
42 RODIYATUN, [Link],Ns, [Link] 196602101986032001 Pembina ; IV/a Bangkalan
Keb
43 ANIS NURLAILI, [Link], [Link] 197602272001122001 Penata Tk. I ; III/d Bangkalan
FEFTIN HENDRIYANI, [Link],Ns., Keb
44 [Link] 197202181997032002 Penata Tk. I ; III/d Bangkalan
Keb
45 SRI WAYANTI, [Link].T, MPH 196603271989032001 Penata Tk. I ; III/d Bangkalan
Keb
46 SURYANINGSIH, [Link], [Link] 197805242001122003 Penata Tk. I ; III/d Bangkalan
Keb
47 ALI MADINAH, SST, [Link] 197708222002122001 Penata ; III/c Bangkalan
Keb
48 DEASY IRAWATI, [Link], [Link] 197912082002122002 Penata ; III/c Bangkalan

Dokumen ini telah ditandatangani secara elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN
22
 RADEN DEWI JULIANA ERNA Keb
49 KUSUMAWATI , SM 197107051992032001 Penata ; III/c Bangkalan
Keb
50 ESYUANANIK, [Link], [Link] 197506182005012002 Penata ; III/c Bangkalan
Keb
51 HASAN, SM 196805151992031005 Penata ; III/c Bangkalan
Keb
52 SITI ANISAK, [Link], [Link] 198406282006042003 Penata ; III/c Bangkalan
SUTIO RAHARDJO, [Link], [Link], Ns, Keb
53 MM 195811141981031001 Penata ; III/c Bangkalan
Penata Muda Tk.I Keb
54 PARJI 196611171994031003 ; III/b Bangkalan
Pengatur Tk.I ; Keb
55 FENDY SISTIAWAN 197002052008121003 II/d Bangkalan
Pengatur Tk.I ; Keb
56 HUSNUL HOTIMAH 197507202008122002 II/d Bangkalan
Pengatur Tk.I ; Keb
57 MESGIMAH 197502032008122001 II/d Bangkalan
Pengatur Muda ; Keb
58 MURIDAH 196803052014122001 II/a Bangkalan
Keb
59 BAMBANG TRIBISMO, SP.d ‘919821231200705101 BLU Bangkalan
Prof. DR. Ir. BAMBANG GURUH Pembina Utama
60 IRIANTO, AIM, MM 195801091980101001 Madya ; IV/d Tekmed
Pembina Tk.I ;
61 ANDJAR PUDJI, ST, MT 196505171989032001 IV/b Tekmed
62 BEDJO UTOMO, SKM, [Link] 196510131988031002 Pembina ; IV/a Tekmed
63 Dr. ENDRO YULIANTO, ST. MT 197607172001121005 Pembina ; IV/a Tekmed
64 HER GUMIWANG ARISWATI, ST, MT 195911281984012001 Pembina ; IV/a Tekmed
Ir. PRIYAMBADA CAHYA NUGRAHA,
65 MT 196707191998031002 Pembina ; IV/a Tekmed
66 SARI LUTHFIYAH, [Link], [Link] 196901311993032002 Pembina ; IV/a Tekmed
67 SUWARNI, SE, MM 196711082006042001 Pembina ; IV/a Tekmed
68 Dr. TRIWIYANTO, [Link], MT 197305022003121002 Pembina ; IV/a Direktorat
69 ABD. KHOLIQ, [Link], M.T 197505222006041006 Penata Tk. I ; III/d Tekmed
70 DYAH TITISARI, ST, [Link] 198006112005012004 Penata Tk. I ; III/d Tekmed
71 Dra. LILIEK SOETJIATIE, [Link] 196605131998032001 Penata Tk. I ; III/d Tekmed
ENDANG DIAN SETIONINGSIH, ST.,
72 MT 197607271998032001 Penata Tk. I ; III/d Tekmed
73 LAMIDI, [Link]., MT 197604082006041010 Penata Tk. I ; III/d Tekmed
MUHAMMAD RIDHA MAKRUF, ST,
74 [Link] 198104132003121002 Penata Tk. I ; III/d Tekmed
75 SUMBER, [Link]., MT 197207082006041007 Penata Tk. I ; III/d Tekmed
76 TORIB HAMZAH, [Link], [Link] 196709102006041001 Penata Tk. I ; III/d Tekmed
77 TRI BOWO INDRATO, ST, MT 195811181985031002 Penata Tk. I ; III/d Tekmed
78 TRIANA RAHMAWATI, ST, [Link] 198106232002122002 Penata Tk. I ; III/d Tekmed
ANITA MIFTAHUL MAGHFIROH, SST,
79 M.T. 198709262009122002 Penata ; III/c Tekmed
80 EDY SUMITRO, [Link] 196710192001121001 Penata ; III/c Tekmed
81 LEVANA FORRA WAKIDI, SST, M.T. 198602252010122001 Penata ; III/c Tekmed
MOCH. PRASTAWA ASSALIM TETRA
82 P, ST, [Link] 197710292002121004 Penata ; III/c Tekmed
SINGGIH YUDHA SETIAWAN, SST,
83 M.T 198510262009121002 Penata ; III/c Tekmed
84 SYEVANA DITA MUSVIKA, SST 199005092015031001 Penata ; III/c Tekmed
Penata Muda Tk.I
85 LUSIANA, [Link]., [Link].T. 199411162020122010 ; III/b Tekmed
DEENDA PUTRI DUTA NATALIA, Penata Muda ;
86 [Link].T.E 198912242010122002 III/a Tekmed
Penata Muda ;
87 FARID AMRINSANI, [Link] 199009252019021001 III/a Tekmed
Pengatur Tk.I ;
88 SUPRIONO 197807312008121003 II/d Tekmed
89 HADI SUTRISNO 198206182008121002 Pengatur ; II/c Tekmed
Pembina Utama Kesehatan
drg. BAMBANG HADI SUGITO, [Link] 196204291993031002
90 Muda ; IV/c Gigi
Pembina Tk.I ; Kesehatan
drg. SRI HIDAYATI, [Link] 196602121992032002
91 IV/b Gigi
92 drg. I.G.A KUSUMA ASTUTI N.P., 196408271989032001 Pembina ; IV/a Kesehatan

