Transcript
KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN UNIVERSITAS AIRLANGGA FAKULTAS KEDOKTERAN
Kampus A Jalan Mayjen Prof. Dr. Moestopo 47 Surabaya 60131 Telepon 031-5020251, 031-5030253, Fax 031-5022472
Website: w.A.uail.ae id, Email: dekan@fk. unair.ac.id
KEPUTUSAN DEKAN FAKULTAS KEDOKTERAN SALINAN
NOMOR : 434/UN3.1.1/HK.04/2020
TENTANG
DOSEN PEMBIMBING KEGIATAN ORGANISASI MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS AIRLANGGA
DEKAN FAKULTAS KEDOKTERAN,
bahwa untuk melaksanakan kegiatan organisasi mahasiswa (ormawa), maka perlu mengangkat
Menimbang a.
Dosen Pembimbing Kegiatanh Organisasi Mahasiswa Fakultas Kedokteran Universitas Airlangga
sebagaimana pada huruf a merupakan staf
pada Fakultas Kedokteran
b. bahwa Dosen Pembimbing dimaksud
pengajar/dosen Universitas Airlangga,
nama-nama yang tercantum dalam Lampiran Keputusan Dekan ini telah memenuhi
diangkat
C. bahwa
syarat untuk sebagai Dosen Pembimbing dimaksud;
bahwa berdasarkan pertimbangan sebagaimanadimaksud pada huruf a, huruf b dan huruf c, perlu menetapkan keputusan Dekan Fakultas Kedokteran tentang Kegiatan Kedokteran Universitas Airlangga.
d.
PembimbingFakultas
Dosen Organisasi Mahasiswa
Undang-Undang Republik Indonesia Nomor 20 Tahun 2003 tentang Sistem Pendidikan Nasional (Lembaran IndonesiaTahun 2003 Nomor 78, Tambahan Lembaran Negara Republik Indonesia Nomor 4310);
Mengingat :1.
Negara Republik
.. .
Undang-Undang Republik Indonesia Nomor 12 Tahun
2. 2012 tentang Pendidikan Tinggi (Lembaran Negara Republik Indonesia Tahun
2012 Nomor 158, Tambahan Lembaran Negara Nomor 5336); Peraturan Pemerintah Republik Indonesia Nomor 57 Tahun 1954 tentang Pendirian Universitas Airlangga di Surabaya sebagaimana telah diubah dengan Peraturan Pemerintah Nomor 3 Tahun 1955 tentang Pengubahan Peraturan Pemerintah Nomor 57
3.
Tahun 1954 (Lembaran Negara Republik Indonesia Tahun 1954 Nomor 99, Tambahan Lembaran Negara Republik Indonesia Nomor 695 juncto Lembaran Negara Republik Indonesia Tahun 1955 Nomor 4 Tambahan Lembaran Negara Nomor 748); Peraturan Pemerintah Republik Indonesia Nomor 4 Tahun 2014
A tentang Penyelenggaraan Pendidikan Tinggi dan Pengelolaan Perguruan
Tinggi (Lembaran Negara Republik IndonesiaTahun 2014 Nomor 16, Tambahan Lembaran Negara Nomor 5500); Peraturan Pemerintah Republik Indonesia Nomor 30 Tahun 2014 tentang Statuta UniversitasAirlangga (Lembaran Negara Republik Indonesia Tahun 2014 Nomor 100, Tambahan Lembaran Negara 5535); Peraturan Pemerintah Republik Indonesia Nomor 8 Tahun 2020 tentang Perubahan Atas Peraturan Pemerintah
5.
6.
Nomor 26 Tahun 2015 tentang Bentuk dan Mekanisme Pendanaan PerguruanTinggi Negeri Badan Hukum (Lembaran Negara Republik Indonesia Tahun 2020 Nomor 28, Tambahan Lembaran Negara Republik Indonesia Nomor 6461); Peraturan Menteri Pendidikan dan Kebudayaan Republik Indonesia Nomor 58 Tahun 2012 tentang Bantuan Operasional Perguruan Tinggi yang diselenggarakan oleh Pemerintah (Berita Negara Republik Indonesia Tahun 2012 Nomor 760); Peraturan Rektor Universitas Airlangga Nomor 52 Tahun 2017 tentang Perubahan Kedua Atas Peraturan Rektor Nomor 7/H3/PR/2011 tentang Organisasi Kemahasiswaan di LingkunganUniversitas Airlangga;Peraturan Rektor Universitas Airlangga Nomor 39 Tahun 2017 tentang Perubahan Atas PeraturanRektor Nomor 42 Tahun 2016 tentang Organisasi dan Tata Kerja Universitas Airlangga,
7.
8.
9.
10...
10. Keputusan Menteri Pendidikan dan Kebudayaan Republik Indonesia Nomor 155/U/1998 tentang8 Pedoman Umum Organisasi Kemahasiswaan di Perguruan Tinggi; Keputusan Rektor Universitas Airlangga Nomor 762/UN3/KR/2020 Dekan Fakultas, Direktur Sekolah Pascasarjana, dan Direktur Rumah Sakit Periode 2020-2025.
11.
tentang Pengangkatan
Memperhatikan Keputusan Dekan 151/UN3.1.1/HK.04/ 2020, tanggal 29 April 2020 tentang Tim Pendamping Kegiatan Kemahasiswaan dan Ormawa (TPKO) Airangga Tahun 2020.
Fakultas Kedokteran Nomor
Fakultas Kedokteran Universitas
MEMUTUSKAN:
KEDOKTERAN KEGIATAN
Menetapkan :KEPUTUSAN DERAN TENTANG ORGANISASI MAHASISWA FAKULTAS KEDOKTERAN UNTVERSITAS AIRLANGGA.
FAKULTAS DOSEN PEMBIMBING
Menetapkan Dosen Pembimbing Kegiatan Organisasi Mahasiswa Fakultas Kedokteran Universitas Airlangga,dengan susunan nama-nama yang tercantum dalam Lampiran Keputusan Dekan ini.
KESATU
Dosen Pembimbing sebagaimana dimaksud pada diktumn KESATU dalam melaksanakan tugasnya berpedoman pada ketentuan peraturan perundang-undangan yang berlaku serta mempertanggungjawabkan tugasnya kepada Dekan Fakultas Kedokteran melaiui Wakil Dekan I Fakultas Kedokteran.
KEDUA
Dosen Pembimbing sebagaimana dimaksud pada diktum KESATU diberikan honor sesuai dengan ketentuan Peraturan Perundang-undangan yang berlaku..
KETIGA
: Keputusan ini mulai berlaku pada tanggal ditetapkan dan berakhir pada tanggal 1 Desember 2021.
KEEMPAT
Salinan sesuai dengan aslinya Kepala Bagian Tata Usaha,
Ditetapkan diSurabaya pada tanggal 1 Desember 2020 DEKAN,
ttd
L BASUNI NIP. 19650102 198701 1 001
BUDI SANTOSO NIP. 19630217 1989111 0 01
SALINAN disampaikan Kepada Yth.: 1. Dekan FK UNAIR; 2. Wakil Dekan FK UNAIR; 3. Kepala Bagian FK UNAIR; 4. Kepala Sub Bagian FK UNAIR; 5. Yang bersangkutan
LAMPIRAN KEPUTUSAN DEKAN FAKULTAS KEDOKTERAN NOMOR :434/UN3.1.1/HK.04/2020, TANGGAL 1 DESEMBER 2020 TENTANG:DSEN PEMBIMBING KEQIATAN ORGAN18ASI MAHASISWA FAKULTAS KEDOKTERAN UNTVERSITAS AIRLANGGA Pelindung Dekan Fakultas Kedokteran Universitas Airlangga
Prof. Dr. Budi Santoso, dr., Sp.0G(K)
Penasehat Wakil Dekan I Fakultas Kedokteran Universitas Airlangga Dr. Achmad Chusnu Romdhoni, dr., Sp. THT-KL{K)., FICS Wakil Dekan II Fakultas Kedokteran Universitas Airlangga Dr. Hanik Badriyah Hidayati, dr., Sp.S(K) Wakil Dekan III Fakultas Kedokteran Universitas Airlangga Dr. Sulistiawati, dr., M.Kes
Penanggung Jaab
Kepala Bagian Tata Usaha Drs. Basuni, MM
Dosen Pembimbing Organisasi Mahasiswa
LPPM LNGUA: 1. Martha Kurnia Kusumawardani, dr., Sp.KFR 2. Dr. Eighty Mardyan, dr., Sp.0G(K) 3. Muhammad Miftahussurur, dr., M.Kes., Sp.PD-KGEH.,
Ph.D 4. Dr. Purwo Sri Rejeki, dr., M.Kes
:1. Puguh Setyo Nugroho, dr., Sp.THT-KL 2. Dr. Muhammad Fathul Qorib, dr., Sp.KFR 3. Dr. Hanik Badriah Hidayati, dr., Sp.S(K) 4. Sri Wijayanti Sulistyawati, dr., M.Kes
ASSALAM
1. Prananda Surya Airlangga, dr., M.Kes., Sp.An,KIC 2. Hermawan Susanto, dr., Sp.PD 3. Bambang Pujo Semedi, dr., Sp.An.KIC[K)4. Barmadisatrio, dr., Sp.B., Sp.BA
KPLA
CIHSA 1. Brihastami Sawitri, dr., Sp.KJ 2. Mahendra Tri Arif Sampurna, dr., Sp.A(K 3. Hermina Novida, dr., Sp.PD-KEMD 4. Muhammad Miftahussurur, dr., M.Kes., Sp.PD-KGEH.,
Ph.D
1. Dr. Asra Al Fauzi, dr., SE., MM., Sp.BS(K)., FICS., IFAANS
2. Dr. Hanik Badriah Hidayati, dr., Sp.S{K) 3. Dr. Muhammad Faris, dr., Sp.BS(K) 4. Dr. Citra Diah Kenconowungu, dr., M.Kes
Surabaya NeurosclenceChub (SNsC)
Alrlangga :1. Mahendra Tri Arif Sampurna, dr., Sp.A(K) 2. Niko Azhari Hidayat, dr., Sp.B-BTKV(K)VE FIHA 3. Rahadian Indarto Susilo, dr., Sp.BS 4. Dr. Citra Diah Kenconowungu, dr., M.Kes
Bursa Aesculap (ABA)
1. Rimbun, dr., M.Si 2. Dr. Siti Khairunnisa, S.Pi., M.Si 3. Muhammad Miftahussurur, dr., M.Kes., Sp.PD-KGEH..
Ph.D
Astan Medical Students* Associatlon
(AMSA) 4. Nur Rochmah, dr., Sp.A(K)
1. Dr. Reny l'tishom, M.Si 2. Muhammad Miftahussurur, dr., M.Kes., Sp.PD-KGEH.,
Ph.D 3. Dr. Purwo Sri Rejeki, dr., M.Kes 4. Dr. Achmad Chusnu Romdhoni, dr., Sp.THT-KL{K), FICS
FORISMA
HIMAWARY :Ratna Dwi Jayanti, S.Keb., Bd., M.Keb
Kerohanian Protestan
Dr. Heri Suroto, dr., Sp.OT{K)
Sle KerohanianKatho
Agustinus, dr., Sp.And
Salinan sesuai dengan aslinya Kepala Bagian Tata Usaha,
Ditetapkan diSurabaya pada tanggal 1 Desember 2020 DEKAN,
ttd
BASÚNI BUDI SANTOSO NIP. 19630217 1989111 001 NIP. 19650102 198701 1 001
SALINAN disampaikan Kepada Yth.: 1. Dekan FK UNAIR; 2. Wakil Dekan FK UNAIR; 3. Kepala Bagian FK UNAIR; 4. Kepala Sub Bagian FK UNAIR; 5. Yang bersangkutan
Page 10f7
NOW THEREFORE THIS AGREEMENT WITNESSETH that in consideration of the
mutual covenants and agreements contained in this contract and other good and valuable
consideration, the parties hereto covenant and agree each with the other as follows:
a. Whereas UNAIR is a research-leading University committed to proving a productive and
rewarding academic environment in the City of Surabaya, Province of East Java, Indonesia;
b. And whereas Dalla Doohan, M.D., Ph.D. wishes to pursue research and academic training
as a Postdoctoral Fellow at Division of Gastroentero-hepatology, Department of Internal
Medicine, Faculty of Medicine, Universitas Airlangga;
c. And whereas the Parties agree that UNAIR will provide the Postdoctoral Fellow with an
independent research opportunity in its Division of Gastroentero-hepatology, Department of
Internal Medicine, Faculty of Medicine, Universitas Airlangga, under the mentorship of
Dr. Muhammad Miftahussurur, dr., M.Kes., Sp.PD-KGEH., Ph.D.;
d. And whereas UNAIR welcomes the Postdoctoral Fellow to utilize its facilities, equipment
and resources under the mentorship of Dr. Muhammad Miftahussurur, dr., M.Kes., Sp.PD
KGEH., Ph.D. for the purposes of the Postdoctoral Fellow conducting academic research in
Division of Gastroentero-hepatology, Department of Internal Medicine, Faculty of Medicine,
Universitas Airlangga on the following terms and conditions;
This contract is made and entered into between Universitas Airlangga (hereinafter referred to
as "UNAIR") and Dalla Doohan, M.D., Ph.D. (hereinafter referred to as the "Postdoctoral
Fellow") in a part-time university status beginning 19 October 2020 and ending 19 January
2021.
CONTRACT OF THE AIRLANGGA POST -DOCTORAL FELLOWSHIP PROGRAMRef. No: 1694IUN3.221HKl2020
KEMENTERIAN PENDIDlKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
AIRLANGGA GLOBAL ENGAGEMENTKantor Manajemen, Karnpus C Mulyorejo Surabaya 60115
Telp.(031)5914042,5914043,5912546,5912564,Fax(031)5981841Website: http://www.unair.ac.id ; e-mail: international(a).global.unair.ac.id
Page 2 of7
ARTICLE 4 - LEGAL RELATIONS
4.1 No Authority to Bind
Unless authorized in writing by Universitas Airlangga, the Postdoctoral Fellow shall not
have the right or authority to assume or create any obligation or responsibility express or
implied on behalf of or in the name of Universitas Airlangga, or to bind Universitas
ARTICLE 3- NO WITHHOLDINGS
3.1 No Withholdings
Any remuneration paid to Postdoctoral Fellow hereunder shall be made without
withholdings for Income Tax or any other like deduction. Any taxes or any withholdings
levied now or hereafter by any governmental body, local, provincial, or federal, shall be
for the account of and paid by the Postdoctoral Fellow.
2.1 Compensation
The Postdoctoral Fellows' remuneration is dependent upon and subject to continued
funding by Airlangga Global Engagement, and all arrangements with respect to
compensation shall be made between the Postdoctoral Fellow and Airlangga Global
Engagement directly. The Postdoctoral Fellow's remuneration shall be in the amount of
Rp 15,000,000, paid monthly for three months contract as agreed, in accordance with
Universitas Airlangga's payroll schedule. This amount will cover all including the living
allowance, accommodation, health insurance, local transportation, meals, and other
logistics needed. This contract may terminate, at any time, in the event that research
funding ceases, and no further payments will be owing to the Postdoctoral Fellow.
ARTICLE 2 - COMPENSATION
1.1 Term
The term of this Agreement shall, subject to the termination provisions contained herein,
continue from 19October 2020 until 19January 2021 (the "termination date").
ARTICLE 1 - TERM
KEMENTERIAN PENDIDIKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
AIRLANGGA GLOBAL ENGAGEMENTKantor Manajemen, Kampus C Mulyorejo Surabaya 60115
Telp.(031)5914042,5914043,5912546,5912564,Fax(031)5981841Website: http://www.unair.ac.id ; e-mail: intemational(a).global.unair.ac.id
Page 3 of7
6.1 Termination by Notice
This Agreement may be terminated for any reason by either party giving fourteen days
notices in writing.
6.2 Termination re: Obligations
This Agreement may be terminated in the event that the Postdoctoral Fellow fails to
observe, perform or carry out any of their obligations hereunder, sanctions will be given to
return the funds given proportionally
6.3 Termination for Conduct
This contract may be terminated in the event that the Postdoctoral Fellow engages in any
act, omission or conduct which Universitas Airlangga and/or Dr. Muhammad
Miftahussurur, dr., M.Kes., Sp.PD-KGEH., Ph.D. determines to be detrimental to the
ARTICLE 6 . TERMINATION
ARTICLE 5 - CONFIDENTIALITY
5.1 Confidentiality
The Postdoctoral Fellow acknowledges that he/she has access to or be entrusted with
confidential or proprietary information belonging to Universitas Airlangga, or any of its
subsidiaries or affiliates during the course of his/her appointment and/or at any time
thereafter. The Postdoctoral Fellow acknowledges that all of Universitas Airlangga's
confidential and/or proprietary information is its exclusive property and agrees that he/she
accepts as his/her duties may require, he/she shall keep secret and confidential and shall
not make any copies of, and shall never disclose or use either during or after hislher
appointment with Universitas Airlangga, any confidential or proprietary information of
Universitas Airlangga, except as is required to fulfill hislher obligations to Universitas
Airlangga or as is explicitly directed by law. This provision is not intended to restrict
hislher ability to publish, present or otherwise discuss the results of hislher research.
Airlangga in any manner or thing whatsoever except as may be specifically approved by
Universitas Airlangga.
KEMENTERIAN PENDIDlKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
AIRLANGGA GLOBAL ENGAGEMENTKantor Manajemen, Kampus C Mulyorejo Surabaya 60115
Telp. (031)5914042, 5914043, 5912546, 5912564, Fax (031) 5981841Website: http://www.unair.ac.id ; e-mail: international(a).global.unair.ac.id
Page 4 of7
8.1 Location of Research
In conducting research under Dr. Muhammad Miftahussurur, dr., M.Kes., Sp.PD-KGEH.,
Ph.D., the Postdoctoral Fellow shall operate in the Division of Gastroentero-hepatology,
Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga
8.2 Academic Research
The Research and any or all related work and activity performed by the Postdoctoral
Fellow during the term of this contract is intended to be in support of the Postdoctoral
Fellow and is training in benefit of the Postdoctoral Fellow's academic advancement.
8.3 Time and Attention
The Postdoctoral Fellow shall devote the necessary time and attention and shall devote
his/her best efforts, skill and ability to the performance of his/her research under this
ARTICLE 8 - GENERAL PROVISIONS
7.1 Force Majeure in this contract agreement is a condition or event which occurs beyond the
human control including but not limited to earthquake, hurricane, flood, fire, landslide,
endemic of disease, strike, riot, sabotage, war (declared or undeclared), revolt, or
government policy which significantly affects the implementation of this contract
agreement and causes a delay on doing their duty of this agreement.
7.2 A party who undergoes the force majeure should notify another party within at least 2 X
24 (twice twenty-four) hours counted since theJorce majeurewith valid proof.
7.3 A party who suffers theforce majeure is required to work the duty, as best as they can, as
written in this contract agreement after theJorce majeure is over.
7.4 If theJorce majeure continuously happens over the party's expectation in which more than
30 (thirty) days of the calendar, then both parties should jointly review the plan and adjust
the implementation.
ARTICLE 7 - FORCE MAJEURE
interests of Universitas Airlangga or the Division of Gastroentero-hepatology, Department
of Internal Medicine, Faculty of Medicine, Universitas Airlangga.
