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Kamis, 07 Januari 2010
LETTER OF PERMISSION SIP
Label:
LETTER OF PERMISSION SIP,
nurse
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Surat Ijin Perawat nurse license
Subject: Request
The nurse license (SIP)
Designation:
Head of Central Java Province Health
Jl. Piere Tendean No. 24
Semarang
With regards,
Ynag signatures below
Name:
Place / Date of Birth:
Graduates:
Year of graduation:
Home address:
No. tel / HP:
Hereby apply for a City of Nurses (SIP) according to the Minister of Health Decree No. 1239 / Minister / SK / XI / 2001 of Nurse Registration and Practices for consideration I enclose herewith:
a. Photocopy of Diploma Nursing Diploma / SI NERS
b. Foto copy KTP
c. Health Certificate Doctor / Health Center
d. Colored Photograph 4x6 and 3x4 size @ 3 pieces (colored, uniform nurse / alumni
e. Copy the old SIP
So for your attention let me thank you
Semarang, Petitioner
(.........................)
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