Dokumen ini telah ditandatangani secara elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN
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 [Link] Gigi
drg. IDA CHAIRANNA Kesehatan
196104271989112001 Pembina ; IV/a
93 MAHIRAWATIE, [Link] Gigi
AGUS MARJIANTO, [Link].T., [Link]., Kesehatan
197708142006041005 Penata Tk. I ; III/d
94 [Link] Gigi
Kesehatan
HENDRO SUHARNOWO, [Link].T 197807282002121003 Penata Tk. I ; III/d
95 Gigi
Kesehatan
LASTATI, [Link] 198108192005012002 Penata Tk. I ; III/d
96 Gigi
Kesehatan
MOH. TAUFIK ADIKO, [Link].T. [Link] 196506181986031005 Penata Tk. I ; III/d
97 Gigi
Kesehatan
NUR LUTFIANAH, [Link]., [Link] 197912242006042013 Penata Tk. I ; III/d
98 Gigi
Kesehatan
RUSILIANINGSIH, [Link] 196903051994032002 Penata Tk. I ; III/d
99 Gigi
Kesehatan
ISNANTO, [Link].T., [Link] 197904122005011003 Penata ; III/c
100 Gigi
Kesehatan
SANDA ASTRINATA, ST 199103222015032001 Penata ; III/c
101 Gigi
SILVIA PRASETYOWATI, [Link].T., Kesehatan
197904242006042019 Penata ; III/c
102 [Link] Gigi
Kesehatan
SITI FITRIA ULFAH, [Link]., [Link] 198506252010122002 Penata ; III/c
103 Gigi
Kesehatan
SUNOMO HADI, [Link].T., [Link] 197812282005011003 Penata ; III/c
104 Gigi
Penata Muda Tk. Kesehatan
MOCHAMAD FAUZI, SE 197704292007011021
105 I ; III/b Gigi
Penata Muda Tk. Kesehatan
MOKHAMAD AINU ROZIQ, [Link] 198805112010011006
106 I ; III/b Gigi
Penata Muda ; Kesehatan
APRILINDA PIPIT RUSWITA, [Link] 199204292019022002
107 III/a Gigi
Penata Muda ; Kesehatan
RYAN NANDA SYABANA, [Link] 199501032019021001
108 III/a Gigi
Pengatur Tk.I ; Kesehatan
DIDIK ROCHMANTO 198302062008121002
109 II/d Gigi
Pengatur Muda Kesehatan
YANTO 198109232008121001
110 Tk. I ; II/b Gigi
Kesehatan
BENNY WIDIANTO, [Link] 919791113201102101 RM
111 Gigi
Kesehatan
RIZKY SYANDRO, [Link] 919861030201501101 RM
112 Gigi
Kesehatan
BUDI SETIAWAN, S.T 919741102200901101 BLU
113 Gigi
Kesehatan
IDOT SURYA PRATOMO, SE 919820312200906101 BLU
114 Gigi

