YAYASAN PEMBINA PENDIDIKAN INDONESIA (YPPI) WIDYAGAMA

SEKOLAH TINGGI ILMU KESEHATAN (STIKES)

WIDYAGAMA HUSADA
SK MENDIKNAS RI 13/D/0/2007
Program Studi : * D3 Kebidanan * S1 Kesehatan Lingkungan * S1 Ilmu Keperawatan * Profesi Ners

LETTER OF ASSIGNMENT
No. /SPJ/STIKES/VII/2019

Head of STIKES Widyagama Husada is assigning:

Name : Muntaha, SS., M.Pd.I

Position : Permanent Lecturer of Bachelor's Degree Program in
Environmental Health

To attend “Oral Presentation in the 6th International Conference on Community

Development in the ASEAN” that will be held in Wafa Hotel, Annajat Complex, Lot 71077,
Kampong Mata-mata, Mukim Gadong, Bandar Seri Begawan, Brunei Darussalam, on July
23rd – 26th, 2019.

The letter of assignment is made and issued to be properly implemented with full sense of
responsibility and followed up by a written report.

Malang, July 22nd, 2019

Head of STIKES,

Dr. Rudy Joegijantoro, MMRS

NIP. 197110152001121006

Kampus B ( Kantor Pusat ) : Jl. Taman Borobudur Indah 3A Malang ,

Kampus A : Jl. Sudimoro 16, Malang , Jawa Timur
Telp : (0341) 406150 Fax : (0341) 471277
Website : www.widyagamahusada.ac.id
 YAYASAN PEMBINA PENDIDIKAN INDONESIA (YPPI) WIDYAGAMA
SEKOLAH TINGGI ILMU KESEHATAN (STIKES)
WIDYAGAMA HUSADA
SK MENDIKNAS RI 13/D/0/2007
Program Studi : * D3 Kebidanan * S1 Kesehatan Lingkungan * S1 Ilmu Keperawatan * Profesi Ners

Head of STIKES is assigning: I. Departing from :

STIKES Widyagama Husada
Muntaha,SS.,M.Pd.I At the date of : July 23 – 26, 2019

To : Brunei Darussalam

Head of STIKES, ,

Dr. Rudy Joegijantoro,MMRS

NIP.197110152001121006
II. Arriving at :…………………………….……………… Departing from :………………………………………
At the date of :…………………………………………….. To :………………………………………
At the date of :………………………………………….
……………………………….., ………………………………..,

……………………………………..……….. ……………………………………..………..
NIP :………………………………………. NIP :……………………………………….
III. Arriving at :…………………………….…………… Departing from :………………………………………
At the date of:…………………………………………… To :………………………………………
At the date of :………………………………………….
……………………………….., ………………………………..,

……………………………………..………..
NIP :……………………………………….
IV.Arriving back at: STIKES Widyagama Husada
At the date of : …………………………………..
The official who gives the order ,
Head of STIKES,
……………………………………..………..
NIP :……………………………………….
Has been examined, with information that
the trip at his behest and
solely for office purposes
and in the shortest possible time.
The official who gives the order ,
Head of STIKES,

Dr. Rudy Joegijantoro,MMRS Dr. Rudy Joegijantoro,MMRS

NIP.197110152001121006 NIP.197110152001121006

Kampus B ( Kantor Pusat ) : Jl. Taman Borobudur Indah 3A Malang ,

Kampus A : Jl. Sudimoro 16, Malang , Jawa Timur
Telp : (0341) 406150 Fax : (0341) 471277
Website : www.widyagamahusada.ac.id