KEMENTERIAN PENDIDIKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
AIRLANGGA GLOBAL ENGAGEMENTKantor Manajemen, Kampus C Mulyorejo Surabaya 60115
Teip. (031)5914042,5914043, 5912546, 5912564, Fax (031) 5981841Website: http://www.unair.ac.id ; e-mail: intemationaleazlobal.unair.ac.id
Page 50f7
Agreement. The Postdoctoral Fellow is expected to exercise the care, diligence and skill
that a reasonably prudent Postdoctoral Fellow would exercise in comparable circumstances.
8.4 Obligations
a. The Postdoctoral Fellow are fully responsible in conducting the designated or agreed
research under supervision of Dr. Muhammad Miftahussurur, dr., M.Kes., Sp.PD
KGEH., Ph.D., themed Comprehensive Study on Heliobacter Pylori Infection:
Gastroduodenal Disease-related to Heliobacter Pylori Injection, Virulence Factors,
Gastic Microbiota, and Propose Regiment Theraphy in Indonesia.
b. The Postdoctoral Fellow is encouraged to support Universitas Airlangga as a highly
reputable university in international ranking assessment such as but not limited to
Times Higher Education (THE) or Quacquarelli Symonds (QS);
c. The Postdoctoral Fellow required to teach particular courses/writing clinics in certain
number of credits agreed prior to the arrival;
d. The Postdoctoral Fellow is obliged to produce outputs of at least 3 publication with the
supervisor in the International Scientific Journal indexed in Scopus or lSI Thompson
which has the impact factors. The Postdoctoral Fellow will become the first author in
and the supervisor will become the corresponding author in publications produced.;
and
e. The Postdoctoral Fellow is obliged to submit the program activities report seven days
prior the contract end.
8.5 Intellectual Property Rights
Intellectual Property Rights resulting from the implementation of Comprehensive Study on
Heliobacter Pylori Injection: Gastroduodenal Disease-related to Heliobacter Pylori
Infection, Virulence Factors, Gastic Microbiota, and Propose Regiment Theraphy in
Indonesia are regulated and managed in accordance with applicable laws and regulations;
8.6 Compliance
The Postdoctoral Fellow agrees to abide by and comply with Universitas Airlangga's
policies and procedures, rules, regulations, by-laws and ethical standards as may be
promulgated or amended from time-to-time. Such compliance should not be construed as
creating an employment relationship or any guarantee of remuneration. Failure to comply
KEMENTERIAN PENDIDIKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
AIRLANGGA GLOBAL ENGAGEMENTKantor Manajemen, Kampus C Mulyorejo Surabaya 60115
Telp. (031) 5914042, 5914043, 5912546, 5912564, Fax (031) 5981841Website: http://www.unair.ac.id ; e-mail: international(a).global.unair.ac.id
Page 6 of7
constitutes a breach of this Agreement by the Postdoctoral Fellow and will result in
immediate termination of this Agreement without notice.
8.7 Return of Property
Upon the Termination and/or expiry of this Agreement, the Postdoctoral Fellow shall at
once deliver or cause to be delivered to Universitas Airlangga, all books, documents,
effects, money, securities or other properties belonging to Universitas Airlangga or for
which Universitas Airlangga is liable to others which are in the possession, charge, control,
or custody of the Postdoctoral Fellow.
8.8 Severability
Each provision of this Agreement is declared to constitute a separate and distinct covenant
and to be severable from all other such separate and distinct covenants.
8.9 Validity
If any covenant or provision herein is deemed to be void or unenforceable in whole or in
part, then it shall not be deemed to affect or impair the enforceability or validity of any
other covenant or provision of this contract or any part thereof.
8.10Entire Agreement
The provisions herein constitute the entire agreement between Universitas Airlangga and
the Postdoctoral Fellow and supersedes all previous expectations, understandings,
communications, representations, and agreements, whether verbal or written, between
Universitas Airlangga and the Postdoctoral Fellow with respect to the subject matters of
this Agreement and may not be modified except by subsequent agreement in writing and
executed by Universitas Airlangga and the Postdoctoral Fellow.
8.11Miscellaneous
The contract of the Airlangga Post-Doctoral Program of Universitas Airlangga in 2020 is
made in 4 (four) copies stamped in accordance with the applicable provisions.
KEMENTERIAN PENDIDIKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
AIRLANGGA GLOBAL ENGAGEMENTKantor Manajemen, Kampus C Mulyorejo Surabaya 60115
Telp. (031) 5914042, 5914043, 5912546, 5912564, Fax (031) 5981841Website: http://www.unair.ac.id ~e-mail: international@global.unair.ac.id
Page 70f7
.Pp-KGEH., Ph.D.
NIP. 197909292008121003
Dalla Doohan, M.D., Ph.D .
In the presence of Postdoctoral Fellow
Dian Ekowati, Ph.D.
NIP. 197406081999032002
. Dr. Bu . Santoso, dr., Sp.OG (K)
NIP. 196302171989111001
In the presence of
Dean of Faculty of Medicine
In the presence of representative of
Universitas Airlangga
Thus, signed on this 19 October 2020
at Airlangga Global Engagement, Universitas Airlangga.
KEMENTERIAN PENDIDIKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
AIRLANGGA GLOBAL ENGAGEMENTKantor Manajemen, Kampus C Mulyorejo Surabaya 60115
Telp. (031) 5914042, 5914043, 5912546, 5912564, Fax (031) 5981841Website: http://www.unair.ac.id ; e-mail: international(a).global.unair.ac.id
Page 10f7
NOW THEREFORE THIS AGREEMENT WITNESSETH that in consideration of the
mutual covenants and agreements contained in this contract and other good and valuable
consideration, the parties hereto covenant and agree each with the other as follows:
a. Whereas UNAIR is a research-leading University committed to proving a productive and
rewarding academic environment in the City of Surabaya, Province of East Java, Indonesia;
b. And whereas Langgeng Agung Waskito, M.D., Ph.D. wishes to pursue research and
academic training as a Postdoctoral Fellow at Division of Gastroentero-hepatology,
Department of Intemal Medicine, Faculty of Medicine, Universitas Airlangga;
c. And whereas the Parties agree that UNAIR will provide the Postdoctoral Fellow with an
independent research opportunity in its Division of Gastroentero-hepatology, Department of
Internal Medicine, Faculty of Medicine, Universitas Airlangga, under the mentorship of
Dr. Muhammad Miftahussurur, dr., M.Kes., Sp.PD-KGEH., Ph.D.;
d. And whereas UNAIR welcomes the Postdoctoral Fellow to utilize its facilities, equipment
and resources under the mentorship of Dr. Muhammad Miftahussurur, dr., M.Kes., Sp.PD
KGEH., Ph.D. for the purposes of the Postdoctoral Fellow conducting academic research in
Division of Gastroentero-hepatology, Department of Intemal Medicine, Faculty of Medicine,
Universitas Airlangga on the following terms and conditions;
This contract is made and entered into between Universitas Airlangga (hereinafter referred to
as "UNAIR") and Langgeng Agung Waskito, M.D., Ph.D. (hereinafter referred to as the
"Postdoctoral Fellow") in a part-time university status beginning 15 October 2020 and ending
15 January 2021.
CONTRACTOF THE AIRLANGGAPOST-DOCTORALFELLOWSmp PROGRAMRef. No: 1693/UN3.221HKl2020
KEMENTERIAN PENDIDIKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
AIRLANGGA GLOBAL ENGAGEMENTKantor Manajemen, Kampus C Mulyorejo Surabaya 60115
Telp. (031) 5914042, 5914043, 5912546, 5912564, Fax (031) 5981841Website: http://www.unair.ac.id ~e-mail: intemationaleazlobal.unair.ac.id
Page 2 of7
ARTICLE 4 - LEGAL RELATIONS
4.1 No Authority to Bind
Unless authorized in writing by Universitas Airlangga, the Postdoctoral Fellow shall not
have the right or authority to assume or create any obligation or responsibility express or
implied on behalf of or in the name of Universitas Airlangga, or to bind Universitas
ARTICLE 3 - NO WITHHOLDINGS
3.1 No Withholdings
Any remuneration paid to Postdoctoral Fellow hereunder shall be made without
withholdings for Income Tax or any other like deduction. Any taxes or any withholdings
levied now or hereafter by any governmental body, local, provincial, or federal, shall be
for the account of and paid by the Postdoctoral Fellow.
ARTICLE 2 - COMPENSATION
2.1 Compensation
The Postdoctoral Fellows' remuneration is dependent upon and subject to continued
funding by Airlangga Global Engagement, and all arrangements with respect to
compensation shall be made between the Postdoctoral Fellow and Airlangga Global
Engagement directly. The Postdoctoral Fellow's remuneration shall be in the amount of
Rp 15,000,000, paid monthly for three months contract as agreed, in accordance with
Universitas Airlangga's payroll schedule. This amount will cover all including the living
allowance, accommodation, health insurance, local transportation, meals, and other
logistics needed. This contract may terminate, at any time, in the event that research
funding ceases, and no further payments will be owing to the Postdoctoral Fellow.
ARTICLE 1 - TERM
1.1 Term
The term of this Agreement shall, subject to the termination provisions contained herein,
continue from 15 October 2020 until If January 2021 (the ''termination date").
KEMENTERIAN PENDIDlKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
AIRLANGGA GLOBAL ENGAGEMENTKantor Manajemen, Kampus C Mulyorejo Surabaya 60115
Teip. (031) 5914042,5914043, 5912546, 5912564, Fax (031) 59818 41Website: http://www.Wlair.ac.id ; e-mail: internationaleijglobal.unair.ac.id
Page 3 of7
ARTICLE 6 - TERMINATION
6.1 Termination by Notice
This Agreement may be terminated for any reason by either party giving fourteen days
notices in writing.
6.2 Termination re: Obligations
This Agreement may be terminated in the event that the Postdoctoral Fellow fails to
observe, perform or carry out any of their obligations hereunder, sanctions will be given to
return the funds given proportionally
6.3 Termination for Conduct
This contract may be terminated in the event that the Postdoctoral Fellow engages in any
act, omission or conduct which Universitas Airlangga and/or Dr. Muhammad
Miftahussurur, dr., M.Kes., Sp.PD-KGEH., Ph.D. determines to be detrimental to the
ARTICLE 5 - CONFIDENTIALITY
5.1 Confidentiality
The Postdoctoral Fellow acknowledges that he/she has access to or be entrusted with
confidential or proprietary information belonging to Universitas Airlangga, or any of its
subsidiaries or affiliates during the course of his/her appointment and/or at any time
thereafter. The Postdoctoral Fellow acknowledges that all of Universitas Airlangga's
confidential and/or proprietary information is its exclusive property and agrees that he/she
accepts as his/her duties may require, he/she shall keep secret and confidential and shall
not make any copies of, and shall never disclose or use either during or after his/her
appointment with Universitas Airlangga, any confidential or proprietary information of
Universitas Airlangga, except as is required to fulfill his/her obligations to Universitas
Airlangga or as is explicitly directed by law. This provision is not intended to restrict
his/her ability to publish, present or otherwise discuss the results of his/her research.
Airlangga in any manner or thing whatsoever except as may be specifically approved by
Universitas Airlangga.
KEMENTERIAN PENDIDlKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
AIRLANGGA GLOBAL ENGAGEMENTKantor Manajemen, Kampus C Mulyorejo Surabaya 60115
Te1p.(031) 5914042,5914043,5912546,5912564, Fax (031) 5981841Website: http://www.unair.ac.id ~e-mail: intemationaleazlobal.unair.ac.id
Page 4 of7
8.1 Location of Research
In conducting research under Dr. Muhammad Miftahussurur, dr., M.Kes., Sp.PD-KGEH.,
Ph.D., the Postdoctoral Fellow shall operate in the Division of Gastroentero-hepatology,
Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga
8.2 Academic Research
The Research and any or all related work and activity performed by the Postdoctoral
Fellow during the term of this contract is intended to be in support of the Postdoctoral
Fellow and is training in benefit of the Postdoctoral Fellow's academic advancement.
8.3 Time and Attention
The Postdoctoral Fellow shall devote the necessary time and attention and shall devote
his/her best efforts, skill and ability to the performance of his/her research under this
ARTICLE 8 - GENERAL PROVISIONS
7.1 Force Majeure in this contract agreement is a condition or event which occurs beyond the
human control including but not limited to earthquake, hurricane, flood, fire, landslide,
endemic of disease, strike, riot, sabotage, war (declared or undeclared), revolt, or
government policy which significantly affects the implementation of this contract
agreement and causes a delay on doing their duty of this agreement.
7.2 A party who undergoes the force majeure should notify another party within at least 2 X
24 (twice twenty-four) hours counted since the force majeure with valid proof.
7.3 A party who suffers the force majeure is required to work the duty, as best as they can, as
written in this contract agreement after the force majeure is over.
7.4 If the Jorce majeure continuously happens over the party's expectation in which more than
30 (thirty) days of the calendar, then both parties should jointly review the plan and adjust
the implementation.
ARTICLE 7 - FORCE MAJEURE
interests of Universitas Airlangga or the Division of Gastroentero-hepatology, Department
ofInternal Medicine, Faculty of Medicine, Universitas Airlangga.
KEMENTERIAN PENDIDlKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
A~ANGGAGLOBALENGAGEMENTKantor Manajemen, Kampus C Mulyorejo Surabaya 60115
Telp.(031)5914042,5914043,5912546,5912564,Fax(031)5981841Website: http://www.unair.ac.id ; e-mail: intemationaleazlobal.unair.ac.id
Page 5 of7
Agreement. The Postdoctoral Fellow is expected to exercise the care, diligence and skill
that a reasonably prudent Postdoctoral Fellow would exercise in comparable circumstances.
8.4 Obligations
a. The Postdoctoral Fellow are fully responsible in conducting the designated or agreed
research under supervision of Dr. Muhammad Miftahussurur, dr., M.Kes., Sp.PD
KGEH., Ph.D., themed The Effect of Genetic Mutation to the Helicobacter pylori
Antibiotic Resistance and Potential Technique to GetMutation Data Without Culture.
b. The Postdoctoral Fellow is encouraged to support Universitas Airlangga as a highly
reputable university in international ranking assessment such as but not limited to
Times Higher Education (THE) or Quacquarelli Symonds (QS);
c. The Postdoctoral Fellow required to teach particular courses/writing clinics in certain
number of credits agreed prior to the arrival;
d. The Postdoctoral Fellow is obliged to produce outputs of at least 3 publication with the
supervisor in the International Scientific Journal indexed in Scopus or lSI Thompson
which has the impact factors. The Postdoctoral Fellow will become the first author in
and the supervisor will become the corresponding author in publications produced.;
and
e. The Postdoctoral Fellow is obliged to submit the program activities report seven days
prior the contract end.
8.5 Intellectual Property Rights
Intellectual Property Rights resulting from the implementation of The Effect of Genetic
Mutation to the Helicobacter pylori Antibiotic Resistance and Potential Technique to Get
Mutation Data Without Culture are regulated and managed in accordance with applicable
laws and regulations;
8.6 Compliance
The Postdoctoral Fellow agrees to abide by and comply with Universitas Airlangga's
policies and procedures, rules, regulations, by-laws and ethical standards as may be
promulgated or amended from time-to-time. Such compliance should not be construed as
creating an employment relationship or any guarantee of remuneration. Failure to comply
KEMENTERIAN PENDIDlKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
AIRLANGGA GLOBAL ENGAGEMENTKantor Manajemen, Kampus C Mulyorejo Surabaya 60115
Telp. (031) 5914042,5914043,5912546,5912564, Fax (031) 5981841Website: http://www.unair.ac.id ~e-mail: international(a).global.unair.ac.id
Page 6 of7
constitutes a breach of this Agreement by the Postdoctoral Fellow and will result in
immediate termination of this Agreement without notice.
8.7 Return of Property
Upon the Termination and/or expiry of this Agreement, the Postdoctoral Fellow shall at
once deliver or cause to be delivered to Universitas Airlangga, all books, documents,
effects, money, securities or other properties belonging to Universitas Airlangga or for
which Universitas Airlangga is liable to others which are in the possession, charge, control,
or custody of the Postdoctoral Fellow.
8.8 Severability
Each provision of this Agreement is declared to constitute a separate and distinct covenant
and to be severable from all other such separate and distinct covenants.
8.9 Validity
If any covenant or provision herein is deemed to be void or unenforceable in whole or in
part, then it shall not be deemed to affect or impair the enforceability or validity of any
other covenant or provision of this contract or any part thereof.
8.1oEntire Agreement
The provisions herein constitute the entire agreement between Universitas Airlangga and
the Postdoctoral Fellow and supersedes all previous expectations, understandings,
communications, representations, and agreements, whether verbal or written, between
Universitas Airlangga and the Postdoctoral Fellow with respect to the subject matters of
this Agreement and may not be modified except by subsequent agreement in writing and
executed by Universitas Airlangga and the Postdoctoral Fellow.
8.11Miscellaneous
The contract of the Airlangga Post-Doctoral Program of Universitas Airlangga in 2020 is
made in 4 (four) copies stamped in accordance with the applicable provisions.
KEMENTERIAN PENDIDlKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
AffiLANGGA GLOBAL ENGAGEMENTKantor Manajemen, Kampus C Mulyorejo Surabaya 60115
Telp. (031) 5914042,5914043, 5912546, 5912564, Fax (031) 5981 841Website: http://www.unair.ac.id ; e-mail: intemational(a1global.unair.ac.id
Page 70f7
dr., M.Kes., Sp.PD-KGEH., Ph.D.
~IP. 197909292008121003
Inthe presence of Postdoctoral FellowIn the presence of Supervisor
Dian Ekowati, Ph.D.
~IP. 197406081999032002
di Santoso, dr., Sp.OG (K)
~IP. 196302171989111001
In the presence of
Dean of Faculty of Medicine
In the presence of representative of
Universitas Airlangga
Thus, signed on this 15 October 2020
at Airlangga Global Engagement, Universitas Airlangga.
KEMENTERlAN PENDIDlKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
AIRLANGGA GLOBAL ENGAGEMENTKantor Manajemen, Kampus C Mulyorejo Surabaya 60115
Telp. (031) 5914042, 5914043, 5912546, 5912564, Fax (031) 5981841Website: http://www.unair.ac.id ; e-mail: intemational@global.unair.ac.id
Page 1of7
NOW THEREFORE THIS AGREEMENT WITNESSETH that in consideration of the
mutual covenants and agreements contained in this contract and other good and valuable
consideration, the parties hereto covenant and agree each with the other as follows:
a. Whereas UNAIR is a research-leading University committed to proving a productive and
rewarding academic environment in the City of Surabaya, Province of East Java, Indonesia;
b. And whereas Assist. Prof. Evariste Tshibangu-Kabamba wishes to pursue research and
academic training as a Postdoctoral Fellow at the Department of Internal Medicine,
Faculty of Medicine, Universitas Airlangga;
c. And whereas the Parties agree that UNAIR will provide the Postdoctoral Fellow with an
independent research opportunity in its the Department of Internal Medicine, Faculty of
Medicine, Universitas Airlangga, under the mentorship of Muhammad Miftahussurur, dr.
M.Kes., Sp.PD-KGEH." Ph.D,;
d. And whereas UNAIR welcomes the Postdoctoral Fellow to utilize its facilities, equipment
and resources under the mentorship of Muhammad Miftahussurur, dr. M.Kes., Sp.PD
KGEH." Ph.D., for the purposes of the Postdoctoral Fellow conducting academic research
at the Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga on the
following terms and conditions;
e. And whereas the Postdoctoral Fellowship agrees that the program will be conducted online.