DAFTAR NAMA PESERTA CAPACITY BUILDING BATCH 3 (12-14 JUNI 2023)

PANGKAT/
NO NAMA NIP ASAL
GOLONGAN
Pembina Tk.I ;
1 DIAN SHOFIYA, SKM., [Link] 196809281992032001 IV/b GIZI
[Link]. JULIANA CHRISTYANINGSIH, Pembina Tk.I ;
2 [Link] 196807011988032001 IV/b Direktorat
3 ANI INTIYATI, SKM, [Link]. 196911071993032002 Pembina ; IV/a GIZI
ERLYNA JAYENG WIJAYANTI,
4 [Link], [Link] 197901222005012018 Pembina ; IV/a GIZI
5 INNE SOESANTI, [Link],[Link],[Link] 197105091997032001 Pembina ; IV/a GIZI
6 MUJAYANTO, SKM, MPH 197201142000031004 Pembina ; IV/a GIZI
NUNING MARINA PENGGE, SKM,
7 [Link] 197012231993032001 Pembina ; IV/a GIZI
8 ANNAS BUANASITA, SKM, [Link] 197402111999032002 Penata Tk. I ; III/d GIZI
9 NUR HATIJAH, SKM, [Link] 197610052002122002 Penata Tk. I ; III/d GIZI
10 NURUL HINDARYANI, [Link], [Link]. 197306191994022001 Penata Tk. I ; III/d GIZI
11 TAUFIQURRAHMAN, SKM, MPH 197111051991031002 Penata Tk. I ; III/d GIZI
12 ATIKA NUSWANTARI, [Link] 197803281999032002 Penata ; III/c GIZI
13 DEVI EKA RATNASARI, SST 199107152014022003 Penata ; III/c GIZI
14 MELINA SARI, [Link] 198611132014022003 Penata ; III/c GIZI
RIEZKY FAISAL NUGROHO, [Link]., Penata Muda Tk.I
15 [Link] 199205052020121006 ; III/b GIZI

Dokumen ini telah ditandatangani secara elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN
24
 Penata Muda ;
16 HUSNUL HALIMAH, [Link] 197703092011012006 III/a GIZI
Penata Muda ;
17 KHRISTINE SAPUTRI, [Link] 198612202019022002 III/a GIZI
18 ENDRA TRI KUSUMA WARDANA, SE 919000100201204101 BLU GIZI
19 INDRAYANTI, SST, [Link], [Link] 197307221993012002 Pembina ; IV/a Keb BJN
20 dr. ABDUL LATIP, [Link] 196801131997031005 Penata Tk. I ; III/d Keb BJN
21 SRI ANGGRAENI, SKM, [Link] 196707191992032008 Penata Tk. I ; III/d Keb BJN
22 ESTI YULIANI, [Link], [Link], [Link] 197107041991022004 Penata ; III/c Keb BJN
LILIK TRIYAWATI, [Link], [Link],
23 [Link] 198008082006042037 Penata ; III/c Keb BJN
24 MASFUAH ERNAWATI, [Link], MMKes 197101021992032003 Penata ; III/c Keb BJN
ARIS HANDAYANI, [Link], [Link], Penata Muda Tk.I
25 [Link] 196902191990012001 ; III/b Keb BJN
Penata Muda ;
26 ARI TRI RAHAYU, [Link] 197903102003122008 III/a Keb BJN
Penata Muda ;
27 MARIYA ULFAH, [Link] 197512062007012014 III/a Keb BJN
Penata Muda ;
28 SRI WAHYUNI, A,[Link] 197503182005012008 III/a Keb BJN

