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RUMAH SAKIT UMUM DAERAH BANGIL Jl PEMERINTAH KABUPATEN PASURUAN RUMAH SAKIT UMUM DAERAH BANGIL Jl. Raya Raci – Bangil Pasuruan Kode Pos 67153 Telp. (0343) 744900; 747789 Fax. (0343) 744940; 747789 PENGUMUMAN Nomor : 445.1 / 1046 / 424.072.01 / 2020 TENTANG HASIL SELEKSI PENERIMAAN RELAWAN PENANGANAN COVID-19 PADA RUMAH SAKIT UMUM DAERAH BANGIL KABUPATEN PASURUAN TAHUN 2020 Berdasarkan hasil tes psikologi dan tes kompetensi penerimaan relawan penanganan COVID-19 pada Rumah Sakit Umum Daerah Bangil Kabupaten Pasuruan Tahun 2020 yang dilaksanakan pada hari Rabu, tanggal 6 Mei 2020, maka diputuskan bahwa nama-nama sebagaimana terlampir dinyatakan lulus dan diterima sebagai Relawan Penanganan COVID-19 dengan ketentuan: 1. Peserta wajib hadir pada pembekalan (orientasi) yang akan dilaksanakan pada: Hari, tanggal : Rabu - Kamis Tanggal : 13-14 Mei 2020 Pukul : 08.00 – 12.00 WIB Tempat : RSUD Bangil Kabupaten Pasuruan 2. Jadwal orientasi diatur sebagai berikut: NO WAKTU FORMASI MATERI TEMPAT 1 2 3 4 5 1 Rabu Pemeriksaan R. Jupiter Perawat 13 Mei 2020 kesehatanOrientasi Umum Gd. Manajemen Driver, Pekarya, Pemeriksaan Masjid Darus CS kesehatanPPI Syifa’ RSUD 2 Kamis Masjid Darus Perawat PPI 14 Mei 2020 Syifa’ RSUD Driver, Pekarya, R. Jupiter Orientasi Umum CS Gd. Manajemen 3. Peserta dinyatakan gugur apabila: a. Tidak datang sesuai jadwal yang telah ditentukan; b. Berdasarkan hasil tes kesehatan, peserta dinyatakan komorbid seperti menderita penyakit DM, hipertensi, penyakit jantung, penyakit paru dan penyakit kronis lainnya. 4. Kontrak Kerja a. Peserta yang dinyatakan lulus akan diikat dalam kontrak kerja relawan penanganan COVID-19 selama 4 (empat) bulan, terhitung mulai tanggal 15 Mei 2020 – 14 September 2020 dan dapat diperpanjang sesuai dengan ketentuan yang berlaku. b. Relawan tidak dapat menuntut untuk diangkat sebagai pegawai BLUD RSUD Bangil Kabupaten Pasuruan sesudah masa kontrak berakhir. 5. Keputusan panitia bersifat final dan tidak dapat diganggu gugat. Ditetapkan di Pasuruan pada tanggal 11 Mei 2020 Plt. DIREKTUR RSUD BANGIL KABUPATEN PASURUAN dr. AGUNG BASUKI, M.Kes. Pembina Utama Muda NIP. 19600504 198902 1 002 LAMPIRAN NAMA DAN IDENTITAS PESERTA YANG LULUS DAN DITERIMA DALAM PENERIMAAN RELAWAN PENANGANAN COVID-19 RSUD BANGIL KABUPATEN PASURUAN TAHUN 2020 A. PERAWAT NO NAMA LENGKAP TEMPAT LAHIR TGL LAHIR 1 4 5 6 1 ACHPAN ZAELANI RAHMAD MALANG 10 Mei 1990 2 AGUNG SUTAWIJAYA MALANG 27 Juni 1993 3 AHMAD YUDI ADITIA KEDIRI 16 April 1999 4 AL MAULANA MUZA SAKTI PUTRA KUSUMA PASURUAN 21 September 1992 5 ARIEF PURNAMA BANDUNG 13 Oktober 1985 6 ARTARINI DWIPREMA LESTARI BOJONOGORO 06 Nopember 1994 7 BAYU FITRA PERMADI A.md.kep SAMARINDA 12 Juni 1986 8 CANDRA MEISARI ROSANA PASURUAN 28 Mei 1995 9 DESY GUSTYA TANJUNG SIBOLGA 12 Agustus 1998 10 DEVI AFINA AZMI PASURUAN 11 Nopember 1996 11 DWI SEPRIANINGSIH SUMBAWA BESAR 02 September 1989 12 EDI MOH SAUKI YUSUF MALANG 22 Agustus 1994 13 FAJAR NUR HALIM TUBAN 08 Desember 1991 14 FAJRI RISKI YANTO SITUBONDO 08 April 1990 15 HILMY ZULKARNAIN MOJOKERTO 25 September 1986 16 JAYUSMAN SUMBAWA BARAT 04 Oktober 1996 17 MEILIA DEAFI MULYASARI KOTA