The Faculty of Medicine will arrange the Online Post-Doctoral Fellowship Program and
the program is under the mentorship of Muhammad Miftahussurur, dr. M.Kes., Sp.PD
KGEH." Ph.D;
This contract is made and entered into between Universitas Airlangga (hereinafter referred to
as "UNAIR") and Assist. Prof. Evariste Tshibangu-Kabarnba (hereinafter referred to as the
"Postdoctoral FeUow") in a full-time staff status during the period of 1 September 2021 to 31
March 2022.
CONTRACT OF THE ONLINE AIRLANGGA POST -DOCTORAL FELLOWSHIPPROGRAM
Ref. No: 1019/UN3.22/HKl2021
KEMENTERIAN PENDIDIKAN, KEBUDA YAAN,RISET, DAN TEKNOLOGI
UNIVERSITAS AIRLANGGAAIRLANGGA GLOBAL ENGAGEMENT
Amerta Lt.2 Kantor Manajemen Universitas AirlanggaKampus C Mulyorejo Surabaya 60115, Telp: +6231 5966864 Fax: +6231 5955582Website: http://international.unair.ac.id; Email: international@global.unair.ac.id
Page 2 of7
ARTICLE 3 -WITHHOLDINGS
3.1 Withholdings
Any remuneration paid to Postdoctoral Fellow hereunder shall be made with withholdings
for Income Tax or any other like deduction and any taxes or any withholdings levied now
or hereafter by any governmental body, local, provincial, or federal, shall be for the
account of and paid by the Postdoctoral Fellow.
3.2 Honorarium
Honorarium made at the discretion of the University as compensation for professional
services, including guest lectures, research and any other academic activity in Universitas
Airlangga and the Postdoctoral Fellow are subject to a 20% withholding tax from the
honorarium payment. Therefore, the Postdoctoral Fellow will receive IDR 8,000,0001
month for three months after tax deduction.
ARTICLE 2 - COMPENSATION
2.1 Compensation
The Postdoctoral Fellows' remuneration is dependent upon and subject to continued
funding by Airlangga Global Engagement, and all arrangements with respect to
compensation shall be made between the Postdoctoral Fellow and Airlangga Global
Engagement directly. While the Postdoctoral Fellow's assignment will be for three
months, the remuneration will be given in the amount ofRp 10,000,000, paid monthly for
three months only as agreed, in accordance with Universitas Airlangga's payroll schedule.
This fellowship grant given shall cover publication incentives. This contract may terminate,
at any time, in the event that research funding ceases, and no further payments will be
owing to the Postdoctoral Fellow.
ARTICLE 1- TERM1.1 Term
The term of this Agreement shall, subject to the termination provisions contained herein,
continue from 1 September 2021until 31 March 2022 (the "termination date").
KEMENTERIAN PENDIDIKAN, KEBUDA YAAN,RISET, DAN TEKNOLOGI
UNIVERSITAS AIRLANGGAAIRLANGGA GLOBAL ENGAGEMENT
Amerta Lt.2 Kantor Manajemen Universitas AirlanggaKampus C Mulyorejo Surabaya 60115, Telp: +6231 5966864 Fax: +6231 5955582Website: http://intemational.unair.ac.id; Email: international@global.tmair.ac.id
I.~ t I
Page 3 of7
6.1 TerminationbyNotice
This Agreement may be terminated for any reason by either party giving fourteen days
notices in writing.
6.2 Terminationre: Obligations
ARTICLE 6 - TERMINATION
ARTICLE 5 - CONFIDENTIALITY
5.1 Confidentiality
The Postdoctoral Fellow acknowledges that he/she has access to or be entrusted with
confidential or proprietary information belonging to Universitas Airlangga, or any of its
subsidiaries or affiliates during the course of hislher appointment and/or at any time
thereafter. The Postdoctoral Fellow acknowledges that all of Universitas Airlangga's
confidential and/or proprietary information is its exclusiveproperty and agrees that he/she
accepts as his/her duties may require, he/she shall keep secret and confidential and shall
not make any copies of, and shall never disclose or use either during or after hislher
appointment with Universitas Airlangga, any confidential or proprietary information of
Universitas Airlangga, except as is required to fulfil his/her obligations to Universitas
Airlangga or as is explicitly directed by law. This provision is not intended to restrict
his/her ability to publish, present or otherwisediscuss the results of his/her research.
ARTICLE 4 - LEGAL RELATIONS
4.1 No Authorityto Bind
Unless authorized in writing by Universitas Airlangga, the Postdoctoral Fellow shall not
have the right or authority to assume or create any obligation or responsibility express or
implied on behalf of or in the name of Universitas Airlangga, or to bind Universitas
Airlangga in any manner or thing whatsoever except as may be specifically approved by
UniversitasAirlangga.
KEMENTERJANPENDIDIKAN,KEBUDAYAAN,RISET,DANTEKNOLOGI
UNIVERSITASAIRLANGGAAIRLANGGA GLOBAL ENGAGEMENT
AmertaLt.2 KantorManajemenUniversitasAirlanggaKampusCMulyorejo Surabaya60115, Telp: +6231 5966864Fax: +6231 5955582Website:http://international.unair.ac.id;Email: international@global.unair.ac.id
I
'" I
Page 40f7
8.1 Location of Research
In conducting research under Muhammad Miftahussurur, dr. M.Kes., Sp.PD-KGEH."
PhD., the Postdoctoral Fellow shall operate in the Department of Internal Medicine,
Faculty of Medicine, Universitas Airlangga
8.2 Academic Research
ARTICLE 8 - GENERAL PROVISIONS
7.1 Force Majeure in this contract agreement is a condition or event which occurs beyond the
human control including but not limited to earthquake, hurricane, flood, fire, landslide,
endemic of disease, strike, riot, sabotage, war (declared or undeclared), revolt, or
government policy which significantly affects the implementation of this contract
agreement and causes a delay on doing their duty of this agreement.
7.2 A party who undergoes the force majeure should notify other party within at least 2 X 24
(twice twenty-four) hours counted since the force majeure with valid proof.
7.3 A patty who suffers the force majeure is required to work the duty, as best as they can, as
written in this contract agreement after the force majeure is over.
7.4 If the force majeure continuously happens over the party's expectation in more than 30
(thirty) days of the calendar, then both parties should jointly review the plan and adjust the
implementation.
ARTICLE 7 - FORCE MAJEURE
This Agreement may be terminated in the event that the Postdoctoral Fellow fails to
observe, perform or carry out any of their obligations hereunder, sanctions will be given to
return the funds given proportionally.
6.3 Termination for Conduct
This contract may be terminated in the event that the Postdoctoral Fellow engages in any
act, omission or conduct which Universitas Airlangga and/or Muhammad Miftahussurur,
dr. M.Kes., Sp.PD-KGEH." PhD determines to be detrimental to the interests of
Universitas Airlangga or the Department of Internal Medicine, Faculty of Medicine,
Universitas Airlangga.
KEMENTERIAN PENDIDIKAN, KEBUDA YAAN,RISET, DAN TEKNOLOGI
UNIVERSITAS AIRLANGGAAIRLANGGA GLOBAL ENGAGEMENT
Amerta Lt.2 Kantor Manajemen Universitas AirlanggaKampus C Mulyorejo Surabaya 60115, Telp: +62315966864 Fax: +62315955582Website: http://international. unaiLac.id; Email: international@global.unaiLac.id
Page 50f7
The Research and any or all related work and activity performed by the Postdoctoral
Fellow during the term of this contract is intended to be in support of the Postdoctoral
Fellow and is training in benefit of the Postdoctoral Fellow's academic advancement.
8.3 Time and Attention
The Postdoctoral Fellow shall devote the necessary time and attention and shall devote
his/her best efforts, skill and ability to the performance of hislher research under this
Agreement. The Postdoctoral Fellow is expected to exercise the care, diligence and skill
that a reasonably prudent Postdoctoral Fellow would exercise in comparable circumstances.
8.4 Obligations
a. The Postdoctoral Fellow is fully responsible in conducting the designated or agreed
research under supervision of Muhammad Miftahussurur, dr. M.Kes., Sp.PD-KGEH."
Ph.D, entitled The Helicobacter Pylori Resistome at the Scale of Evidence - Based
Molecular Mechanisms;
b. The Postdoctoral Fellow is encouraged to support Universitas Airlangga as a highly
reputable university in international ranking assessment such as but not limited to
Times Higher Education (THE) or Quacquarelli Symonds (QS);
c. The Postdoctoral Fellow is required to teach particular courses/writing clinics in a
certain number of credits and the number of meetings is minimum for four meetings per
month. The meeting could be on a class lecture or supervising academic writing for
UNAIR students;
d. The Postdoctoral Fellow is obliged to produce outputs of at least 1 publication with the
supervisor in the International Scientific Journal indexed in Scopus or lSI Thompson
which has the impact factors. The Postdoctoral Fellow will become the first author in
and the supervisor will become the corresponding author in publications produced.; and
e. The Postdoctoral Fellow is obliged to submit the program activities report seven days
prior to the contract end.
8.5 Intellectual Property Rights
Intellectual Property Rights resulting from the implementation of The Helicobacter Pylori
Resistome at the Scale of Evidence - Based Molecular Mechanisms are regulated and
managed in accordance with applicable laws and regulations;
KEMENTERIAN PENDIDIKAN, KEBUDAYAAN,RISET, DAN TEKNOLOGI
UNlVERSITAS AIRLANGGAAIRLANGGA GLOBAL ENGAGEMENT
Amerta Lt.2 Kantor Manajemen Universitas AirlanggaKampus C Mulyorejo Surabaya 60115, Telp: +6231 5966864 Fax: +6231 5955582Website: http://international.tmair.ac.id; Email: international@global.unair.ac.id
Page 60f7
8.6 Compliance
The Postdoctoral Fellow agrees to abide by and comply with Universitas Airlangga's
policies and procedures, rules, regulations, by-laws and ethical standards as may be
promulgated or amended from time-to-time. Such compliance should not be construed as
creating an employment relationship or any guarantee of remuneration. Failure to comply
constitutes a breach of this Agreement by the Postdoctoral Fellow and will result in
immediate termination of this Agreement without notice.
8.7 Return of Property
Upon the Termination and/or expiry of this Agreement, the Postdoctoral Fellow shall at
once deliver or cause to be delivered to Universitas Airlangga, all books, documents,
effects, money, securities or other properties belonging to Universitas Airlangga or for
which Universitas Airlangga is liable to others which are in the possession, charge, control,
or custody of the Postdoctoral Fellow.
8.8 Severability
Each provision of this Agreement is declared to constitute a separate and distinct covenant
and to be severable from all other such separate and distinct covenants.
8.9 Validity
If any covenant or provision herein is deemed to be void or unenforceable in whole or in
prot, then it shall not be deemed to affect or impair the enforceability or validity of any
other covenant or provision of this contract or any part thereof.
8.10Entire Agreement
The provisions herein constitute the entire agreement between Universitas Airlangga and
the Postdoctoral Fellow and supersedes all previous expectations, understandings,
communications, representations, and agreements, whether verbal or written, between
Universitas Airlangga and the Postdoctoral Fellow with respect to the subject matters of
this Agreement and may not be modified except by subsequent agreement in writing and
executed by Universitas Airlangga and the Postdoctoral Fellow.
8.11Miscellaneous
The contract of the Airlangga Post-Doctoral Fellowship Program of Universitas Airlangga
in 2021 is made in 4 (four) copies stamped in accordance with the applicable provisions.
KEMENTERIAN PENDIDIKAN, KEBUDA YAAN,RISET, DAN TEKNOLOGI
UNIVERSITAS AIRLANGGAAIRLANGGA GLOBAL ENGAGEMENT
Amerta Lt.2 Kantor Manajemen Universitas AirlanggaKarnpus C Mulyorejo Surabaya 60115, Telp: +6231 5966864 Fax: +6231 5955582Website: http://intemational.tmair.ac.id; Email: intemational@global.tmair.ac.id
Page 7 of7
Assist. Prof. Evariste Tshibangu-Kabamba
In the presence of Postdoctoral Fellow
Muhammad . t ussurur, dr. M.Kes., Sp.PD-KGEH." Ph.D.NIP. 197909292 08121003
mawan, S.E. MBA., Ph.D.-,
NIP. 198404202008121005
~~~~toso, dr., Sp.OG(K) ~
NIP. 196302171989111001
In the presence of
Dean of
In the presence of representative of
Universitas Airlangga
Head of Airlangga Global Engagement
Thus, signed on this
at Airlangga Global Engagement, Universitas Airlangga.
KEMENTERIAN PENDIDIKAN, KEBUDA YAAN,RISET, DAN TEKNOLOGI
UNIVERSITAS AIRLANGGAAIRLANGGA GLOBAL ENGAGEMENT
Amerta Lt.2 Kantor Manajemen Universitas AirlanggaKampus C Mulyorejo Surabaya 60115, Telp: +6231 5966864 Fax: +6231 5955582Website: http://intemational.unair.ac.id; Email: intemational@globa1.unair.ac.id
KEMENTERIAN PENDIDIKAN, KEBUDA Y AAN, RISET, DAN TEKNOLOGI
UNIVERSIT AS AIRLANGGA AIRLANGGA GLOBAL ENGAGEMENT
Amerta Lt.2 Kantor Manajemen Universitas Airlangga Kampus C Mulyorejo Surabaya 60115, Telp: +6231 5966864 Fax: +6231 5955582
Website: http://intemational.unair.ac.id; Email: intemational@global.unair.ac.id
CONTRACT OF THE ONLINE AIRLANGGA POST-DOCTORAL FELLOWSHIP PROGRAM
Ref. No: 1020/UNJ.22/HK/2021
This contract is made and entered into between Universitas Airlangga (hereinafter referred to as
"UNAIR") and Dr. Tuan Vo Phuoc (hereinafter referred to as the "Postdoctoral Fellow") in a
full-time staff status during the period of I August 2021 to 28 February 2022.
a. Whereas UNAIR is a research-leading University committed to proving a productive and
rewarding academic environment in the City of Surabaya, Province of East Java, Indonesia;
b. And whereas Dr. Tuan Vo Phuoc wishes to pursue research and academic training as a
Postdoctoral Fellow at the Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga;
c. And whereas the Parties agree that UNAIR will provide the Postdoctoral Fellow with an
independent research opportunity in its the Department of Internal Medicine, Faculty of
Medicine, Universitas Airlangga, under the mentorship of Muhammad Miftahussurur, dr. M.Kes., Sp.PD-KGEH.,, Ph.D,;
d. And whereas UNAIR welcomes the Postdoctoral Fellow to utilize its facilities, equipment
and resources under the mentorship of Muhammad Miftahussurur, dr. M.Kes., Sp.PD
KGEH.,, Ph.D., for the purposes of the Postdoctoral Fellow conducting academic research
at the Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga on the
following terms and conditions;
e. And whereas the Postdoctoral Fellowship agrees that the program will be conducted online. The Faculty of Medicine will arrange the Online Post-Doctoral Fellowship Program and the program is under the mentorship of Muhammad Miftahussurur, dr. M.Kes., Sp.PD-KGEH.,, Pb.D;
NOW THEREFORE THIS AGREEMENT WITNESSETH that in consideration of the
mutual covenants and agreements contained in this contract and other good and valuable
consideration, tl1e parties hereto covenant and agree each with the other as follows:
Page I of7
KEMENTERIANPENDIDIKAN,KEBUDAYAAN, RISET, DAN TEKNOLOGI
UN1VERSIT AS AIRLANGGA AIRLANGGA GLOBAL ENGAGEMENT
Amerta Lt.2 Kantor Manajemen Universitas Airlangga Kampus C Mulyorejo Surabaya 60115, Telp: +6231 5966864 Fax: +6231 5955582
Website: http://international.unair.ac.id; Email: international@global.unair.ac.id
ARTICLE 1- TERM
1.1 Term
The term of this Agreement shall, subject to the termination provisions contained herein, continue from I August 2021 until 28 Febmary 2022 (the "termination date").
ARTICLE 2 - COMPENSATION
2.1 Compensation
The Postdoctoral Fellows' remuneration is dependent upon and subject to continued funding by Airlangga Global Engagement, and all arrangements with respect to compensation shall
be made between the Postdoctoral Fellow and Airlangga Global Engagement directly. While the Postdoctoral Fellow's assignment will be for three months, the remuneration will
be given in the amount ofRp 10,000,000, paid monthly for three months only as agreed, in
accordance with Universitas Airlangga's payroll schedule. This fellowship grant given shall
cover publication incentives. This contract may terminate, at any time, in the event that
research funding ceases, and no further payments will be owing to the Postdoctoral Fellow.
ARTICLE 3-WITHHOLDINGS
3 .1 Withholdings
Any remuneration paid to Postdoctoral Fellow hereunder shall be made with withholdings for Income Tax or any other like deduction and any taxes or any withholdings levied now
or hereafter by any governmental body, local, provincial, or federal, shall be for the account
of and paid by the Postdoctoral Fellow.
3.2 Honorarium
Honorarium made at the discretion of the University as compensation for professional services, including guest lectures, research and any other academic activity in Universitas
Airlangga and the Postdoctoral Fellow are subject to a 20% withholding tax from the
honorarium payment. Therefore, the Postdoctoral Fellow will receive IDR 8,000,000/ month
for three months after tax deduction.
Page 2 of7
KEMENTERIAN PENDIDIKAN, KEBUDAY AAN, RISET, DAN TEKNOLOGI
UNIVERSITAS AIRLANGGA AIRLANGGA GLOBAL ENGAGEMENT
Amerta Lt.2 Kantor Manajemen Universitas Airlangga Kampus C Mulyorejo Surabaya 60115, Telp: +6231 5966864 Fax: +6231 5955582
Website: http://intemational.unair.ac.id; Email: intemational@global.unair.ac.id
ARTICLE 4- LEGAL RELATIONS
4.1 No Authority to Bind
Unless authorized in writing by Universitas Airlangga, the Postdoctoral Fellow shall not
have the right or authority to assume or create any obligation or responsibility express or
implied on behalf of or in the name of Universitas Airlangga, or to bind Universitas
Airlangga in any manner or thing whatsoever except as may be specifically approved by Universitas Airlangga.
ARTICLE 5 - CONFIDENTIALITY
5.1 Confidentiality
The Postdoctoral Fellow acknowledges that he/she has access to or be entrusted with
confidential or proprietary information belonging to Universitas Airlangga, or any of its
subsidiaries or affiliates during the course of his/her appointment and/or at any time
thereafter. The Postdoctoral Fellow acknowledges that all of Universitas Airlangga's confidential and/or proprietary information is its exclusive property and agrees that he/she
accepts as his/her duties may require, he/she shall keep secret and confidential and shall not
make any copies of, and shall never disclose or use either during or after his/her appointment
with Universitas Airlangga, any confidential or proprietary information of Universitas
Airlangga, except as is required to fulfil his/her obligations to Universitas Airlangga or as is
explicitly directed by law. This provision is not intended to restrict his/her ability to publish, present or otherwise discuss the results of his/her research.
ARTICLE 6 - TERMINATION
6.1 Termination by Notice
This Agreement may be terminated for any reason by either party giving fourteen days notices in writing.
6.2 Termination re: Obligations
This Agreement may be terminated in the event that the Postdoctoral Fellow fails to
observe, perform or carry out any of their obligations hereunder, sanctions will be given to
return the funds given proportionally.
Page 3 of7
KEMENTERIAN PENDIDIKAN, KEBUDA Y AAN, RISET, DAN TEKNOLOGI
UN1VERSITAS AIRLANGGA AIRLANGGA GLOBAL ENGAGEMENT
Amerta Lt.2 Kantor Manajemen Universitas Airlangga Kam pus C Mulyorejo Surabaya 60115, Telp: +6231 5966864 Fax: +6231 5955582
Website: http://international.unair.ac.id; Email: international@global.unair.ac.id
6.3 Termination for Conduct
This contract may be terminated in the event that the Postdoctoral Fellow engages in any
act, omission or conduct which Universitas Airlangga and/or Muhammad Miftahussurur, dr.