29 DONI YANU ARIANTO, [Link] 919920123201901101 RM Keb BJN

30 INDAH RAKHMININGSIH, S.H. 919710607201901201 RM Keb BJN
31 AHSAN HUDA, [Link] 197209251997031002 Penata Tk. I ; III/d Kep. Tuban
32 RETNO ANDIJANI, [Link] 197002191994032002 Penata Tk. I ; III/d Kep. Tuban
TERESIA RETNA PUSPITADEWI,
33 [Link], Ns. [Link] 196803261992032010 Penata Tk. I ; III/d Kep. Tuban
34 TITIK SUMIATIN, [Link],Ners, [Link] 197706042005012003 Penata Tk. I ; III/d Kep. Tuban
BINTI YUNARIYAH, [Link], Ners,
35 [Link] 196612081992032001 Penata ; III/c Kep. Tuban
ROUDLOTUL JANNAH, [Link],
36 [Link]. 198006162006042023 Penata ; III/c Kep. Tuban
37 SU’UDI, [Link],Ns, [Link] 197802022002121001 Penata ; III/c Kep. Tuban
YASIN WAHYURIANTO, [Link], Ns,
38 [Link] 197607242001121007 Penata ; III/c Kep. Tuban
WAHYU TRI NINGSIH, [Link], Ns, Penata Muda Tk.I
39 [Link] 197609222005012002 ; III/b Kep. Tuban
WAHYUNINGSIH TRIANA Penata Muda Tk.I
40 NUGRAHENI, [Link], [Link] 197111281996032001 ; III/b Kep. Tuban
Penata Muda ;
41 AMITA PRATAMA PUTRI, [Link] 199707102022032002 III/a Kep. Tuban
Penata Muda ;
42 HARY SUGIYONO, [Link] 197601122007011020 III/a Kep. Tuban
Penata Muda ;
43 KACUK WAGIANTO, [Link] 197611032008121003 III/a Kep. Tuban
Penata Muda ;
44 SUNARI 197203102007012020 III/a Kep. Tuban
Pengatur Muda
45 CUKUP 197206052007011073 Tk. I ; II/b Kep. Tuban
Pengatur Muda
46 KIRYAJI 196705192007011026 Tk. I ; II/b Kep. Tuban
Pengatur Muda
47 MOH MUSYAFA 197502102007011032 Tk. I ; II/b Kep. Tuban
DJOKO WINDU PURNO IRAWAN, Pembina Tk.I ;
48 SKM, [Link] 196412111988031002 IV/b Kesling MGT
49 DENOK INDRASWATI, [Link], [Link] 196401191985032003 Pembina ; IV/a Kesling MGT
50 Dr. BUDI YULIANTO, [Link],[Link] 196507141986031005 Pembina ; IV/a Kesling MGT
51 Dr. SRI POERWATI, ST, [Link] 196905281992032001 Pembina ; IV/a Kesling MGT
52 Dra. LILIS PRIHASTINI, [Link] 196507171986032025 Pembina ; IV/a Kesling MGT
53 HERY KOESMANTORO, ST, MT 196111261984031003 Pembina ; IV/a Kesling MGT
54 HURIP JAYADI, SKM, [Link] 196512061989031001 Pembina ; IV/a Kesling MGT
55 KARNO, SKM, [Link] 195911091983031005 Pembina ; IV/a Kesling MGT
56 TUHU PINARDI, [Link], [Link] 195906121985031007 Pembina ; IV/a Kesling MGT
57 BENY SUYANTO, [Link], [Link] 196401201985031003 Penata Tk. I ; III/d Kesling MGT
ENDAH WIDYASTUTI, [Link],
58 [Link] 197503261999032003 Penata Tk. I ; III/d Kesling MGT
59 FRIDA HENDRARINATA, SKM, [Link] 197406102001122006 Penata Tk. I ; III/d Kesling MGT
60 HANDOYO, SST, [Link] 196001081986031002 Penata Tk. I ; III/d Kesling MGT