BATU 09 Mei 1989 18 MEIRISTA DEVI KEDIRI 01 Mei 1998 19 MOCH MIFTAKHUL LATIF PASURUAN 03 Juli 1994 20 MOCH. ADLU PUTRA S.W MALANG 22 Mei 1996 21 MOCHAMMAD BASHOFI JEMBER 17 Nopember 1996 22 MUHAMMAD FATHUL MUSTAQFIRIN PASURUAN 13 April 1996 23 NIKE CHUSNUL DWI INDAH TRIYANTI MALANG 20 Mei 1995 24 RIZQIYA RAMADHANY BATU,MALANG 09 Januari 1998 25 ROFIZ YAZDAN PASURUAN 23 Nopember 1995 26 ROIHATUL JANNAH PASURUAN 18 Desember 1995 27 SRI WAHYUNI PASURUAN 01 Agustus 1993 28 SUGENG YULIAWAN NAMLEA 11 Juli 1992 B PENGEMUDI/SOPIR NO NAMA LENGKAP TEMPAT LAHIR TGL LAHIR 1 2 3 4 1 ANDIK KURNIAWAN PASURUAN 03 Januari 1981 2 ARIF PERDANA SURABAYA 19 Januari 1983 3 SEPTIYAN ZAINUDIN BANGIL 25 September 1990 C PEKARYA NO NAMA LENGKAP TEMPAT LAHIR TGL LAHIR 1 2 3 4 1 AHMAD JUNAEDI PASURUAN 10 September 1999 2 ANDRI SUKMAWAN PASURUAN 08 Januari 1989 3 ARISKY NANDA PRATAMA MALANG 26 Desember 1998 4 BUSYROL ABIDIN AMIRULLAH PASURUAN 12 Juli 2000 5 CHABIBUR RACHMAN SIDOARJO 29 November 1996 6 KRISTIAN ANJAR PERMADI PASURUAN 15 September 1997 7 LAMBANG NUGROHO PASURUAN 10 Januari 1990 8 M AFIQ FAKHRI PASURUAN 05 November 2000 9 M. MUNDZIR ISHAQ SAQOFI PASURUAN 28 Juli 1999 10 MOCHAMMAD BAGUS ASYIDIQ PASURUAN 05 Oktober 1995 11 MOHAMMAD ALVIN SYAHRIL PASURUAN 24 Desember 2000 12 MUARA MUHAMMAD IBRAHIM HUSEIN PASURUAN 06 Juli 1993 13 MUHAMAD ARDHYAN JAKARTA 22 Januari 1982 14 MUHAMMAD BUSTANUL ULUM PASURUAN 21 Mei 2000 15 MUHAMMAD MUHIBBIN PASURUAN 19 Agustus 1998 16 NAFI'UDDIN PASURUAN 04 Mei 1994 17 RAVI ARDI KURNIAWAN PASURUAN 18 Mei 1999 18 RIZKY FIRMANSYAH SURABAYA 22 Desember 1997 19 ROHMAT ARIF PASURUAN 21 Juni 1989 20 RYAN MOKHAMMAD ARIF PASURUAN 06 Maret 2000 21 TRI NIZMAUL FAINI PASURUAN 26 Februari 1989 22 ZULKARNAIN ZAKARIA PASURUAN 06 November 1998 D CLEANING SERVICE NO NAMA TEMPAT TGL LAHIR 1 2 3 4 1 ABDUR ROHMAN PASURUAN 18 Januari 1999 2 ACHMAD RIDHOI PASURUAN 26 September 1997 3 ADE YULIANTONY PASURUAN 19 Juli 1995 4 BRIAN DWI FIRMANSYAH PASURUAN 19 Oktober 1996 5 BUDI UTOMO PASURUAN 15 Oktober 1999 6 DEDIAN TAUFIK PRATAMA PASURUAN 24 Desember 1991 7 DENNY HELVIAN FIRDIANSYAH MALANG 12 September 1998 8 FARIZ ROCHMAN MAULANA PASURUAN 14 Mei 2001 9 FIKRI MUBAROK PASURUAN 21 Maret 1998 10 HENDRA YUDA RAHARJO BLITAR 14 Mei 1998 11 M FIRDAUSIR ROHMAN PASURUAN 17 Oktober 2000 12 M NASIIN PASURUAN 07 November 1999 13 MUHAMMAD AFIFUDIN PASURUAN 27 Juni 2000 14 MUHAMMAD FADLILLAH PASURUAN 04 Februari 1998 15 MUHAMMAD SOBIH ALWAN PASURUAN 21 Juli 1992 16 MUHAMMAD SYAIFUDIN PASURUAN 14 Desember 1995 17 MUHAMMAD ZULFAN ZAIN PASURUAN 25 Februari 2000 18 MUKHAMAD NASIK PASURUAN 06 Februari 1998 19 MUSTOFA PASURUAN 19 Desember 1987 20 NANANG KOSIM PASURUAN 12 Februari 1987 21 NUR SHOLIKHAH PASURUAN 24 Desember 1988 22 PUJIONO PASURUAN 03 Desember 1997 23 RESTU ANGGA DWI NURDIANSYAH PASURUAN 04 Agustus 1995 24 ROCHMATUL JANNAH PASURUAN 24 Mei 1996 25 SINGGIH DWI RUMEKSO PASURUAN 27 September 1999 26 WAHYU DWI KURNIAWAN PASURUAN 27 Maret 1996 27 ZAKARIYAH DWI SANTOSO PASURUAN 15 Mei 1996 Plt. DIREKTUR RSUD BANGIL KABUPATEN PASURUAN dr. AGUNG BASUKI, M.Kes. Pembina Utama Muda NIP. 19600504 198902 1 002 .
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