M.Kes., Sp.PD-KGEH.,, Ph.D determines to be detrimental to the interests of Universitas
Airlangga or the Department of Internal Medicine, Faculty of Medicine, Universitas
Airlangga.
ARTICLE 7 - FORCE MAJEURE 7 .1 Force Majeure in this contract agreement is a condition or event which occurs beyond the
human control including but not limited to earthquake, hurricane, flood, fire, landslide,
endemic of disease, strike, riot, sabotage, war (declared or undeclared), revolt, or
government policy which significantly affects the implementation of this contract agreement
and causes a delay on doing their duty of this agreement.
7 .2 A party who undergoes the force majeure should notify other party within at least 2 X 24
(twice twenty-four) hours counted since the force majeure with valid proof.
7.3 A party who suffers the force majeure is required to work the duty, as best as they can, as
written in this contract agreement after the force majeure is over.
7.4 If the force majeure continuously happens over the party's expectation in more than 30
(thirty) days of the calendar, then both parties should jointly review the plan and adjust the
implementation.
ARTICLE 8 - GENERAL PROVISIONS 8.1 Location of Research
In conducting research under Muhammad Miftahussurur, dr. M.Kes., Sp.PD-KGEH.,, Ph.D.,
the Postdoctoral Fellow shall operate in the Department of Internal Medicine, Faculty of
Medicine, Universitas Airlangga
8.2 Academic Research
The Research and any or all related work and activity performed by the Postdoctoral Fellow
during the term of this contract is intended to be in support of the Postdoctoral Fellow and
is training in benefit of the Postdoctoral Fellow's academic advancement.
Page 4of7
KEMENTERIAN PENDIDIKAN, KEBUDA Y AAN, RISET, DAN TEKNOLOGI
UNIVERSIT AS AIRLANGGA AIRLANGGA GLOBAL ENGAGEMENT
Amerta Lt.2 Kantor Manajemen Universitas Airlangga Kam pus C Mulyorejo Surabaya 60115, Telp: +6231 5966864 Fax: +6231 5955582
Website: http://international.unair.ac.id; Email: international@global.unair.ac.id
8.3 Time and Attention
The Postdoctoral Fellow shall devote the necessary time and attention and shall devote
his/her best efforts, skill and ability to the performance of his/her research under this
Agreement. The Postdoctoral Fellow is expected to exercise the care, diligence and skill
that a reasonably prudent Postdoctoral Fellow would exercise in comparable circumstances.
8.4 Obligations
a. The Postdoctoral Fellow is fully responsible in conducting the designated or agreed
research under supervision of Muhammad Miftahussurur, dr. M.Kes., Sp.PD-KGEH.,,
Ph.D, entitled Epidemiology and Virulence Factors of Helicobacter Pylori: A
Systematic Review;
b. The Postdoctoral Fellow is encouraged to support Universitas Airlangga as a highly
reputable university in international ranking assessment such as but not limited to Times
Higher Education (THE) or Quacquarelli Symonds (QS);
c. The Postdoctoral Fellow is required to teach particular courses/writing clinics in a certain
number of credits and the number of meetings is minimum for four meetings per month.
The meeting could be on a class lecture or supervising academic writing for UNAIR
students;
d. The Postdoctoral Fellow is obliged to produce outputs of at least I publication with the
supervisor in the International Scientific Journal indexed in Scopus or ISI Thompson
which has the impact factors. The Postdoctoral Fellow will become the first author in and
the supervisor will become the corresponding author in publications produced.; and
e. The Postdoctoral Fellow is obliged to submit the program activities report seven days
prior to the contract end.
8.5 Intellectual Property Rights
Intellectual Property Rights resulting from the implementation of Epidemiology and
Virulence Factors of Helicobacter Pylori: A Systematic Review are regulated and managed
in accordance with applicable laws and regulations;
8.6 Compliance
The Postdoctoral Fellow agrees to abide by and comply with Universitas Airlangga's
policies and procedures, rules, regulations, by-laws and ethical standards as may be
Page 5 of7
KE!vlENTERIAN PENDIDIKAN, KEBUDA Y AAN, RISET, DAN TEKNOLOGI
UNIVERSIT AS AIRLANGGA AIRLANGGA GLOBAL ENGAGEMENT
Amerta Lt.2 Kantor Manajemen Universitas Airlangga Kampus C Mulyorejo Surabaya 60115, Telp: +6231 5966864 Fax: +6231 5955582
Website: http://intemational.llllair.ac.id; Email: intemational@global.unair.ac.id
promulgated or amended from time-to-time. Such compliance should not be construed as
creating an employment relationship or any guarantee of remuneration. Failure to comply
constitutes a breach of this Agreement by the Postdoctoral Fellow and will result in
immediate termination of this Agreement without notice.
8. 7 Return of Property
Upon the Termination and/or expiry of this Agreement, the Postdoctoral Fellow shall at once
deliver or cause to be delivered to Universitas Airlangga, all books, documents, effects,
money, securities or other properties belonging to Universitas Airlangga or for which
Universitas Airlangga is liable to others which are in the possession, charge, control, or
custody of the Postdoctoral Fellow.
8.8 Severability
Each provision of this Agreement is declared to constitute a separate and distinct covenant
and to be severable from all other such separate and distinct covenants.
8.9 Validity
If any covenant or provision herein is deemed to be void or unenforceable in whole or in
part, then it shall not be deemed to affect or impair the enforceability or validity of any other
covenant or provision of this contract or any part thereof.
8.1 OEntire Agreement
The provisions herein constitute the entire agreement between Universitas Airlangga and
the Postdoctoral Fellow and supersedes all previous expectations, understandings,
communications, representations, and agreements, whether verbal or written, between
Universitas Airlangga and the Postdoctoral Fellow with respect to the subject matters of this
Agreement and may not be modified except by subsequent agreement in writing and
executed by Universitas Airlangga and the Postdoctoral Fellow.
Page 6 of?
KEMENTERIAN PENDIDIKAN, KEBUDA Y AAN, RISET, DAN TEKNOLOGI
UNIVERSITAS AIRLANGGA AIRLANGGA GLOBAL ENGAGEMENT
Amerta Lt.2 Kantor Manajemen Universitas Airlangga Kampus C Mulyorejo Surabaya 60115, Telp: +6231 5966864 Fax: +6231 5955582
Website: http://international.unair.ac. id; Email: international@global.unair.ac. id
8.11 Miscellaneous
The contract of the Airlangga Post-Doctoral Fellowship Program of Universitas Airlangga
in 2021 is made in 4 (four) copies stamped in accordance with the applicable provisions.
Thus, signed on this
at Airlangga Global Engagement, Universitas Airlangga.
In the presence of representative of
Universitas Airlangga
Head of Airlangga Global Engagement
In the presence of
Dean of
o, dr., Sp.OG(K) t1kJ
In the presen Supervisor
Muhammad ifta urur, dr. M.Kes., Sp.PD-KGEH.,, Ph.D. NIP. 1979092 00 121003
In the presence of Postdoctoral Fellow
Dr. Tuan Vo Phuoc
Page 7 of7
1
1. Undang-Undang Nomor 20 Tahun 2003 tentang SistemPendidikan Nasional (Lembaran Negara Republik IndonesiaTahun 2003 Nomor 78, Tambahan Lembaran Negara Tahun2003 Nomor 4301);
2. Undang - Undang Nomor 12 Tahun 2012 ten tangPendidikan Tinggi (Lembaran Negara Republik IndonesiaTahun 2012 Nomor 158, Tambahan Lembaran NegaraTahun 2012 Nomor 5336);
3. Peraturan Pemerintah Nomor 57 Tahun 1954 tentangPendirian Universitas Airlangga di Surabaya sebagaimanatelah diubah dengan Peraturan Pemerintah Nomor 3 Tahun1955 tentang Pengubahan Peraturan Pemerintah Nomor 57Tahun 1954. (Lembaran Negara Republik Indonesia Tahun1954 Nomor 99 Tambahan Lembaran Negara Nomor 695juncto Lembaran Negara Republik Indonesia Tahun 1955Nomor 4 Tambahan Lembaran Negara Nomor 748);
b. bahwa berdasarkan pertimbangan dan untuk kelancaransebagaimana dimaksud pada huruf a, perlu menetapkanKeputusan Rektor Universitas Airlangga tentang PembinaUnit Kegiatan Mahasiswa Universitas Airlangga Masa Bakti2021;
a. bahwa guna menciptakan iklim akademik dankemahasiswaan yang kondusif dalam meningkatkankreatifitas dan inovasi mahasiswa untuk mewujudkan visiUniversitas Airlangga dalam menjalankan fungsi organisasikemahasiswaan, dipandang perlu mengangkat pembinauntuk masing-masing Unit Kegiatan Mahasiswa (UKM)Universitas Airlangga dalam Penetapan Keputusan Rektor;
REKTOR UNIVERSITAS AIRLANGGA,
Mengingat
Menimbang
PEMBINA UNIT KEGIATAN MAHASISWA UNIVERSITAS AIRLANGGAMASA BAKTI 2021
TENTANG
KEPUTUSANREKTOR UNIVERSITAS AIRLANGGA
NOMOR 128/UN3/2021
SALINAN
KEMENTERIAN PENDIDIKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGA
Kampus C Mulyorejo Surabaya 60115 Telp. (031) 5914042, 5914043, Fax (031) 5981841Website: http://www.unair.ac.id; e-mail: rektor@unair.ac.id
2
Memperhatikan: 1. Surat Direktur Kemahasiswaan Universitas Airlangganomor 1752/UN3.4/KM/2021 perihal PermohonanKelengkapan Data Unit Kegiatan Mahasiswa masabakti 2021.
2. Surat dan Usulan dari Unit Kegiatan Mahasiswa (UKM)Universitas Airlangga masa bakti 2021 perihal UsulanPengurus dan Pembina Unit Kegiatan Mahasiswa masabakti 2021.
4. Peraturan Pemerintah Nomor 4 Tahun 2014 tentangPenyelenggaraan Pendidikan Tinggi dan PengelolaanPerguruan Tinggi (Lembaran Negara Republik IndonesiaTahun 2014 Nomor 16, Tambahan Lembaran NegaraNomor 5500);
5. Peraturan Pemerintah Nomor 30 Tahun 2014 tentangStatuta Universitas Airlangga (Lembaran NegaraRepublik Indonesia Tahun 2014 Nomor 100, TambahanLembaran Negara Nomor 5535);
6. Peraturan Pemerintah Nomor 8 Tahun 2020 tentangPerubahan Atas Peraturan Pemerintahan Nomor 26Tahun 2015 ten tang Bentuk dan Mekanisme PendanaanPerguruan Tinggi Negeri Badan Hukum (LembaranNegara Republik Indonesia Tahun 2020 Nomor 28,Tambahan Lembaran Negara Republik Indonesia Nomor6461);
7. Peraturan Menteri Riset, Teknologi dan Pendidikan TinggiRepublik Indonesia Nomor 12 Tahun 2019 tentangBantuan Operasional Perguruan Tinggi Negeri (BeritaNegara Republik Indonesia Tahun 2019 Nomor 187);
8. Keputusan Menteri Pendidikan dan KebudayaanNomor 155/U/1998 tentang Pedoman Umum OrganisasiKemahasiswaan di Perguruan Tinggi;
9. Keputusan Majelis Wali Amanat Universitas AirlanggaNomor 3/UN3.MWA/K/2020 tentang PengangkatanRektor Universitas Airlangga Periode 2020-2025;
10. Peraturan Rektor Universitas Airlangga Nomor7/H3/PR/2009 tentang Sistem Kredit PrestasiUniversitas Airlangga sebagaimana telah diubah denganPeraturan Rektor Nomor 44 Tahun 2016;
11. Peraturan Rektor Universitas Airlangga Nomor07/H3/PR/2011 tentang Organisasi Kemahasiswaan diLingkungan Universitas Airlangga sebagaimana telahdiubah terakhir dengan Peraturan Rektor Nomor 52Tahun 2017;
12. Peraturan Rektor Universitas Airlangga Nomor 42 Tahun2016 tentang Organisasi dan Tata Kerja UniversitasAirlangga sebagaimana telah diubah dengan PeraturanRektor Nomor 39 Tahun 2017;
13. Peraturan Rektor Nomor 11 Tahun 2020 tentangPedoman Pendidikan Universitas Airlangga;
3
Biaya pelaksanaan Keputusan Rektor ini dibebankan padaAnggaran Direktorat Kemahasiswaan Universitas AirlanggaTahun Anggaran 2021.
Dalam melaksanakan tugasnya, pembina Unit KegiatanMahasiswa Universitas Airlangga masa bakti 2021 harusberpedoman pada Anggaran Dasar /Anggaran Rumah Tangga(AD/ART)Unit Kegiatan Mahasiswa Universitas Airlanggadan ketentuan peraturan perundang-undangan, sertamempertanggungjawabkan pelaksanaan tugasnya secaratertulis pada akhir masa jabatan kepada Rektor melaluiDirektur Kemahasiswaan.
Dalam melaksanakan tugasnya, pembina Unit KegiatanMahasiswa Universitas Airlangga masa bakti 2021sebagaimana dimaksud pada diktum KESATUdiberikan hakberupa honorarium sebesar Rp. 750.000,- (tujuh ratus limapuluh ribu rupiah) sesuai bidang tugas kegiatan yangdiselenggarakan Direktorat Kemahasiswaan UniversitasAirlangga.
Masa tugas pembina Unit Kegiatan Mahasiswa UniversitasAirlangga masa bakti 2021 berlaku sejak ditetapkanKeputusan Rektor ini sampai dengan 31 Desember 2021.
Menugaskan pembina Unit Kegiatan Mahasiswa UniversitasAirlangga masa bakti 2021 untuk melaksanakanpembinaanypendampingan dengan baik agar pengelolaanUnit Kegiatan Mahasiswa dapat berjalan secara baik, benardan sehat serta dapat berprestasi.
Mengangkat pembina Unit Kegiatan Mahasiswa UniversitasAirlangga masa bakti 2021, dengan susunan namasebagaimana tercantum dalam Lampiran yang merupakanbagian tidak terpisahkan dari Keputusan Rektor ini.
KEPUTUSAN REKTOR UNIVERSITAS A1RLANGGATENTANG PEMBINA UNIT KEGIATAN MAHASISWAUNIVERSITAS AlRLANGGAMASA BAKTI 2021.
MEMUTUSKAN :
KEENAM
KELIMA
KEEMPAT
KETIGA
KEDUA
KESATU
Menetapkan
4
KOKO SRIMULYNIP. 1966022819
MOHAMMAD NASIHNIP 196508061992031002
TID
REKTOR,
Ditetapkan di Surabayapada tanggal25 Januari 2021
Salinan disampaikan Yth :1. Pimpinan Unit Kerja di Lingkungan UNAIR;2. Yang bersangkutan.
Keputusan Rektor ini mulai berlaku pada tanggal ditetapkandan memiliki daya laku surut sejak tanggal 4 Januari 2021.
KETUJUH
5
NO UKM NAMA PEMBINA1 Aquatic Catur Dian Setiawan, S.Farm., M.Kes., Apt.2 Billiard Putu Aditya Ferdian Ariawantara3 Bola Basket Mil Kurniawan, M.Psi., Psikolog4 Bola Voli Widio Rahardjo, SH., M.Kn.5 Bridge Mochammad Fauzi, SE.6 Bulutangkis Prof. Junaidi Khotib, S.Si., M.Kes., Ph.D., Apt.7 Catur Pulung Siswantara8 Debat Dr. Ahmad Shofy Mubarak,S.Pi., M.Si.9 Fotografi Dimas Aryo Wicaksono, M. Sc10 Hockey Martia Rani Tacharina, Drh., M.Si.11 Ju-Jitsu Dr. Urip Santoso, SH., MH.12 Karate-Do Munir13 Kempo Cuk Prasetyo Hudoyo, SS., SE., M.Si.14 Kependudukan Dr. Lutfi Agus Salim, S.KM., M.Si.15 Kerohanian Budha Sarijan Adiviryanto, S.Pd.B., M.Pd.16 Kerohanian Hindu Dharma Prof. Dr. I Made Narsa, M.Si., AK., CA.17 Kerohanian Islam Dr. Abdul Rahem, M.Kes., Apt.18 Kerohanian Katolik Made Gitanadya Ayu Aryani, SE., MSM.19 Kerohanian Kristen Hadi Poerwono, Drs., Apt., M.Sc., Ph.D.20 KSR-PMI Hario Megatsari, S.KM., M.Kes.21 Mapanza Dr. Windhu Pumomo, Dr., M.S.22 Merpati Putih Ika Rudianto23 Orchestra Sedianingsih, Dr., SE., M.Si., Ak.24 Paduan Suara Drs. Marcellino Rudyanto, M.Si., Ph.D., Apt.25 Pagar Nusa Badrus Zaman, S.Kom, M.Cs.26 Panahan Nilam Andalia Kumiasari, S.H., LL.M.27 Penalaran Habiburrochman28 Perisai Diri Roch. Adi Prasetya, S.Si29 Pramuka Dr. Dewi Retno Suminar, M.Si., Psikolog30 PSHT Prof. Dr. Suryanto, M. Si.31 Resimen Mahasiswa Drs. Djoko Adi Prasetyo, M.Si.32 Seni Religi Afri Andiarto, SM.33 Sepak Bola Saikhon, S.Sos.34 Sinematografi Nanang Haryono, S.IP., M.Si.35 Softball Dr. Zahry Vandawati Chumaida, SH., M.H.36 Taekwondo Riza Alifianto Kurniawan37 Tahfidzul Quran Drs. R. ArifWibowo, M.Si.38 Tahfidzul Quran M. Miftahussurur, dr., M.Kes.,Sp.PD-KGEH.,Ph.D39 Tapak Suci Prof. Dr. Purnawan Basundoro, M.Hum.
DAFTAR PEMBINAUNIT KEGIATAN MAHASISWA UNIVERSITAS AIRLANGGA
MASA BAKTI 2021
LAMPIRAN KEPUTUSAN REKTOR UNIVERSITAS AIRLANGGANOMOR 128/UN3/2021, TANGGAL 25 JANUARI 2021TENTANG PEMBINA UNIT KEGIATAN MAHASISWA UNIVERSITAS
AIRLANGGA MASA BAKTI 2021.