Dokumen ini telah ditandatangani secara elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN
25
61 MUJIYONO, SKM, [Link] 196705041992031005 Penata Tk. I ; III/d Kesling MGT
62 SANTI SETIORINI, [Link] 197705072003122001 Penata Tk. I ; III/d Kesling MGT
63 SUJANGI, SKM, [Link] 196006071986031006 Penata Tk. I ; III/d Kesling MGT
64 SUNARYO, [Link], [Link],MM 196011221984031001 Penata Tk. I ; III/d Kesling MGT
65 ARIES PRASETYO, SKM, MPH 197502241998031001 Penata ; III/c Kesling MGT
66 SUSI NURWENI, [Link], [Link] 197512162006042009 Penata ; III/c Kesling MGT
VINCENTIUS SUPRIYONO, SKM,
67 [Link] 195807071982021001 Penata ; III/c Kesling MGT
Penata Muda Tk.I
68 AGUSTIN RAHMAWATI, [Link] 198512052009122002 ; III/b Kesling MGT
Penata Muda Tk.I
69 AVI YULIANTO SURYAPUTRA, ST 196907012007101002 ; III/b Kesling MGT
Penata Muda Tk.I
70 BINTI MUHIBATUN, [Link] 198005292001122001 ; III/b Kesling MGT
Penata Muda Tk.I
71 ERNAWATI, [Link] 197604032001122003 ; III/b Kesling MGT
Penata Muda Tk.I
72 PURYADI, [Link] 197808312008121001 ; III/b Kesling MGT
Penata Muda Tk.I
73 RODIYAH 197512141997032001 ; III/b Kesling MGT
Penata Muda Tk.I
74 SUMARNO 196710201997031007 ; III/b Kesling MGT
Pengatur Muda
75 SUKARLAN 197412152008121001 Tk. I ; II/b Kesling MGT
76 SRI SETYO UTOMO, Amd. Kl 919820601200805101 BLU Kesling MGT
Prof., Dr. HERU SANTOSO WAHITO Pembina Utama
77 N, [Link], Ns, [Link] 197108021994031002 Muda ; IV/c Keb MGT
Dr. AGUNG SUHARTO, [Link], Pembina Utama
78 Ns, [Link] 196910061990031002 Muda ; IV/c Keb MGT
Pembina Tk.I ;
79 BUDI JOKO SANTOSA, SKM, [Link] 196103291985031003 IV/b Keb MGT
Dr. NURLAILIS SAADAH, [Link], Pembina Tk.I ;
80 [Link] 196605091989022001 IV/b Keb MGT
Pembina Tk.I ;
81 N. SURTINAH, SsiT, MPd. 196005111991032001 IV/b Keb MGT
Pembina Tk.I ;
82 SUNARTO, [Link], MMKes 196708051993031004 IV/b Keb MGT
Pembina Tk.I ;
83 SUPARJI, SST, MPd,SKM 196810071990031001 IV/b Keb MGT
NURWENINGTYAS WISNU,
84 [Link], MMKes 196703181988032003 Pembina ; IV/a Keb MGT
85 SULIKAH, SST, [Link] 196806231988032001 Pembina ; IV/a Keb MGT
86 TINUK ESTI HANDAYANI, [Link] 196903171989032004 Pembina ; IV/a Keb MGT
87 ASTIN NUR HANIFAH, [Link] 198001292003122002 Penata Tk. I ; III/d Keb MGT
88 NANA USNAWATI, SST,[Link] 197903122002122002 Penata Tk. I ; III/d Keb MGT
89 RAHAYU SUMANINGSIH,SST,[Link] 196906122002122001 Penata Tk. I ; III/d Keb MGT
90 TETA PUJI RAHAYU, SST,[Link] 198002222005012009 Penata Tk. I ; III/d Keb MGT
91 TUTIEK HERLINA, SKM, MMKes 197411091998032001 Penata Tk. I ; III/d Keb MGT
92 WAHYU PRIHASTONO,SST 198212222008121002 Penata Tk. I ; III/d Keb MGT
AYESHA HENDRIANA
93 NGESTININGRUM, [Link], [Link]. 198409282008122003 Penata ; III/c Keb MGT
94 FEBY ANGZILA FATMAYATI, SST 198802082009122001 Penata ; III/c Keb MGT
95 NURYANI, SsiT,[Link] 197405072006042007 Penata ; III/c Keb MGT
Penata Muda ;
96 JUMARI 196703052007011046 III/a Keb MGT
Pengatur Tk.I ;
97 MUH TASRIPIN 198302232008121003 II/d Keb MGT
Pengatur Tk.I ;
98 TEGUH HARIYONO 197905192008121002 II/d Keb MGT
99 KEMIS 196811102007011057 Pengatur ; II/c Keb MGT
100 PURAJI 196705032007011042 Pengatur ; II/c Keb MGT
Pengatur Muda
101 SUTOPO 197201152008121002 Tk. I ; II/b Keb MGT
TRIANA SEPTIANTI
102 PURWANTO,[Link] ‘919800903201109201 BLU Keb MGT
103 IRVAN SAPARI, SE ‘919831201200805101 RM Keb MGT
104 YUDI NUGROHO,SE ‘919771005201204101 RM Keb MGT

Dokumen ini telah ditandatangani secara elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN
26
 DAFTAR NAMA PESERTA CAPACITY BUILDING BATCH 4 (14-16 JUNI 2023)
PANGKAT/
NO NAMA NIP ASAL
GOLONGAN
Pembina Utama
1 Dr. PADOLI, [Link], [Link] 196807011992031003 Muda ; IV/c Kep Sutomo
[Link] YUMNI, Pembina Tk.I ;
2 [Link],Ns,[Link] 196808231997032001 IV/b Kep Sutomo
Pembina Tk.I ;
3 INDRIATIE, [Link]., [Link] ‘196504271989032001 IV/b Kep Sutomo
LEMBUNAI TAT ALBERTA, SKM., Pembina Tk.I ;
4 [Link] ‘196210051986032003 IV/b Kep Sutomo
5 ADIN MUAFIRO, [Link], [Link] 197012171994032002 Pembina ; IV/a Kep Sutomo
[Link] JOELIANTINA, [Link]., Pembina ; IV/a
6 [Link] 197107231995032002 Kep Sutomo
[Link] SETYORINI, [Link]., Pembina ; IV/a
7 [Link] 196910031992032003 Kep Sutomo
8 [Link] SUWITO, SKp,[Link] ‘196801241992031002 Pembina ; IV/a Kep Sutomo
9 [Link], [Link], [Link] ‘196909211992031001 Pembina ; IV/a Kep Sutomo
Dra. KIAONARNI ONGKO WALUYO, Pembina ; IV/a
10 SST. [Link] ‘196201301993032001 Kep Sutomo
11 HARI SUBAGIO, SE,MM ‘196604131992031001 Pembina ; IV/a Kep Sutomo
12 RINI AMBARWATI, [Link], Ns, [Link] ‘197006021995032002 Pembina ; IV/a Kep Sutomo
SRI HARDI WURYANINGSIH, [Link], Pembina ; IV/a
13 Ns, [Link] ‘196512231989032001 Kep Sutomo
[Link] PROBONINGSIH, [Link], Penata Tk. I ; III/d
14 [Link] ‘197011181998032003 Kep Sutomo
ENDAH SUPRIHATIN, Penata Tk. I ; III/d
15 [Link].,Ns,[Link] ‘197005171992032001 Kep Sutomo
ENDANG SOELISTYOWATI, [Link], Penata Tk. I ; III/d
16 SPd, [Link] ‘196507111991032001 Kep Sutomo
ENUNG MARDIYANA HIDAYAT, Penata Tk. I ; III/d
17 [Link], Ns, [Link] ‘196903261997032001 Kep Sutomo
18 IRINE CHRISTIANY, [Link], [Link]. ‘196409211988032002 Penata Tk. I ; III/d Kep Sutomo
19 MOHAMMAD NAJIB, SKp,[Link] ‘196502221990031001 Penata Tk. I ; III/d Kep Sutomo
20 NUR HASANAH, SKM, [Link] ‘196503291990022002 Penata Tk. I ; III/d Kep Sutomo
21 ADIVTIAN RAGAYASA, SST, [Link] 198404302008121003 Penata ; III/c Kep Sutomo
22 AIDA NOVITASARI, [Link], Ns, [Link] 197211011997032002 Penata ; III/c Kep Sutomo
23 DWI ADJI NORONTOKO, [Link], Ns ‘196309171990031002 Penata ; III/c Kep Sutomo
HEPTA NUR ANUGRAHINI, [Link],Ns. Penata ; III/c
24 [Link]. ‘198003252005012004 Kep Sutomo
IRFANY NURUL HAMID, SST., Penata ; III/c
25 [Link]. ‘198701222009121001 Kep Sutomo
26 SISWARI YUNIARTI, SST,[Link] ‘196206161985032002 Penata ; III/c Kep Sutomo
ACH. ARFAN ADINATA, [Link]., Ns., Penata Muda Tk.
27 [Link]. 199008292020121004 I ; III/b Kep Sutomo
Penata Muda ;
28 ANITASARI 197402062007012025 III/a Kep Sutomo
Penata Muda ;
29 BASHORI ALWI 197010092007011032 III/a Kep Sutomo
Penata Muda ;
30 SHODIQUL AMIN, [Link] ‘198309072014121002 III/a Kep Sutomo
Penata Muda ;
31 SRI OETARTI ‘196601112007012013 III/a Kep Sutomo
32 SRI MASTUTIK ‘197207112014122001 Pengatur ; II/c Kep Sutomo
Pengatur Muda
33 DJAELANI 198302232008121003 Tk. I ; II/b Kep Sutomo
Pengatur Muda ;
34 ARI PRIYANTO 198402252014121001 II/a Kep Sutomo
35 MAS RACHMAN ARIF, SE 919870520200401101 BLU Kep Sutomo
36 NELLY RUSDIANA, [Link] 919891120201204201 BLU Kep Sutomo
37 INTIM CAHYONO, [Link], Ns, [Link] ‘196503081991031002 Pembina ; IV/a Kep Sutopo
38 ASNANI, [Link], Ns, [Link] ‘197110111994031003 Penata Tk. I ; III/d Kep Sutopo
39 BAIQ DEWI HARNANI R, [Link], [Link] ‘197410252002122002 Penata Tk. I ; III/d Kep Sutopo
BAMBANG HERIYANTO, [Link], Ns,
40 [Link] ‘197408111998031001 Penata Tk. I ; III/d Kep Sutopo
41 HASYIM AS’ARI, [Link], [Link] ‘197103311998031004 Penata Tk. I ; III/d Kep Sutopo