6
+,KOKO SRIMULy6.ANIP. 196602281970021001
MOHAMMAD NASIHNIP 196508061992031002
TID
REKTOR,
Ditetapkan di Surabaya
NO UKM NAMA PEMBINA39 Tapak 8uci Prof. Dr. Purnawan Basundoro, M.Hum.40 Tari Dan Karawitan Prof.Dr. Sri Pantja Madyawati, Drh., M.8i.41 Teater Mata Angin Puji Karyanto, 8.8., M.Hum.42 Tenis Lapangan Dr. Ari Prasetyo, 8E., M.8i.43 Tenis Meja Moch.Z. Zoehdi, 8.80s., MA.44 Wanala Nur AiniHidayati, 8E., M.8i., Ph.D
1
1. Undang-Undang Nomor 20 Tahun 2003 tentang SistemPendidikan Nasional (Lembaran Negara Republik IndonesiaTahun 2003 Nomor 78, Tambahan Lembaran NegaraTahun 2003 Nomor 4301);
2. Undang-Undang Nomor 12Tahun 2012 tentang PendidikanTinggi (Lembaran Negara Republik Indonesia Tahun 2012Nomor 158, Tambahan Lembaran Negara Tahun 2012Nomor 5336);
c. bahwa berdasarkan pertimbangan sebagaimana dimaksudpada huruf a dan huruf b, perlu menetapkan KeputusanRektor tentang Pengangkatan Pelatih Unit KegiatanMahasiswa Universitas Airlangga Masa Bakti 2021 BidangOlahraga dan Seni;
b. bahwa guna kelancaran mendatangkan pelatih dalamrangka mencetak atlet berprestasi bidang olahraga dan senisebagaimana dimaksud pada huruf a, dipandang perlumengangkat Pelatih Unit Kegiatan Mahasiswa UniversitasAirlangga masa bakti 2021 bidang olahraga dan bidang senimelalui penetapan Keputusan Rektor;
a. bahwa mendatangkan pelatih yang berkompetendibidangnya dan melakukan penjadwalan latihan rutinmerupakan kebutuhan mendasar guna tercapainya tujuanpengembangan bidang minat, bakat dan kegemaran dalambidang olahraga dan seni dikalangan mahasiswa, sebagaiupaya pencapaian prestasi tertinggi dalam rangkamencetak atlet dan senimarr/ seniwati berprestasi, sehinggadapat mengangkat citra Universitas Airlangga;
REKTOR UNIVERSITAS AlRLANGGA,
Mengingat
Menimbang:
PENGANGKATAN PELATIH UNIT KEGIATAN MAHASISWAUNIVERSITAS AlRLANGGA MASA BAKTI 2021
BIDANG OLAHRAGA DAN SENI
TENTANG
KEPUTUSANREKTOR UNIVERSITAS AlRLANGGA
NOMOR 131/UN3/2021
SALINAN
li~ ~ KEMENTERlAN PENDIDIKAN DAN KEBUDA YAANI {§. ~~ UNIVERSITAS AIRLANGGAI~,. .~Kampus CMulyorejo Surabaya 60115 Telp. (031) 5914042, 5914043, Fax (031) 5981841
~ . ~ Website: http://www.unair.ac.id; e-mail: rektor@unair.ac.id-~
2
3. Peraturan Pemerintah Nomor 57 Tahun 1954 tentangPendirian Universitas Airlangga di Surabaya sebagaimanatelah diu bah dengan Peraturan Pemerintah Nomor 3 Tahun1955 tentang Pengubahan Peraturan Pemerintah Nomor 57Tahun 1954. (Lembaran Negara Republik Indonesia Tahun1954 Nomor 99 Tambahan Lembaran Negara Nomor 695juncto Lembaran Negara Republik Indonesia Tahun 1955Nomor 4 Tambahan Lembaran Negara Nomor 748);
4. Peraturan Pemerintah Nomor 26 Tahun 2015 tentangBentuk dan Mekanisme Pendanaan Perguruan TinggiNegeri Badan Hukum (Lembaran Negara RepublikIndonesia Tahun 2015 Nomor 110, Tambahan LembaranNegara Republik Indonesia Nomor 5699);
5. Peraturan Pemerintah Nomor 4 Tahun 2014 tentangPenyelenggaraan Pendidikan Tinggi dan PengelolaanPerguruan Tinggi (Lembaran Negara Republik IndonesiaTahun 2014 Nomor 16, Tambahan Lembaran NegaraNomor 5500);
6. Peraturan Pemerintah Nomor 30 Tahun 2014 tentangStatuta Universitas Airlangga (Lembaran Negara RepublikIndonesia Tahun 2014 Nomor 100, Tambahan LembaranNegara Republik Indonesia Nomor 5535);
7. Keputusan Menteri Pendidikan dan Kebudayaan Nomor155/U/1998 tentang Pedoman Umum OrganisasiKemahasiswaan di Perguruan Tinggi;
8. Peraturan Menteri Pendidikan dan Kebudayaan Nomor 58Tahun 2012 tentang Bantuan Operasional PerguruanTinggi Negeri Yang Diselenggarakan Oleh Pemerintah(Berita Negara Republik Indonesia Tahun 2012 Nomor 760);
9. Keputusan Majelis Wali Amanat Universitas AirlanggaNomor 1032/UN3.MWA/K/2015 tentang PengangkatanRektor Universitas Airlangga Periode 2015-2020;
10. Peraturan Rektor Universitas Airlangga Nomor7/H3/PR/2009 tentang Sistem Kredit Prestasi UniversitasAirlangga sebagaimana telah diubah dengan PeraturanRektor Nomor 44 Tahun 2016;
11. Peraturan Rektor Universitas Airlangga Nomor07/H3/PR/2011 tentang Organisasi Kemahasiswaan diLingkungan Universitas Airlangga sebagaimana telahdiubah terakhir dengan Peraturan Rektor Nomor 52 Tahun2017;
12. Peraturan Rektor Universitas Airlangga Nomor 42 Tahun2016 tentang Organisasi dan Tata Kerja UniversitasAirlangga sebagaimana telah diubah dengan PeraturanRektor Nomor 39 Tahun 2017;
13. Peraturan Rektor Nomor 3 Tahun 2019 tentang PerubahanKedua Atas Peraturan Rektor Nomor 27 Tahun 2018tentang Pedoman Pendidikan Universitas Airlangga.
3
Dalam melaksanakan tugasnya pelatih sebagaimanatercantum pada diktum KESATU hams bekerja secaraprofesional, menjunjung tinggi kode etik kepelatihan sertaberpegang teguh pada ketentuan-ketentuan Peraturankepelatihan yang berlaku, dan mempertanggungjawabkanpelaksanaan tugasnya kepada Rektor melalui DirekturKemahasiswaan.
KEEMPAT
Dalammelaksanakan tugasnya pelatih sebagaimana dimaksudpada diktum KESATU akan diberikan hak honorariumsebagaimana tersebut di bawah ini :a.Diberikan hak honorarium bulanan sebesar Rp. 500.000,(lima ratus ribu rupiah) sesuai ketentuan yang berlakumelalui mekanisme transfer ke nomor rekening bank miliksemua pelatih yang bersangkutan sesuai kontrakkesepakatan kerja masing-masing pelatih dengan UnitKegiatanMahasiswa yang merekrutnya, diterimakan setiapbulan;
b. Pelatihyang berhak mendapatkan honorarium sebagaimanadimaksud butir (a) diktum KETIGAKeputusan Rektor ini,adalah yang aktif melaksanakan tugas kepelatihannya dimasing-masing unit kegiatan mahasiswa UniversitasAirlanggamasa bakti 2021 bidang olahraga dan seni yangmerekrutnya.
KETIGA
Pelatih Unit Kegiatan Mahasiswa Universitas Airlanggamasabakti 2021 bidang olahraga dan seni bertugas melatih,memonitoring dan mengevaluasi secara berkala terhadapmasing-masing anggota Unit KegiatanMahasiswa UniversitasAirlanggadibawah tanggungjawab kepelatihannya.
KEDUA
Mengangkat pelatih unit kegiatan mahasiswa UniversitasAirlanggamasa bakti 2021 bidang olahraga dan seni, dengansusunan personalia sebagaimana tercantum dalam Lampiranyang merupakan bagian tidak terpisahkan dari KeputusanRektor ini.
KESATU
KEPUTUSAN REKTOR TENTANG PENGANGKATAN PELATIHUNIT KEGIATAN MAHASISWA UNIVERSITAS AlRLANGGAMASA BAKTI 2021 BIDANG OLAHRAGA DAN SENI.
Menetapkan
MEMUTUSKAN:
Memperhatikan : 1. Surat Direktur Kemahasiswaan Universitas Airlangganomor 1752/UN3.4/KM/2020 Perihal Permohonankelengkapan data Unit Kegiatan Mahasiswa UniversitasAirlangga 2020;
2. Surat dan Usulan dari Unit Kegiatan Mahasiswa (UKM)Universitas Airlangga masa bakti 2021 tentang PelatihUnit Kegiatan Mahasiswa masa bakti 2021.
4
KOKO SRIMULYONIP.1966022819
r
r sesuai dengan aslinyais Universitas,Se
MOHAMMAD NASIHNIP196508061992031002
TID
REKTOR,
Ditetapkan di Surabayapada tanggal25 Januari 2021
Salinan disampaikan Yth :1.Pimpinan Unit Kerja di Lingkungan UNAIR;2 .Yang bersangkutan.
Keputusan Rektor ini mulai berlaku pada tanggal ditetapkandan memiliki daya laku surut sejak tanggal 4 Januari 2021.
KETUJUH
Biaya pelaksanaan Keputusan Rektor ini dibebankan padaAnggaran Direktorat Kemahasiswaan Universitas AirlanggaTahun Anggaran 2021.
KEENAM
Masa tugas pembina Unit Kegiatan Mahasiswa UniversitasAirlangga masa bakti 2021 berlaku sejak ditetapkanKeputusan Rektor ini sampai dengan 31 Desember 2021.
KELIMA
5
MOHAMMAD NASIHNIP 196508061992031002J-I
KOKO SRIMULY~.JNIP. 1966022819~021001
TID
REKTOR,
Ditetapkan di Surabaya
NO UKM NAMA PELATIH1. Aquatic Bayu Maulana2. Billiard Hari Susilo3. Bola Basket R.AriesHerman4. Bola Voli Eko Mansyur5. Bridge Septian Bayu Aji6. Bulutangkis AlfianPutra Tirtana7. Catur Norman Rizkyono, S.KM.,WMP.,PNP.8. Debat Daud Hemoud Christhen Loudoe9. Fotografi Ronald Sonani Akbar10. Hockey Ilham Oktavian11. Ju-Jitsu Drs. Suseno Nuswantoro12. Karate-Do Jeane Mariane Taroreh, SE.13. Kempo Rangga Satriawan Abadi14. Mapanza Drs. Moch. Satriyono15. Merpati Putih NoorMasuddin, S.Sos16. Orchestra Syaify DwiCahya17. Paduan Suara Bagus SyfriezaParadhika18. Panahan Raba Saifudin Hamzah, S.lAN19. Perisai Diri drh. Prima Lurianto20. PSHT Lang Lang Imam Aminudin21. Seni Religi Muhammad Faiz Hayat22. Seni Religi M.Miftahussurur, dr., M.Kes.,Sp.PD-KGEH.,Ph.D23. Sepak Bola Ambar Supriyanto24. Softball Aros Dito Nur Hijrahman25. Taekwondo Hidayat Syamsu Akbar26. Tahfidzul Quran Ali Tamam27. Tapak Suci Elok Koestantono P.Ka.28. Tari Dan Karawitan Alif J auharo29. Teater Mata Angin Suryadi Kusniawan, S.Hum., M.Hum.30. Tenis Lapangan Candra AdiSaputro31. Tenis Meja Suhardi
DAFTARPELATIHUNIT KEGIATANMAHASISWAUNIVERSITASAIRLANGGAMASABAKTI 2021 BIDANG OLAHRAGADAN SENI
LAMPIRAN KEPUTUSAN REKTOR UNIVERSITAS AIRLANGGANOMOR : 131/UN3/2021, 25 JANUARI 2021TENTANG : PENGANGKATAN PELATIH UNIT KEGIATAN M.AHASISWA
UNIVERSITAS AIRLANGGA MASA BAKTI 2021 BIDANGOLAHRAGA DAN SENI.
4 .
3. Undang-Undang Republik Indonesia Nomor 12Tahun 2012 tentang Pendidikan Tinggi (LembaranNegara Republik Indonesia Tahun 2012 Nomor 158,Tambahan Lembaran Negara Nomor 5336);
2. Undang-Undang Republik Indonesia Nomor 14Tahun 2005 tentang Guru dan Dosen (LembaranNegara Republik Indonesia Tahun 2005 Nomor 157,Tambahan Lembaran Negara Republik IndonesiaNomor 4586);
Undang-Undang Republik Indonesia Nomor 20Tahun 2003 tentang Sistem Pendidikan Nasional(Lembaran Negara Republik Indonesia Tahun 2003Nomor 78, Tambahan Lembaran Negara RepublikIndonesia Nomor 4310);
1.Mengingat
c. bahwa berdasarkan pertimbangan sebagaimanadimaksud pada huruf a dan huruf b, perlu menetapkanKeputusan Dekan Fakultas Kedokteran tentangPengangkatan Staf Pengajar sebagai Dosen WaliProgram Studi S1 Kedokteran Angkatan 2018 SemesterGenap Tahun Akademik 2020/2021.
b. bahwa nama-nama yang tercantum dalam lampiranKeputusan ini telah memenuhi syarat dan bersediauntuk diangkat sebagai Dosen Wali sebagaimanadimaksud di huruf a;
bahwa untuk menunjang kelancaran proses belajarmengajar Program Studi S1 Kedokteran, dipandangperlu mengangkat staf pengajar sebagai Dosen WaliProgram Studi S1 Kedokteran Fakultas KedokteranAngkatan 2018 Semester Genap Tahun Akademik2020/2021 tersebu t;
a.Menimbang
DEKAN FAKULTAS KEDOKTERAN,
PENGANGKATAN STAF PENGAJAR SEBAGAI DOSEN WALlPROGRAM STUDI S1 KEDOKTERAN
KELAS REGULER DAN KELAS INTERNASIONALANGKATAN 2018SEMESTER GENAP TAHUN AKADEMIK 2020/2021
KEPUTUSANDEKAN FAKULTAS KEDOKTERANNOMOR 73 /UN3.1.1/KD/2021
TENTANG
SALINAN
KEMENTERIAN PENDIDIKAN DAN KEBUDA YAANUNlVERSITAS AIRLANGGAFAKULTASKEDOKTERAN
Kampus A J1. Mayjen Prof Dr. Moestopo 47 Surabaya 60131Telp. (031) 5020251, 5030252-3 Fax. (031) 5022472
Website: http.z/www.fk.unair.ac.id e-mail: dekan@fk.unair.ac.id
KEDUA .
Mengangkat Staf Pengajar sebagai Dosen WaHProgram StudiSl Kedokteran Angkatan 2018 Semester Genap TahunAkademik 2020 j 2021 yang namanya tercantum dalamlampiran yang merupakan bagian tidak terpisabkan darikeputusan ini.
KEPUTUSAN DEKAN FAKULTAS KEDOKTERAN TENTANGPENGANGKATAN STAF PENGAJAR SEBAGAI DOSEN WALlPROGRAM STUDI SI KEDOKTERAN ANGKATAN 2018SEMESTER GENAP TAHUN AKADEMIK 2020/2021
MEMUTUSKAN :
12. Keputusan Rektor Universitas Airlangga Nomor762/UN3/KRj2020 tentang Pengangkatan DekanFakultas, Direktur Sekolab Pascasarjana dan DirekturRumah Sakit Periode 2020 - 2025;
11. Keputusan Rektor Universitas Airlangga Nomor4311/J03.0T/2008 tentang Pembukaan Program Studidi Lingkungan Universitas Airlangga.
10. Peraturan Rektor Universitas Airlangga Nomor: 42Tahun 2016 tentang Organisasi dan Tata KerjaUniversitas Airlangga.
9. Peraturan Rektor Universitas Airlangga Nomor 23Tahun 2015 ten tang Peraturan Pendidikan UniversitasAirlangga;
8. Peraturan Pemerintab Nomor 30 Tahun 2014 tentangStatuta Universitas Airlangga;
7. Peraturan Pemerintah Nomor 4 Tahun 2014 tentangPenyelenggaraan Pendidikan Tinggi (Lembaran NegaraRepublik Indonesia Tabun 2014 Nomor 16, TambabanLembaran Negara Nomor 5500;
6. Peraturan Pemerintah Nomor 37 Tabun 2009 tentangDosen (Lembaran Negara Republik Indonesia Tahun2009 Nomor 76);
5. Peraturan Pemerintab Nomor 57 Tahun 1954 tentangPendirian Universitas Airlangga di Surabayasebagaimana telah diubah dengan PeraturanPemerintah Nomor 3 Tahun 1955 tentang PengubahanPeraturan Pemerintah Nomor 57 Tahun 1954(Lembaran Negara Republik Indonesia Tahun 1954Nomor 99, Tambaban Lembaran Negara RepublikIndonesia Nomor 695 juncto Nomor 4 TambahanLembaran Negara Nomor 748);
4. Peraturan Pemerintah Republik Indonesia Nomor 57Tahun 1954 tentang Pendirian Universitas Airlanggadi Surabaya sebagaimana telah diubah denganPeraturan Pemerintah Nomor 3 Tahun 1955 tentangPengubahan Peraturan Pemerintah Nomor 57 Tahun1954 (Lembaran Negara Republik Indonesia Tabun1954 Nomor 99, Tambahan Lembaran NegaraRepublik Indonesia Nomor 695 juncto LembaranNegara Republik Indonesia Tahun 1955 Nomor 4Tambahan Lembaran Negara Nomor 748);
KESATU
Menetapkan
SALINANdisampaikan Kepada Yth.:1. Rektor UNAIR2. Ketua BPF FKUNAIR3. Wakil Dekan FKUNAIR4. Staf Khusus Dekanat FKUNAIR5. Koordinator Program Studi Sl Kedokteran FKUNAIR6. Koordinator Program Studi Pendidikan Profesi Dokter FKUNAIR7. Yang Bersangkutan
Budi SantosoNIP. 19630217 198911 1 001
~~.~~~1
NIP. 196501021987011000
ttd
Ditetapkan di Surabayapada tanggal 22 Februari 2021
DEKAN,
Salinan sesuai dengan aslinya
Ke a Bagian Tata Usaha,
Keputusan ini mulai berlaku sejak tanggal ditetapkan.KEEMPAT
Biaya untuk keperluan tersebut dibebankan pada RencanaKegiatan dan Anggaran Tahunan Fakultas Kedokteran.
KETIGA
Dalam menjalankan tugasnya staf pengajar sebagaimanadimaksud pada diktum KESATU,berpedoman pada peraturanyang berlaku serta mempertanggungjawabkan tugasnyakepada Dekan Fakultas Kedokteran.
KEDUA
No. NIM NAMA MAHASISWA DOSENWALJ DEPARTEMEN1 11811133001 GAUR DWI FEBRIANTI ZAKIYATULFAIZAH, dr., M.Kes.2 11811133002 GABRIEL PEDRO MUDJIANTO ZAKIYATULFAIZAH, dr., M.Kes.
11811133003BIOLOGI KEDOKTERAN
3 JUSTICIA IZZA TSUROYA ZAKIYATULFAIZMf, dr., M.Kes.4 11811133004 DINDA DIVAMlLLENIA ZAKIYATULFAIZAH, dr., M.Kes.
5 11811133005 YUSUF SALIM Dr. ABDULOHMACHIN, dr.,SpS6 11811133006 OCTAVIANAGALUHPRATIWI Dr. ABDULOHMACHIN, dr.,SpS
NEUROLOGI7 11811133007 ABDURRAHMANHASYIM ASY'ARI Dr. ABDULOHMACHIN, dr.,SpS8 11811133008 INNAS SAFIRAPUTRI Dr. ABDULOHMACHIN, dr.,SpS9 11811133009 TASYAWIKASSA Dr. PURWO SRI REJEKI, dr., M.Kes10 11811133010 TAZKIANAFSROBBANI Dr. PURWO SRI REJEKI, dr., M.Kes.
FAALKEDOKTERAN DAN BIOKIMIA11 11811133011 MUHAMMADAULIYA RACHMAN Dr. PURWO SRI REJEKI, dr., M.Kes.41 11811133012 DEANDRAMAHARANIWlDIATMAJA Dr. PURWO SRIREJEKI, dr., M.Kes.61 11811133013 FAIZATUZ AZZAHRAH SYAMSUDI AZWINMENGINDRA PUTERA, dr., Sp.A(K).
ILMUKESEHATAN ANAK42 11811133014 MAHRUMI DEWl TRI UTAMI AZWINMENGINDRA PUTERA, dr., Sp.A(K).43 11811133015 NADIA MARDIANAHUDAN DEWI RATNA SARI, dr., M.Si.
11811133016ANATOMJ,HISTOLOGI DAN FARMAI(OLOGI
44 ALMIRADISYA SALSABlL DEWI RATNA SARI, dr., M.Si.
45 11811133017 PHlLIPS CARELPERDANA dr. ACHMADFIRDAUS SANI, Sp.S, FINS
46 118111330]8 KHISMA EKIYANTI dr. ACHMADFIRDAUS SANI, Sp.S, FINSNEUROLOGI
47 11811133019 ROZANA ALFI SANIA dr. ACHMADFIRDAUS SANI, Sp.S, FINS48 11811133020 VATINE ADlLA dr. ACHMADFIRDAUS SANT,Sp.S, FINS49 11811133021 INTAN PERMATA SARI ACHMADLEFI, dr., SpJP(K) FIHA.50 11811133022 VALENSIA IRAWAN ACHMADLEFI, dr, Sp.JP(K) FIHA.
KARDIOLOGI & KEDOKTERAN VASKULER51 11811133023 AUF LlJTVYANI ACHMADLEFl, dr., SpJP(K) FIHA.
NOMOR : 73fUN3.1.1IKD/2021, TANGGAL 22 FEBRUARI 2021
TENTANG : P'ENGANGKATAN STAF PENGAJAR SEBAGAI DOSEN WALl MARASISWA ANGKATAN 2018 PROGRAM. STUDl S] KEDOKTERAN FAKULTAS KEDOKTERAN SEMESTERGENAP TAHUN AKADEMIK 2020/2021
LAMPlRAN KEPUTVSAN DEKAN FAKULTAS KEDOKTERAN
No. NIM NAMA MAHASISWA DOSENWALI DEPARTEMEN52 11811133024 TAFANAFADHILLAHLAIU ACHMADLEFI, dr., Sp.JP(K) FIHA.
53 11811133025 REZY RAMAWAN.MELBIARTA Dr. NURWASIS, dr.,Sp.M(K)
54 11811133026 BELLA SALSABILA Dr. NURWASIS, dr.,Sp.M(K)ILMU KESEHATAN MATA
55 11811133027 DUTAANGELA Dr. NURWASIS, dr.,Sp.M(K)
56 11811133028 DINDADWIPURWATl Dr. NURWASIS, dr.,Sp.M(K)
57 11811133029 SINTADWI JUNIAR Dr. ADITIAWARMAN,dr.,SpOG(K)
58 11811133030 SAFIRANUR IZZAH Dr. ADITIAWARMAN, dr.,SpOG(K)OBSTETRI & GINEKOLOGI
59 11811133031 CAESARISKADESWIMA Dr. ADITIAWARMAN, dr.,SpOG(K)
60 11811133032 DINNA YUSIGANIA SUNANDAR Dr. ADITlAWARMAN, dr.,SpOG(K)
62 11811133033 ANISA FIRDAUSI RAHMANDA Dr. ANGGRAINIDWI SENSUSIATI, dr., Sp.Rad.(K)
63 11811133034 DIMAS SETYANTO Dr. ANGGRAINI DWI SENSUSIATl, dr., Sp.Rad.(K)RADIOLOGI
12 11811133035 DWI RACHMAWATI Dr. ANGGRAINIDWI SENSUSIATI, dr., Sp.Rad.(K)
13 11811133036 ALMAROSSABELA SETYANISA Dr. ANGGRAINrDWI SENSUSIATI, dr., Sp.Rad.(K)
14 11811133037 ENDANOVANUR HAMDA Dr. LILIK HERAWATI, dr., MKes., AIFO FAALKEDOKTERAN DAN BIOKIMIA
15 11811133038 ZEFO KIYOSI WIBOWO Dr. AFIFNURULHIDAYATI, dr.,Sp.KK, FINS-DV, FAADV
16 11811133039 SAMIYAH Dr. AFIFNURULHIDAYATI, dr.,Sp.KK, FINS-DV, FAADV ILMUKESEHATANKULIT & KELAMIN
17 11811133040 DEVANANUUR RAIHAN Dr. AFIFNURULHIDAYATI, dr.,Sp.KK, FINS-DV, FAADV
18 11811133041 MUFLIKHAHRAMADHANI Dr. AGUNGDWI WAHYU WIDODO, dr., M.Si.
19 11811133042 NADIAHIDAYAT Dr. AGUNGDWI WAHYUWIDODO, dr., M. Si.MIKROBIOLOGJ
20 11811133043 MOR. HAMZAHRAKA PRATAMA Dr. AGUNGDWIWAHYUWIDODO, dr., M.Si.
21 11811133044 DEWANGGA SAKTI SATRIAKINASIH Dr. AGUNGDWI WAHYUWIDODO, dr., M.Si.
22 11811133047 MOEHAMAD GALANGPRASETYA dr AGUS SANTOSOBUDI, Sp.BP-RE
23 11811133048 ANDIKADARMAWAN WAHONO dr AGUS SANTOSOBUDI, Sp.BP-RE BEDAH PLASTIK-REKONSTRUKSI DAN24 11811133049 DENNIA OKTAVIAZAHIDAHHULWAH dr AGUS SANTOSOBUDI, Sp.BP-RE ESTETIKA
25 11811133050 EDEN LEONITA dr AGUS SANTOSO BUDI, Sp.BP-RE
26 11811133051 NADYALIFATANIAPUTRI Dr. AGUS TURCHAN, dr., Sp.BS.
27 11811133052 M.LADRANG P. PARAMANTNDHITO Dr. AGUS TURCHAN, dr., Sp.BS.BEDAHSARAF
28 11811133054 DESI RAHMAH SARI Dr. AGUS TURCHAN, dr., Sp.BS.
29 11811133055 BAITUL FATlMAH Dr. AGUS TURCHAN, dr., Sp.BS.
No. NIM NAMA MAHASISWA DOSENWALI DEPARTEMEN30 11811133056 INTAN ALDA SAFIRA AGUSTlNAKONGINAN, dr., Sp.KJ(K).31 11811133057 NADYA META HARLINDA AGUSTINAKONGINAN, dr., Sp.KJ(K).
ILMU KEDOKTERAN JTWA32 11811133058 VENANSYAMAULINAPRABA AGUSTINAKONGlNAN, dr., Sp.KJ(K).33 11811133059 SHOFIUDDINALMUFID AGUSTlNA KONGlNAN, dr., Sp.KJ(K).
34 1]811133060 AYURVEDAZAYNABILAHERIQBALDI Prof. Dr. ABDURACHMAN, dr., M.Kes., PA(K)
35 11811133061 ADILAHMAYSURI IBRAHIM Prof. Dr. ABDURACHMAN, dr., M.Kes., PA(K)
36 11811133062 CHELSSI GLORIA TESSARI Prof Dr. ABDURACHMAN, dr., M.Kes, PA(K)ANATOMI, HISTOLOGI DAN FARMAKOLOGI
37 11811133064 NATASYA ARIESTA SELLYARDI PUTRI Prof. Dr. ABDURACHMAN, dr., M.Kes., PA(K)38 11811133065 NOFITA FACHRYANDINI Prof. Dr, H.BUm SANTOSO, dr, SpOG(K)
OBSTETRI & GINEKOLOGI39 11811133066 AHMED ZAIYANNAHEL SALAMY Prof. Dr, HBUDI SANTOSO, dr, SpOG(K)
40 11811133067 :t-.1UHAMADBAGUSWIRA UTAMA Dr. RENY I'TISHOM, S.Pi.,M.Si.BIOLOGI KEDOKTERAN
64 11811133068 M. GITA JAYANATA Dr. RENY I'TISHOM, S.Pi.,M.Si.65 1.1811133069 MU'AZZAMUBAROKA Dr AHMADSURYAWAN, dr., SpACK)66 11811133070 SARAHNlAAMRU Dr AHMADSURYAWAN, dr., SpACK)
ILMU KESEHATAN ANAK67 11811133071 RAMIDHA SYAHARANI Dr AHMAD SURYAWAN, dr., SpACK)68 11811133072 KHANSA TALITHARAFIF Dr AHMAD SURYAWAN, dr., SpACK)
69 11811133073 FAUZIAHADIDMA Dr AHMAD YUDIANTO, drSpF{K}.,SH,M.Kes
70 11811133074 LUDYDIANA WlRADHIKA Dr AHMADYUDIANTO, dr.SpF{K}.,SH.,M.KesKEDOKTERAN FORENSIK & MEDIKOLEGAL
71 11811133075 SALSABILAFTRDAUSIRAHDAH Dr AHMADYUDIANTO, dr.SpF{K}.,SH,M.Kes72 11811133076 VISUDDHO Dr AHMADYUDIANTO, dr.SpF{K}"SH.,M.Kes73 11811133077 RAMADHANI RIZKI ZAMZAM Dr. BUDI UTOMO, dr., M.Kes.74 11811133078 NAUFALLUTHFIWlDODO Dr. BUDTUTOMO, dr., M.Kes. ILMUKESEHATAN MASYARAHAT-75 11811133079 MARSEllA FEBRIYANTI SJHOTANG Dr. BUm UTOMO, dr., M.Kes. KEDOKTERANPENCEGAHAN
76 11811.133080 MUHAMMADRAIHANHABIBl Dr. BUm UTOMO, dr., M.Kes.77 11811133081 MUHAMMAD GAZI YASARGIL Dr. ALPHAFARDAH ATHlYYAH, dr., Sp.A(K)78 11811133082 HAFIDHATUL AISY Dr. ALPHAFARDAHATHIYYAH, dr., Sp.A(K)
ILMU KESEHATAN ANAK79 J 1811133083 ISMI DIANMEILIANA Dr. ALPHAFARDAHATHIYYAH, dr., Sp.A(K)80 1181J 133084 HAMZAHRAFLY RAHMAN Dr. ALPHA FARDAHATHIYYAH, dr., Sp.A(K)
81 11811133085 HANNA AULlA fFADAH ALPHANIARAHNIAYU, dr., Sp.PA. PATOLOGIANATOMI
No. NIM NAMA MAHASISWA DOSENWALI DEPARTEMEN82 11811133086 ADHYATMA ISMU REillAN ALPHANIARAHNIAYU, dr., Sp.PA
83 11811133087 GILANG AD! FIRMANSYAH ETTY HARYKUSUMASTUTI, dr., Sp.PA(K), MIACPATOLOGIANATOMI
84 11811133088 KEZIA ARUNGPALOBO ETTY HARYKUSUMASTUTI, dr., Sp.PA(K), MIAC85 11811133089 NABIL ALFIN JUHRI DICKYHERMAWAN, dr., Sp.M86 11811133090 RANIFAH NABILAI-J DICKYHERMAWAN, dr., Sp.M
.ILMUKESEHATAN MATA87 11811133091 GOKMALINACLEMENTIN ODILE DICKYHERMAWAN, dr., Sp.M88 11811133092 ARRASY KHAWARIZMI DICKYHERMAWAN, dr., Sp.M89 11811133093 HARSARI YASlvIINSALSABILA AMlE VIDYANI, dr.,Sp.PD.
90 11811133094 AULIAHUSNUL PRANAWA AMIE VIDYANI, dr.,Sp.PD.ILMUPENYAKIT DALAM
91 118] 1.133095 SYAIFULLAHHANIFWIBISONO AMIE YIDYANI, dr.,Sp.PD.92 11811133096 GHlYARI ZUHAL FAHMI AMIE VlDYANI, dr.,Sp.PD.93 11811133097 CLARA ALVERINA WIDIANAFERRIASTUTI, dr., Sp.Rad.94 11811133098 RIZQIMSARIFAlRUZKAMILA WIDIANAFERRIASTUTI, dr., Sp.Rad. RADIOLOGI
95 11811133099 ALFIANI ZUKHRUFULFITRI RIPA'I \VIDIANAFERRIASTUTI, dr., Sp.Rad.96 11811133100 RAYHAN MUHAMMADBASYARAHIL MARIZAFITRIATI, dr., Sp.An.
ANESTESIOLOGI &REANIMASI97 11811133101 MUMTAZNUR RAFIKAHAYATI MARIZAFITRIATI, dr., Sp.An.98 11811133102 BAHARKHUSNI DAMAYANTI, dr., Sp.KK.99 11811133103 TUTUSRACHKUTHO DAMAYANTI, dr., Sp.KK. ILMU KESEHATANKULIT & KELAMIN
100 11811133104 SITI ARIA RAI-IMANlNOVIANTO DAMAYANTI, dr., Sp.KK.101 11811133105 SHABRINANUR lMANINA ANDRE TRIADI DESNANTYO, dr., Sp.OT(K)
102 11811133106 MAFTUHATURRIZKIYAH PUTRI ANDRE TRIADI DESNANTYO, dr., Sp.OT(K)ORTHOPAEDI & TRAUMATOLOGI
103 11811133107 TRVANIRWANTO ANDRETRIADI DESNANTYO, dr., Sp.OT(K)104 11811133108 ALEXASURYAROMANSYAH ANDRE TRIADI DESNANTYO, dr., Sp.OT(K)105 11811133109 ANNISA FARADILA ANDRIANTO, dr., SpJP (K)., FIHA., FAsCC.106 11811133110 TAMMANISRINA LUTFI ANDRIANTO, dr., SpJP (K)., FIHA., FAsCC.
KARDIOLOGI & KEDOKTERAN VASKULER107 11811133111 IMADEAGUSDWTPAYANA ANDRIANTO, dr., SpJP (K)., FillA, FAsCC.
108 11811133112 ADIARSYA GHIFARI ANDRlANTO, dr., SpJP (K)., FillA, FAsCC.
109 11811133113 ALlVERY RAIHANADAARMANDO ANDRIATI, dr., Sp.KFR. KEDOKTERAN FISIK & REHAB.ILITASI MEDIK
110 11811133114 MAULANA ARRASYID ANDRIATI, dr., Sp.KFR.
No. NIM NAMA MAHASISWA DOSENWALI DEPARTEMEN111 11811133115 AZWAN YUSUF MAULANA ANDRlATI, dr. Sp,KFR.
112 11811133116 DIllA FARHAN TAUFlK ANDRIA TI, dr. Sp,KFR,
113 11811133117 ALYAA ULAA DHIY A UL HAQ ANNY SETIJO RAHAJU, dr., Sp,PA(K)
114 11811133118 REIDO DAFA ANNAFIS ANNY SETIJO RAHAJU, dr., Sp.PA(K)PATOLOGI ANATOMI
115 11811133119 HAMMAM IZZA ROFIQI ANNY SETIJO RAHAJU, dr., Sp,PA(K)
116 11811133120 DANIEL JONATHAN MANGAPUL SIAGIAN ANNY SETIJO RAHAJU, dr., Sp,PA(K)
117 11811133121 ANGELINA VEDRIKA MARCIELLA TOBING ARDlTYO RAHMAT ARDHANY, dr.,Sp,PD,
118 11811133122 MARSA SAFlRA ARDITYO RAHMAT ARDHANY, dr.,Sp.PD,ILMU PENY AlGT DALAM
119 11811133123 VALENTINA ALFIANTI HERDY TAMYN ARDITYO RAHMAT ARDHANY, dr"Sp.PD,
120 118]] 133124 AISHA MAHARANI ALISKI ARDITYO RAHMAT ARDHANY, dr"Sp,PD.
121 11811133125 ANISA PUTRl AMANDA TEDDY HERI WARDHAN A, dr., Sp,OT(K),
122 11811133126 MUHAMMAD ANAS FAROBI TEDDY HERI WARDHANA, dr., Sp,OT(K).ORTHOPAEDI & TRAUMATOLOGI
123 11811133127 VIDA CAHLIA NOVITA SARI TEDDY HERI WARDHANA, dr., Sp,OT(K),
124 11811133128 SALSABILA FABIANCA ALSAID TEDDY HERI WARDHANA, dr., Sp,OT(K),
125 11811133129 DIANTRA HANUM FEBIA ALIFADlNINGRAT Dr. GADIS MEINAR SARI, dr., M,Kes,
126 11811133130 JESSICA VANIA WIBOWO Dr. GADIS MEINAR SARI, dr., MKes.FAAL KEDOKTERAN DAN BlOKJl\.lIA
127 11811133131 JOSEPHINE QUEENA MAUREEN WIJANTO Dr. GADlS MEINAR SARI, dr., MKes,
128 11811133132 ALVINA ANGKY PURW ANTA Dr. GADIS MEINAR SARI, dr., MKes,
129 11811133133 RHAMOZA KUMALA PUTRA ARIEF BAKHTIAR, dr. Sp,P,PULMONOLOGI & KEDOKTERAN RESPIRASI
130 118] 1133134 PRIMADITA SYAHBANI ARIEF BAKHTIAR, dr., Sp,P,
131 11811133135 MUHAMMAD ARIF ANANTO RnvlBUN, dr., M.Si ANATOMI, HlSTOLOGI DAN FARMAKOLOGI
132 11811133136 MUHAMMAD ZULFIKAR SALIM Dr. MAFTUCHAH ROCHMANTI, dr., M.Kes ANATO:MI, HISTOLOGI DAN FARMAKOLOGI
133 1]811133137 AISY AH RIZKJ RAMADHANI SRI PURW ANINGSlH, dr., M.Kes,
134 118]1133138 ALMARA DIVA PUTERI ARNAPI SRI PURWANINGSlli, dr. M,Kes.
11811133139ANATOM!, HISTOLOGI DAN FARMAKOLOGJ
135 NURRACHMAWATI MAULIDA SRI PURW ANINGSIH, dr., M.Kes.
136 11811133140 KHAULA SALSABILLA NUR ACHMAD SRIPURWANINGSlli, dr. M.Kes,
137 J 18] 1133141 MUHAMMAD ALDY ICHW AN FAHLEVI Dr, PUSPA WARDHANI, dr., Sp,PK(K),
138 11811133142 NABIL FAUZI BARMEN Dr. PUSPA WARDHANI, dr., Sp.PK(K),PATOLOGI KLINIK
139 11811]33143 ANASTASYA ANNISA KARLINA Dr, PUSPA WARDHANl, dr. Sp,PK(K),
No. NIM NAMA MAHASISWA DOSENWALI DEPARTEMEN140 11811133144 EDGAR ALIEF ANGKASAPUTRA Dr. PUSPAWARDHANI, dr., Sp.PK(K).
141 11811133145 NAUFALACHMAD TSANYDAFFA' ARINA SETYANINGTYAS, dr., M.Kes., Sp.A(K)
142 11811133146 HERSATI PRASETYO ARlNA SETYANlNGTYAS, dr., M.Kes., Sp.A(K)ILMU KESEHATAN ANAK
143 11811133147 ESRANI ROSMAWATIMANURUNG ARINASETYANINGTYAS, dr., M.Kes., Sp.A(K)
144 11811133148 EFENINA GINTING ARINA SETYANINGTYAS, dr., M.Kes., Sp.A(K)
145 11811133149 PUTRl ALlYA AHADINJ ARTARlA TJEMPAKASARI, dr., Sp.PD., KGB]46 11811133150 LATIFUL ELISTA ARTARlA TJEMPAKASARI, dr., Sp.PD., KGB
ILMUPENYAKIT DALAM147 11811133151 BAGASAD~RAMANAOKTOVYANTO ARTARlA TJEMPAKASARl, dr., Sp.PD., KGH
148 11811133152 MARSANANDAYUNITASARl ARTARlA TJEMPAKASARl, dr., Sp.PD., KGH
149 11811133153 ALYAANANDYTA CHAlRUNNISA Dr. MARlJAMPURWANTA, Dra., M.Sc., Apt.