Dokumen ini telah ditandatangani secara elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN
27
 DINARWIYATA, [Link],
42 [Link].J ‘197401142002121002 Penata ; III/c Kep Sutopo
43 DYAH WIJAYANTI, [Link], Ns, [Link] ‘198005072002122001 Penata ; III/c Kep Sutopo
EKO RUSTAMAJI WIYATNO, [Link],
44 [Link] ‘197704202002121003 Penata ; III/c Kep Sutopo
45 FERRY KUMALA, SST, [Link] ‘198108012006042014 Penata ; III/c Kep Sutopo
HERU SULISTIJONO, [Link].
46 [Link] ‘197110011993031004 Penata ; III/c Kep Sutopo
Penata Muda Tk.
47 HAKARIA ‘196710111998031002 I ; III/b Kep Sutopo
Penata Muda Tk.
48 SULISTYO ‘196607071992031003 I ; III/b Kep Sutopo
Penata Muda Tk.
49 WARKIBAN ‘196608121986031001 I ; III/b Kep Sutopo
Penata Muda ;
50 HARTUTIK ‘197506092007012022 III/a Kep Sutopo
Penata Muda ;
51 LUKMAN HAKIM ‘197707192007101003 III/a Kep Sutopo
Pengatur Tk. I ;
52 AGUSTUTIK ‘196508152007012026 II/d Kep Sutopo
Pengatur Tk. I ;
53 ANDRE FEBRIANSAH KRISTIAWAN ‘198402202008121003 II/d Kep Sutopo
Pengatur Tk. I ;
54 AYUK WINARNI, [Link] ‘198210142014102003 II/d Kep Sutopo
Pengatur Tk. I ;
55 MARSUDI ‘197602162007101002 II/d Kep Sutopo
56 DANTY PRAMITA, [Link] 919901225201308201 BLU Kep Sutopo
Pembina Utama
57 Dr. HOTMAIDA SIAGIAN, SKM, [Link] ‘195911071986032002 Muda ; IV/c Kep. SDA
LOETFIA DWI RAHARIYANI, [Link], Pembina Utama
58 [Link] ‘196901241992032001 Muda ; IV/c Kep. SDA
59 ASLINA, SKM, [Link] ‘197010151995032001 Pembina ; IV/a Kep. SDA
Dr. LULUK WIDARTI, [Link], Ns,
60 [Link] ‘196605131994032001 Pembina ; IV/a Kep. SDA
Dr. YESSY DESSY ARNA,
61 [Link] ‘197612042001122001 Pembina ; IV/a Kep. SDA
Dr. MOCH. BAHRUDIN, [Link], Ns,
62 [Link], Sp KMB ‘197211211998031002 Pembina ; IV/a Kep. SDA
63 SITI MAEMONAH, [Link], Ns, [Link] ‘197105171996032001 Pembina ; IV/a Kep. SDA
KUSMINI SUPRIHATIN, [Link], [Link],
64 [Link]. ‘197103252001122001 Penata Tk. I ; III/d Kep. SDA
65 SITI MAIMUNA, [Link],[Link] ‘197105111994032002 Penata Tk. I ; III/d Kep. SDA
TANTY WULAN DARI,
66 [Link],Ns,[Link] ‘196801141991032002 Penata Tk. I ; III/d Kep. SDA
67 ALFI MAZIYAH, SST, [Link] ‘197403102008122001 Penata ; III/c Kep. SDA
68 DONY SULYSTIONO, [Link]., Ns. ‘197909282005011002 Penata ; III/c Kep. SDA
MUHAMMAD AFIF HILMI
69 MASYFAHANI, [Link], [Link]. ‘198308102006041009 Penata ; III/c Kep. SDA
70 SUPRIANTO, [Link], [Link] ‘197306161998031002 Penata ; III/c Kep. SDA
Penata Muda Tk.
71 NURUL HUDA, [Link] ‘197206102008121001 I ; III/b Kep. SDA
Penata Muda Tk.
72 SUSANA MARLINDA LAU, SE ‘198303222008122002 I ; III/b Kep. SDA
Penata Muda ;
73 BAMBANG SISWANTO ‘196910272007011027 III/a Kep. SDA
74 SHINTA BELLA PRASIWI ‘199509042022032001 Pengatur ; II/c Kep. SDA
75 SUWITO UTOMO ‘197209162014121003 Juru ; I/c Kep. SDA
Pembina Utama
76 WINARKO, SKM, [Link] 196302021987031004 Muda ; IV/c Kesling SBY
Pembina Tk.I ;
77 DARJATI, SKM, [Link] ‘195812051986032002 IV/b Kesling SBY
Pembina Tk.I ;
78 Dr. KHAMBALI, ST., MPPM ‘196203031984031001 IV/b Kesling SBY
Pembina Tk.I ;
79 HADI SURYONO, ST., MPPM ‘196209301985031004 IV/b Kesling SBY
Pembina Tk.I ;
80 MARLIK, [Link], [Link] ‘196803251991032001 IV/b Kesling SBY
Pembina Tk.I ;
81 NGADINO, [Link], [Link] ‘196006121983031002 IV/b Kesling SBY
82 RUSMIATI, SKM, [Link] ‘196302121986032001 Pembina Tk.I ; Kesling SBY