150 11811133154 HILMY INDRA WEDHANA Dr MARlJAM PURWANTA,Dra., M.Sc., Apt.MIKROBIOLOGI
151 11811133155 SHAFASAFIRAROBBANI Dr. MARlJAM PURWANTA, Dra., M,Sc., Apt.
152 11811133156 FAillA UFAIRA PRAMESWARl Dr MARIJAMPURWANTA, Dra., M.Sc., Apt.
153 11811133157 HAMIDAHKURNIASARl ARTONO, dr.,Sp.T H T-K L (K), FICS
154 11811133158 SYAFIRAYASMINE ARTONO, dr.,Sp.T H T-K L (K), FICSILMU KESEHATAN THT-KL
155 11811133159 AHMADMUJAHID ROBBANI ARTONO, dr,SpT H T-K L (K), FICS
156 11811133160 GRAWlRADRANA PUTRA RESPATI ARTONO, dr.,Sp.T H T-K L (K), FICS
157 11811133161 CHERRYL AURELIA Prof, Dr. ARYATI, dr., M.S., Sp.PK(K)158 11811133162 SARAHAYULARASATI Prof, Dr. ARYATI, dr., M.S., Sp.PK(K)
PATOLOGI KLINIK159 11811133163 NABILA Prof, Dr. ARYATI, dr., M.S., Sp.PK(K)
160 11811133164 ANNISAMAYA SABRINA Prof, Dr. ARYATI, dr., M.S., Sp.PK(K)
161 11811133165 WAHYUKRISHNA ADJlE ARSANA ASHON SA'ADII, dr. Sp.OG
162 11811133166 ANGGIA GRACIAMARLINA SITUMORANG ASHON SA'ADlI, dr. Sp.OGOBSTETRI & GINEKOLOGI
163 11811133167 FAIZACHAIRUNISA ASHON SA'ADIl, dr. Sp,OG
164 11811133168 ATHAYA SYAHIRARAMADHANI ASHON SA'ADII, dr. Sp.OG165 11811133169 ARCHANGELAOLIVIA EUGENIA Dr. dr. ASRA ALFAUZI, SR, :MM.., Sp.BS(K). FICS, IFAANS
166 11811133170 KlNTAN ADELIAFARAHANNISA Dr. dr. ASRAALFAUZI, SE., MM., Sp.BS(K). FICS, IFAANSBEDAH SARAF
167 11811133171 HIMMAYATUSSOROFILMAULIDA Dr. dr. ASRAALFAUZI, SR, MM., Sp.BS(K). FICS, IFAANS
168 11811133172 ANGGI DEARNJ SILALAHI Dr. dr. ASRAAL FAUZI, SR, MM., Sp.BS(K). FICS, IFAANS
No. NIM NAMA MAHASISWA DOSENWALI DEPARTEMEN
169 11811133173 RANIA OITA KEMALA PUTRI Prof Dr, I KETUT SUDlANA, Drs" M.Si. PATOLOGI ANATOMI
170 11811133174 M.BOY TIGER AKBAR FTKRIRIZALOI, dr., Sp,U UROLOGI
171 11811133175 TRISILYAMITA ANGGREK AZlMATUL KARIMAH, dr. Sp.KJ(K) lLMU KEDOKTERAN JIWA
172 11811133176 KEVIN ALMASMAROMI FIKRI RIZALDI, dr., Sp.UUROLOGI
173 11811133177 NEILIL MUNAMUFlDANA FIKRI RIZALDI, dr., Sp.U
174 11811133178 ASMAHANFARAHADIBA AZIMATULKARIMAH, dr. Sp.KJ(K)
175 11811133179 YASMINKARIMAH IKHSAN AZIMATULKARIMAH, dr. Sp,KJ(K) ILMU KEDOKTERAN JIWA
176 11811133180 MUHAMMADLUTHFIMUJAHID AZIMATULKARlMAH, dr. Sp.KJ(K)
177 118]1133181 SANGGEDE FARELL ISWARAPERDANA Prof. Dr. H,BUDl SANTOSO, dr, SpOG(K)OBSTETRI & GINEKOLOGI
178 118]] 133182 PANDYADANISWARAWINANTYO Prof. Dr. H.BUDI SANTOSO, dr, SpOG(K)
179 11811133183 KARTIKANURROSYIDA Dr GWENNY ICHSAN PRABOWO, dr., M.Kes.FAAL KEDOKTERAN DAN BIOKIMIA
180 11811133184 HAFIZH AL-GHlFARIMANAF Dr GWENNY ICHSANPRABOWO, dr., M.Kes,
181 11811133185 MAIMANAHZUMAROUMMI FAIQOH Prof. Dr. DAVID SONTANI PERDANAKUS(]MA, dr., Sp.BP-
Prof Dr. DAVID SONTANI PERDANAKUSUMA, dr., Sp.BP-EDAHPLASTIK-REKONSTRUKSI DAN ESTETIK
182 11811133186 NAUFAL AGUS ISAMAHENDRA
183 11811133187 ARDIARRAHMANNANDALAKSANADI BARMADISATRTO,dr., Sp.B.BEDAH
184 11811133188 FADHILAHRAHMAPUTRI BARMADISATRIO, dr., Sp.B.
185 11811133189 SAFIRA SHAFARACHMAHHARTAWAN BAMBANGHERWANTO, dr., SpJP(K) FIHA
186 11811133190 FELISITAMARITZAABIDANOVANTY BAMBANG HERWANTO, dr., Sp.JP(K) FIHAKARDIOLOGI&KEDOKTERAN VASKULER
187 11811133191 MOCHAMMADRlDHWAN SOEDIONO BAMBANG HERWANTO, dr., Sp.JP(K)FIHA
188 11811133192 DAFFAARDHI BACHTIAR BAMBANGHERWANTO, dr., Sp.JP(K) FIHA
189 11811133193 JONATHAN CHRISTOPHERWEWENGKANG MARIZA FITRIATI, dr., Sp.An, ANESTESIOLOGI & REANIMASI
190 11811133194 IKHSANUDDIN QOTH'I BAMBANGPUJO SEMEDI, dr.SpAn.KIC
191 11811133195 KARINDRAAMADEA SUSETIYO BAMBANGPUJO SEMEOI, dr.SpAn.KIC ANESTESIOLOGI& REANIMASJ
192 11811133196 PUTERI RENO FAOILA BAMBANGPUJO SEMEDI, dr,SpAn.KIC
193 11811133197 RIZKI FAJARMUHAMMAD Dr. BAMBANG PURWANTO, dr., M.Kes
194 11811133198 ANASTASIA PEARLANGELI Dr. BAMBANGPURWANTO, dr., M.KesFAALKEDOKTERANDAN BIOKIMIA
195 11811133199 RR. ASTRID AULIAARTIONO PUTERI Dr. BAMBANG PURWANTO, dr., MKes
196 11811133200 SITISALMAAMIRAHDZAKIYYAH Dr. BAMBANGP(]RWANTO, dr., M.Kes
197 11811133201 NATHANIAMAULINA Prof. Dr. DAVID SONTANI PERDANAKUSUMA, dr., Sp.BP- IiEDAHPLASTIK-REKONSTRUKSI DAN ESTETIK
No. NIM NAMA MAHASISW A DOSEN WALl DEPARTEMEN
198 11811133202 IQLIMA RAHMA WATl Prof Dr. DAVID SONTANl PERDANAKUSUMA, dr., Sp.BP-
199 11811133203 MUHAMMAD FARIS ZHARF AN BARMADISATRIO, dr., Sp.B.BEDAH
200 ] 18] 1133204 SITTI KHOFIF AH YULIANA BARMADISATRIO, dr., Sp.B.201 11811133205 MUHAMMAD ARSY REZA SUYUDI dr. BETTY AGUSTINA TAMBUNAN, SpPK202 11811133206 ROBIAH AL- ADAWIYAH dr. BETTY AGUSTINA TAMBUNAN, SpPK
PATOLOGI KLINIK203 11811133207 BELY ADA KANIA MAYSITHA dr. BETTY AGUSTINA TAMBUNAN, SpPK204 1.1811133208 NABILA ANNTSA HARUM dr. BETTY AGUSTlNA TAMBUNAN, SpPK205 11811]33209 ZULFAN RIZKY RAHMANSY AH RIMBUN, dr., M.Si ANATOMI, HlSTOLOGI DAN FARMAKOLOGI206 11811133210 MUCHAMMAD ALYDRUS ARIEF BAKHTIAR, dr., Sp.P.
PULMONOLOGl & KEDOKTERAN RESPIRASI207 11811133211 MARSHA ZAHRANI ARIEF BAKHTIAR, dr., Sp.P.208 11811133212 JOFA FRIZKY KANDAR Dr. MAFTUCHAH ROCHMANTI, dr., M.Kes FAAL KEDOKTERAN DAN BIOKIMIA209 11811133213 M. MASRUR RIZAL Dr. DAMA YANTI TINDUH, dr.,Sp.KFR(K)210 11811133215 NABILA SAYYIDAH FAIRUZ ZEN Dr. DAMAY ANTI TINDUH, dr.,Sp.KFR(K)
KEDOKTERAN FISIK & REHABILIT ASI MEDIK211 11811133216 ADINDA JUWIT A SYAKILA ELIZAF ANTI Dr. DAMAYANTI TINDUH, dr.,Sp.KFR(K)212 11811]33217 MUHAMMAD IRCHAM GUSTRIA WAN Dr. DAMAYANTI TINDUH, dr.,Sp.KFR(K)213 11811133218 FAYKA PUTRI POEMPIDA Dr. BRlHAST AMI SAWTTRI, SpKJ214 11811133219 FATIH NUGRAHA ABDILLAH Dr. BRTHASTAMI SAWITRI, SpKJ
ILMU KEDOKTERAN JIWA215 11811133220 ADDlA SALSABILA Dr. BRIHAST AMI SAWITRI, SpKJ216 11811133221 DEDY FIRMANSYAH Dr. BRIT-IASTAMI SAWlTRl, SpKJ217 11811133222 FAIZAH SUGIARTO Dr. BUm PRASETYO, dr., Sp.OG(K)218 11811133223 FELIX NUGRAHA PUTRA Dr. BUDl PRASETYO, dr., Sp.OG(K)
OBSTETRI & GINEKOLOGI219 11811133224 SYIFANI ALISANDRA FAHRIAL Dr. BUDI PRASETYO, dr., Sp OG(K)220 11811133225 RAFIDA ANSHORI Dr. BUDI PRASETYO, dr., Sp.OG(K)221 11811133226 LUWES SEKAR AYU WARDHANI DR MUHTARUM YUSUF, dr.,Sp.T.H.T.K.L (K), FICS
ILMU KESEHATAN THT-KL222 11811133227 CHITRADEYI PARAMITA PRASETYAWATI DRMUHTARUM YUSUF, dr.,Sp.T.H.T.K.L (K), FICS223 11811133228 GALUH RATIH AYU PARAMITHA BUDI SUTIKNO, dr., Sp.T.H.K.L (K), FICS
ILMU KESEHA TAN THT -KL224 11811133229 SHAHNAZ AZZAHRA BUDl SUTIKNO, dr., Sp.T.H.K.L (K), FICS225 11811133230 FARAH AYU NOVIANNISA Dr. EMA QURNIANINGSIH, dr. M. Si FAAL KEDOKTERAN DAN BIOKIMIA
226 11811133231 MUHAMMAD FARRAAS RAZAAN Dr. EMA QURNIANINGSIH, dr. MSi
No. NIM NAMA MAHASISWA DOSENWALI DEPARTEM'EN
227 11811133232 MUHAMMAD FADHlL KAMARUDDIN Dr. EMA QURNIANINGSrn, dr. M.Si
228 11811133233 KHANS ARAlliANI ROSMALIKA Dr. EMA QURNIANINGSrn, dr. M.Si
229 11811133234 EMYRAZEL FAHDIZHAR Dr. EKO BUDI KOENDHORI, dr., M.Kes.Sp.MK(K)
230 11811133235 MARISKA NURIANA Dr. EKO BUDI KOENDHORI, dr., M.Kes.Sp.MK(K)MIKROBIOLOGI
231 11811133236 SAFIRA RAISSA owi PUTRI Dr. EKO BUDI KOENDHORI, dr., M.Kes.Sp.MK(K)
232 11811133237 NEISSY A NASTITI FIRMANTO Dr. EKO BUDI KOENDHORI, dr., M.Kes.Sp.MK(K)
233 11811133238 YUSTIKA AYUSTIRA KARIM DWI HARI SUSILO, dr., Sp.B(K)Onk.
234 11811.133239 FARROS YUFTARlQ IZZAD AFLA DWI HAR! SUSILO, dr., Sp.B(K)Onk.BEDAH
235 11811133240 MAHER SYAHBANI PUTRA PERWIRA DWI HARI SUSILO, dr., Sp.B(K)Onk.
236 118] 1133241 FASHA RUDILLA PUTRI DWI HARI SUSILO, dr., Sp.B(K)Onk.
237 11811133243 DINI ZULFATUS SANIY AH Dr. WAHJOE DJATISOESANTO, dr., Sp.U
238 11811133244 ACHMAD IQBAL USWANAS Dr. WAHJOE DJATISOESANTO, dr., Sp.U UROLOGI
239 11811133245 AZALIA MONICAMICHAELA Dr. WAHJOE DJATISOESANTO, dr., Sp.U
240 11811133247 LILAAMILA MUHAMMAD MIFTAHUSSURUR, dr., M.Kes., Sp.PD, Ph.D ILMU PENY AKIT DALAM
241 11811133248 SAFINAFAIRUZ SALWAA EDWARD KUSUMA, dr.,M.Kes.,Sp.An. KIC
242 11811133249 ADHITYA RIZKY NUGRAHA EDWARD KUSUMA, dr.,M.Kes.,Sp.An. KICANESTESIOLOGI & REANIMASI
243 11811133250 SHAFIERO MUHAMMAD ELSYA PUTERA EDWARD KUSUMA, dr.,M.Kes ,Sp.An. KIC
244 1.1811133251 ZUMARA MA'RIFAH AZZAHRA EDWARD KUSUMA, dr.,M.Kes.,Sp.An. KIC
245 11811133252 I DEWA GDE DANISWARA SUARTA FUNDHY STNAR lKRARPRlHATANTO, dr., MMedEd. ANATOMI, HISTOLOGI DAN FARMAKOLOGI
246 11811133253 I PUTU AGUS ARSANA KRISTANTI WANITO WIGATI, dr., M.Si. FAAL KEDOKTERAN DAN BIOKIMIA
247 11811133254 ANNISY A ADINDA FEBRIY ANTI NILY SULISTYORINI, dr. SpF KEDOKTERAN FORENSIK & MEDTKOLEGAL
248 11811133255 JASON RIO WIRONEGORO, dr., Sp.PD. ILMU PENY AKIT DALAM
249 11811133256 BAYU RACHMADI PURA INDRI WAHYUNI, dr., Sp.M ILMU KESEHAT AN MATA
250 118]1133257 NISRINA NABlLA RANIASARI DEWI RAINA SARI, dr., M.Si. ANATOMI, HISTOLOGI DAN FARMAKOLOGI
251 11811133258 REYNA CESARIY ANT. RAHMADIANTl RUSULDI Dr MIA RATWIT A ANDARSINI, dr., Sp.AK lLMU KESEHATAN ANAK
252 11811133259 CAHAYAPRASTAYUDHA AZIMATUL KARIMAH, dr. Sp.KJ(K) ILMU KEDOKTERAN JIWA
253 118] 1133260 JULIAN BENEDICT SWANNJO BUDI SUTIKNO, dr., Sp.T.H.K.L (K), FICS ILMU KESEHAT AN THT-KL
254 11811133261 GABRIELLE NATHANIA HANUS I LINDA DEWANTI, dr., M.Kes., MHSc., Ph.D ILMU KESEHATANMASYARAHAT-KEDOKTERANPENCEGAHAN
255 11811133262 MOH. TIDAR ABIYU AM1RUDDIN SAKINA, dr., M.Si. ANATOMI, HISTOLOGI DAN FARMAKOLOGI
Budi SantosoNIP.19630217 1989111 001NIP.196501021987011001
TID
Ditetapkan di Surabayapada tanggal 22 Februari 2021DEKAN,
Salinan sesuai dengan aslinyaKe a Bagian Tata Usaha,
No. NIM NAMA MAHASISWA DOSENWALI DEPARTEMEN
256 11811133263 ZAKI ADI KURNIA BAMBANGPUJO SEMEDI, dr.SpAn.KIC ANESTESIOLOGI & REANIMASI
257 11.811133264 DAVIDNUGRAHA Dr. ACHMADCHUSNU ROMDHONI, dr., Sp.T.H.T.KL.(K),FICS
258 11811133265 IRDABELLA A.F. Dr. ACHMADCHUSNU ROMDHON1,dr., Sp.T..H.T.KL.(K), ILMU KESEHATAN THT-KLFICS
259 11811133266 RAKHAACHMADMAULANA Dr. ACHMADCHUSNU ROMDHONI, dr., Sp.T.H.T.K.L.(K),FICS
260 11811133267 PUTU ASTISWARI PERMATAKURNIAWAN Dr. PUDn LESTARI, dr., M.Kes. ILMU KESEHATANMASYARAHAT-KEDOKTERAN PENCEGAHAN
261 11811133268 I PUTU DHARMAKRESNA MUHAMMADMfFTAHUSSURUR, dr., M.Kes., Sp.PD, Ph.D ILMU PENYAKIT DALAM262 11811133269 JASONLEFRANDA JOCELINO SISWANTO dr. VISKASARIPINTOKO KALANJATI,M.Kes.,PA(K).,PhD ANATOMI, HISTOLOGI DAN FARMAKOLOGI
263 11811133270 EZRIN SYARlMAN BIN ROSLAN Dr. PURWO SRIREJEKI, dr., M.Kes. FAALKEDOKTERAN DAN BIOKIMIA264 11811133271 IDlNTKA NURANNISAWIBOWO Dr. ROSY SETIAWATI, dr., Sp.Rad(K) RADIOLOGI
265 11811133272 ANTONIO ADOS A P W Dr. ACHMADCHUSNUROMDHONI, dr., Sp.T.H.T.K.L.(K), lLMU KESEHATAN THT-KL266 11811133273 ABELARIKHO ABIMANYU SITEPU Dr. GADISMEINAR SARI, dr., M.Kes. FAAL KEDOKTERAN DAN BIOKIMIA
5 ..