Dokumen ini telah ditandatangani secara elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN
28
 IV/b
Dr. Ir. IVA RUSTANTI ERI
83 WARDOYO, MT ‘196909171995022001 Pembina ; IV/a Kesling SBY
84 NARWATI, [Link], [Link] ‘197307091999032002 Pembina ; IV/a Kesling SBY
85 SETIAWAN, SKM, [Link] ‘196304211985031005 Pembina ; IV/a Kesling SBY
86 DEMES NURMAYANTI, ST,[Link] ‘197607062006042015 Penata Tk. I ; III/d Kesling SBY
87 IMAM THOHARI, ST, [Link] ‘196212181986031015 Penata Tk. I ; III/d Kesling SBY
88 IRWAN SULISTIO, SKM, [Link] ‘197311201998031002 Penata Tk. I ; III/d Kesling SBY
89 RACHMANIYAH, SKM, [Link] ‘197504181998032001 Penata Tk. I ; III/d Kesling SBY
90 SUPRIJANDANI, SKM. [Link]. ‘196505281989031002 Penata Tk. I ; III/d Kesling SBY
91 DEDDY ADAM, SST, 198703142014021003 Penata ; III/c Kesling SBY
PUTRI ARIDA IPMAWATI, SKM., Penata Muda Tk.
92 [Link] ‘199309132020122009 I ; III/b Kesling SBY
FERDIAN AKHMAD FERIZQO, Penata Muda ;
93 [Link] ‘199405152019021001 III/a Kesling SBY
Penata Muda ;
94 GALA KURNIA HANDAWIJAYA, ST. ‘199509172022032003 III/a Kesling SBY
Penata Muda ;
95 SLAMET WARDOYO, SST. ‘199107082022031001 III/a Kesling SBY
Pengatur Muda
96 NGATIJAN ‘197208062007101003 Tk. I ; II/b Kesling SBY
Pengatur Muda
97 SUYONO ‘196511202007011020 Tk. I ; II/b Kesling SBY
98 VIRENY SETYANINGRUM, SE.,Ak. 919810115201305201 BLU Kesling SBY

Direktur Politeknik Kesehatan

Kementerian Kesehatan Surabaya,

Luthfi Rusyadi, SKM., [Link].

NIP. 197105181994031001

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