1. Undang- Undang Republik Indonesia Nomor20 Tahun 2003tentang Sistem Pendidikan Nasional (Lembaran NegaraRepublik Indonesia Tahun 2003 Nomor 78, TambahanLembaran Negara Republik Indonesia Nomor4301);
2. Undang-Undang Republik Indonesia Nomor 14 Tahun 2005tentang Guru dan Dosen (Lembaran Negara RepublikIndonesia Tahun 2005 Nomor 157, Tambahan LembaranNegara Nomor4586);
3. Undang-Undang Nomor 12Tahun 2012 tentang PendidikanTinggi (Lembaga Negara Republik Indonesia Tahun 2012Nomor 158, Tambaban Lembaran Negara Nomor5336);
4. Peraturan Pemerintah Republik Indonesia Nomor57 Tahun1954 tentang Pendirian Universitas Airlanggadi Surabayasebagaimana telah diubah dengan Peraturan Pemerintah'Nornor57 'I'ahuri 1954 (Lembaran Negara RepublikIndonesia Tabun 1954 Nomor99, Tambahan LembaranNegara Republik Indonesia Nomor695 Juncto LembaranNegara Republik Indonesia Tahun 1955 Nomor4 TambahanLembaran Negara Nomor748);
Mengingat
c. bahwa berdasarkan pertimbangan sebagaimana dimaksudpada huruf a dan huruf b, perlu menetapkan KeputusanDekan Fakultas Kedokteran tentang Pengangkatan DosenWali Mabasiswa Program Studi SI Kebidanan danPendidikan Profesi Bidan Fakultas Kedokteran TahunAkademik 2020./2021.
b. bahwa nama-nama yang tercantum dalam lampirankeputusan ini diny.atakan telah memenuhi syarat danbersedia untuk diangkat sebagai dosen wali mahasiswa diProgram Studi S1 Kebidanan dan Pendidikan Profesi BidanFakultas Kedokteran tahun akademik 2020/2021;
a. bahwa untuk mendukung kelancaran proses belajarmengajar pada Program Studi S1Kebidanan dan PendidikanProfesi Bidan di Fakultas Kedokteran, maka perlurnengangkat dosen wali mahasiswa Program Studi S1Kebidanan dan Pendidikan Profesi Bidan FakultasKedokteran tabun akademik 2020/2021;
Menimbang
1)l4'...KAN.FAKU-LTAS KEDOKTER...t\·N,
PENGANGKATAN DOSEN WALl MAHASISWAPROGRAM STUDI Sl KEBIDANAN DAN PENDIDlKAN PROFESI BIDAN
FAKULTAS KEDOKTERAN TAHUN AKADEMIK 2020/2021
TENTANG
DEKAN FAKULTAS KEDOKTERANNOMOR 115 /UN3.1.1/HK/2021
KEPUTUSANSALINAN
KEMENTERIAN RISET, TEKNOLOGI, DAN PENDIDlKAN TINGGIUNIVERSITAS AIRLANGGAFAKULTASKEDOKTERAN
Kampus A. Jalan Mayjen Prof. Dr. Moestopo 47. Surabaya. 60131Telepon .:03.1..o502025J, O3J~5030253, Fax: 031-5022472
Website: http://www.fk.unair.ac.id , E-Mail: dekan@fk.unair.ac.id
KEEMPAT .
Biaya untuk keperluan tersebut dibebankan dari dana RencanaKerja -dan Anggasan T-an·l:H:J:8.-n {RKAT)tah un berjalan pada FakultasKedokteran Universitas Airlangga.
Dalam menjalankan tugasnya sebagaimana dimaksud dalam bunyipenetapaa PE-RTAMA,berpedeman pada ·pera-tu-randan ketentuanyang berlaku serta mempertanggungjawabkan tugasnya kepadaDekan Fakultas Kedokteran.
Mengangkat dosen wali mahasiswa Program Studi S1 Kebidanandan Pendidikan Profesi Bidan Fakultas Kedokteran TahunAkademik 2-020/2021, 'dengan susunan nama sebagairnanatercantum dalam lampiran yang merupakan bagian tidakterpisahkan dari keputusan ini.
KEPUTUSAN DEKAN FAKULTAS KEDOKTERAN TENTANGPENGANGKATAN DOSEN WALl MAHASISWA PROGRAM STUDISI KEBIDANAN DAN PENDIDIKAN PROFESI BIDAN FAKULTASKEDOKTERAN TAHUN AKADEMIK 2020/2021.
Surat Koordinator Program Studi S 1 Kebidanan dan PendidikanProfesi Bidan Fakultas Kedokteran Universitas Airlangga Nomor85/ UN3.1.1/KP/2021 tanggal 15Januari 2021
MEMUTUSKAN :
5. Peraturan Pemerintah Republik Indonesia Nomor 37 Tahun2009 ten tang Dosen (Lembaran Negara Tahun 2009 tentangDosen (Lembaran Negara Republik Indonesia Tahun 2009Nomor 76);
6. Peraturan Pemerintah Republik Indonesia Nomor 4 Tahun2014 tentang Penyelenggaraan Pendidikan Tinggi danPengelolaan Perguruan Tinggi. (Lembaran Negara RepublikIndonesia Tahun 2014 Nomor 16, Tambahan LembaranNegara Nomor 5500);
7. Peraturan Pemerintah Republik Indonesia Nomor 30 Tahun2014 tentang Statuta Universitas Airlangga dan LembaranNegara Tahun 2014 No 100, Tambahan Lembaran NegaraNomor 5535;
8. Peraturan Pemerintah Republik Indonesia Nomor 8 Tahun2.Q20 teneang ·pena·ba.h-aFl.atas peraturan pemerin tah Nemer26 Tahun 2015 tentang Bentuk dan Mekanisme PendanaanPerguruan Tinggi Negeri Badan Hukum (Lembaran NegaraRepublik Indonesia Nomor 6461);
9. Peraturan Presiden Republik Indonesia Nomor 72 Tahun-2019 tentang Kementrian Pendidikan dan Kebudayaan(Lembaran Negara Republik Indonesia Tahun 2019 Nomor207);
10. Peraturan Rektor Universitas Airlangga Nomor 39 Tahun2017 tentang Perubahan Atas Keputusan Rektor Nomor 42Tahun 2016 tentang Organisasi dan Tata Kerja UniversitasAirlangga;
11. Peraturan Rektor Universitas Airlangga Nomor 11 Tahun2020 tentang Pedoman Pendidikan Universitas Airlangga;
12. Keputusan Rektor Universitas Airlangga Nomor762/UN3/KR/2020 ten tang Pengangkatan Dekan Fakultasdan Direktur Sekolah Pascasarjana, dan Direktur RumahSakit Periode 2020-2025.
KETIGA
KEDUA
PERTAMA
Menetapkan
Memperhatikan
Salinan disampaikan kepada Yth.1. Rektor Universitas Airlangga;2. Para WakilDekan FKUnair;3. Koordinator Staf Dekanat FKUnair;4. Kepala Bagian 'rata Usaha FKUrrair;5. Para Kepala Sub Bagian FKUnair6. KPSS1 dan ProfesiKebidanan FKUnair
BUDISANTOSONIP.1963021719891110011987011001
ttd
DEKAN,
pada tanggal 8 Maret 2021Ditetapkan di SurabayaSalinan sesuai dengan aslinya
Keputusan ini berlaku pada tahun akademik 2020/2021 danberakhir setelah mahasiswa tersebut dinyatakan Lulus.
KEEMPAT
un ngi atan011711223044 IRDATRIYASSHANTY Dr. RlSA ETIKA, dr., SpA(K) 195907032016016201011711223045 GUSVIBIANACINDYPURWANTO Dr. RISAETIKA dr., SpA(K) 195907032016016201
011711233001 ZIDNI HASBUNASHABRAN Dr. RISAETIKA, dr., SpA(K) 195907032016016201
011711233002 DYAHAISYAHRACHMAWATIE Dr. RlSAETlKA, dr., SpA(K) 195907032016016201
011711233003 FAIZMILLATI ANDRlYANTI,S.Keb., Bd. 199001102016077201
011711233004 WENNYAYULARASATI ANDRlYANTI, S.Keb., Bd. 199001102016077201
011711233005 AFIFAHDWI HANDANA ANDRIYANTI, S.Keb. Bd. 199001102016077201
011711233006 AMANDAERARAHMAWATI ANDRlYANTI,S.Keb., Bd. 199001102016077201KAMILA FADMA PUTRI
011711233007 SUMARSONO ANDRlYANTI, S.Keb., Bd. 199001102016077201011711233008 SENJAHIMAYA ANDRIYANTI,S.Keb., Bd. 199001102016077201
011711233009 ALFI NURMUFTIHAH ANDRIYANTI,S.Keb., Bd. 199001102016077201011711233010 UMIWillY ANINGSIH ANDRlYANTI S.Keb., Bd. 199001102016077201011711233011 LOLITA LESTARI ASTIKAGITANINGRUM,M.Keb. 199002262018032001011711233012 NAIL FIRAHZADA FAUZlYAHR. ASTlKA GITANINGRUM,M.Keb. 199002262018032001011711233013 RETAAULIASEPTYANI ASTlKA GITANINGRUM,M.Keb. 199002262018032001011711233014 FITRI NURAQIDATUSSALIMAH ASTlKA GITANINGRUM,M.Keb. 199002262018032001011711233015 SALMA'AFINDI ISWARA ASTlKA GITANINGRUM,M.Keb. 199002262018032001011711233016 ANINDITAAULIA YURIDISTIA ASTIKAGITANINGRUM,M.Keb. 199002262018032001011711233018 NABILAHKHANSA ASTIKAGITANINGRUM,M.Keb. 199002262018032001011711233020 FARICHAHFA-ILALCHUSNA Dr. BAGUSSETYOBOEDI,dr., SpA(K) 196908182016016101
SHERINAPRADITAEKA011711233021 WAHYUDI Dr. BAGUSSETYOBOEDI,dr., SpA(K) 196908182016016101011711233022 CAHYANINGHENDRIVALUVI Dr. BAGUSSETYOBOEDI,dr., SpA(K) 196908182016016101011711233024 NURMULYANI Dr. BAGUSSETYOBOEDI,dr., SpAIK) 196908182016016101011711233025 ALRIKAFEBI YUARSYAH Dr. BAGUSSETYOBOEDI,dr., SpA(K) 196908182016016101
GEBYARCATURWAHYUNING011711233027 ROHMAWATI Dr. BAGUSSETYOBOEDI,dr., SpA(K) 196908182016016101011711233029 MAGHFlRAAULIA SAFITRI Dr. BAGUSSETYOBOEDI,dr., SpA(K) 196908182016016101011711233030 ARVELINANOVIADAMAYANTI Dr. BAGUSSETYOBOEDI,dr., SpA(K) 196908182016016101011711233031 RARASAGITA Dr. BAGUSSETYOBOEDI,dr., SpA(K) 196908182016016101
011711233032 PANADASEDIANINGDRASTITA Dr. ERNAWATI,dr., Sp.OG. 197707162008012013
011711233033 AFILDA MUNAWARAB Dr. ERNAWATI,dr., Sp.OG. 197707162008012013011711233034 AVINAOKTAVIANIALGIFNITA Dr. ERNAWATI,dr., Sp.OG. 197707162008012013011711233035 EKASEPTIADELIA PUTRI Dr. ERNAWATI,dr., Sp.OG. 197707162008012013
011711233036 WANDHAOh.'TASAVIRA Dr. ERNAWATI,dr., Sp.OG. 197707162008012013011711233037 CINDYNARlTAKUSUMAASTUTI Dr. ERNAWATI,dr., Sp.OG. 197707162008012013011711233038 MAULIDIA FAHMADINAROZANA Dr. ERNAWATI,dr., Sp.OG. 197707162008012013
011711233039 ANGGRAENIDYAH KUMALASARl Dr. ERNAWATI,dr., Sp.OG. 197707162008012013
011711233040 FARIDATULISNAINI Dr. ERNAWATI,dr., Sp.OG. 197707162008012013
011711233041 FARlDAUMI CHOVIVA Dr. ERNAWATI,dr., Sp.OG. 197707162008012013
011711233042 RIDA EKA SETIANI ENDYKAERYEFRETY,M.Keb 198902202018032001
2017A kTah
a un 19J atan011611223051 KlNANTI RAHAYUNOVITASARI IVONDIAHWITIIARlKA, S.Keb.Bd. M.Kes 198411112018083201011611233006 VISCHANURLAILYARDIANTI IVONDIAHWITIIARlKA, S.Keb.Bd.,M.Kes 198411112018083201011611233033 SITI ZAKIYAH 'INAYATULMUNA WAHYULANIS,S.Keb., Bd.M.Kes. 198703282018083201
NURFATECHATULISLAMlYAH011611233037 HAMAS Dr. BAMBANGPURWANT0 dr., M.Kes 198008282006041002
2016AnkT h
197701202008011009011511233042 RYASSKRESNATANTRI
Dosen Wali Program Studi 81 Kebidanan Tahun Ajaran 2020/2021
PROGRAM STUDIBIDAN FAKULTAS
LAMPlRAN KEPUTUSANDEKAN FAKULTAS KEDOKTERANNOMOR 115 /UN3.1.1/KD/2019, TANGGAL8 Maret 2021TENTANG : PENGANGKATAN DOSEN WALl MAHASISWA
Sl KEBIDANAN DAN PENDIDIKAN PROFESIKEDOKTERAN TAHUN AKADEMIK 2020/2021
un 19J a011811223035 SHIFA MUTHLASHANI RIZE BUDl AMALLA S.Keb., 8d. M.Kes 198410232016113201
011811233001 LULUK MUKARROMAJ-I WAHYULANlS S.Keb.,8d.M.Kes. 198703282018083201
011811233002 NANA NURAENI WAHYUL ANIS S.Keb.,8d.M.Kes. 198703282018083201
011811233003 WILDA FITRIA RACHMADINA WAHYUL ANIS S.Keb.,8d.M.Kes. 198703282018083201Muhammad Miftahussurur, dr., M.Kes .,
011811233004 NICHA KARMlLA TAMTLANA Sp.PD. KGEH. Ph.D 198703282018083201Muhammad Miftahussurur, dr., M.Kes .,
011811233005 SYLLA NUR SAMSIAH Sp.PD. KGEH. Ph.D 198703282018083201ZULFA NURUSYAFA
011811233006 AROFATULLOH WAHYUL ANTS S.Keb. 8d.M.Kes. 198703282018083201Muhammad Miftahussurur, dr., M.Kes .,
011811233007 TITANIA ARFINISA KIRANA Sp.PD. KGEH. Ph.D 198703282018083201NAFA ADKHOLUL JANNAH
011811233008 NURYANTO WAHYUL ANIS, S.Keb. 8d.M.Kes. 198703282018083201FABELLA ELISA Muhammad Miftahussurur, dr., M.Kes .,
011811233009 CAHYANlNGTYAS Sp.PD. KGEH. Ph.D 198703282018083201Muhammad Miftahussurur, dr., M.Kes .,
011811233010 LILIS NUR RAHMAH FAUZIYAH Sp.PD. KGEH. Ph.D 198703282018083201EUYANGGELIA DWILDA FERDlNANDUS,
011811233011 PUTR! NUDY PURWANT0 S.Keb. 8d. M.Kes. 198602242020073201EUYANGGELLADWILDA FERDINANDUS,
011811233012 SITI KHOTIJAH S.Keb. 8d., M.Kes. 198602242020073201EUYANGGELIA DWILDA FERDlNANDUS,
011811233013 MELATI NUR RAMADAN S.Keb. 8d. M.Kes. 198602242020073201EUVANGGELLADWfLDA FERDINANDUS,
011811233014 SITI URlFA S.Keb., 8d., M.Kes. 198602242020073201EUVANGGELLADWLLDAFERDINANDUS,
011811233015 DEVlKA AULLA S.Keb., 8d., M.Kes. 198602242020073201EUYANGGELLADWILDA FERDINANDUS,
011811233016 AURELLIA CAHYAMAHARANl S.Keb. 8d., M.Kes. 198602242020073201EUVANGGELlA DWILDA FERDINANDUS,
011811233017 SOQIFAH TRLASPARAWANSYA S.Keb., 8d., M.Kes. 198602242020073201EUYANGGELlA DWILDA FERDINANDUS,
011811233018 MELANLASAFITRI S.Keb. 8d., M.Kes. 198602242020073201EUVANGGELIA DWILDA FERDINANDUS,
011811233019 APRILIA IRMA DAMAYANTI S.Keb. 8d., M.Kes. 198602242020073201EUVANGGELLADWILDA FERDINANDUS,
011811233021 STNANY lLVlRA S.Keb. 8d., M.Kes. 198602242020073201MU-AMMARIN ROSIKHUNA
011811233022 ILMA ANDRIYANTI S.Keb. 8d. 199001102016077201
011811233023 WAHYU WIKAN HAMASTUTI ANDRIYANTI S.Keb. 8d. 199001102016077201
011811233024 FEN! PRLANANUR CHOMALROH ANDRIYANTI S.Keb., Bd. 199001102016077201
011811233025 DYAH AYU FATMANINGRUM ANDRIYANTI S.Keb. 8d. 199001102016077201ROSAARSAMAULIDIYAH
011811233026 SYAHRANI ANDRIYANTI S.Keb. 8d. 199001102016077201
011811233027 FARlHATUZ ZAKIYAH ANDRIYANTI S.Keb.,8d. 199001102016077201
011811233028 ZALFA DlNAH KHALRUNNISA ANDRIYANTI S.Keb. 8d. 199001102016077201
011811233029 LAUNA lNAYATI ARLLNA ANDRIYANTI, S.Keb., 8d. 199001102016077201
011811233030 PUTRI PUSPITA AMALLA ANDRIYANTI, S.Keb. 8d. 199001102016077201
011811233031 AZRA FAUZIYAH AZYANTI ANDRIYANTI, S.Keb. Bd. 199001102016077201
011811233032 SILVLASALSA8ILAH ENDYKA ERYEFRETY, M.Keb 198902202018032001
011811233033 HAWA NORSALSABlLA ENDYKA ERYE FRETY, M.Keb 198902202018032001
011811233034 DHINl SAFIRA MAGHRIFI ENDYKA ERYE FRETY, M.Keb 198902202018032001
011811233035 RISDA ZAIRINA ALIM ENDYKA ERYE FRETY, M.Keb 198902202018032001
Tah An k tan 2018
011711233044 WAHYULLARIZQLAUMAMI ENDYKA ERYE FRETY M.Keb 198902202018032001
011711233045 MUKRONAH URVIA ENDYKA ERYE FRETY M.Keb 198902202018032001
011711233046 AGRINI YESISKA TAMO ENDYKA ERYE FRETY M.Keb 198902202018032001
011711233047 ERA FAZlRA ENDYKA ERYE FRETY, M.Keb 198902202018032001
011711233048 EILIN NUR SAVIKA ENDYKA ERYE FRETY M.Keb 198902202018032001
011711233049 ADEYLLA MAYANGSARI ENDYKA ERYEFRETY, M.Keb 198902202018032001
011711233050 ALFIYAH ZAHRA ULYA ENDYKA ERYE FRETY, M.Keb 198902202018032001
011711233051 FAUZUN NIKMATUSH SHOLIHAH RATNA DWI JAYANTI S.Keb. Bd. M.Keb. 198510042020033201MARLAOCTAVIANI KARTINI
011711233052 SEMA RATNADWI JAYANTI S.Keb. Bd. M.Keb. 198510042020033201
011711233054 ROSDA RODHIYANA RATNADWI JAYANTI S.Keb. Bd. M.Keb. 198510042020033201
011711233055 LASTRITIKA MATUI RATNA DWI JAYANTI S.Keb. Bd. M.Keb. 198510042020033201
a un ngi a an011911223009 RETNOSARI WIDOWAT! ANDRIYANTI S.Keb. Bd. 199001102016077201
011911223015 NINDI INDRIANINGRATTU ASTIKA GITA NINGRUM M.Keb. 199002262018032001
011911223018 DWI WULAN SUCI ASTIKA GITA NINGRUM M.Keb. 199002262018032001
011911223024 ERNITA SARI DWI IZZATl S.Keb. Bd. MSc 198607182016113201
011911223030 ADELLA EKA WINANDA DWI IZZATI S.Keb. Bd. MSc 198607182016113201
011911223035 RISMA RATER SEMPA NINDRA DWI IZZATI, S.Keb. Bd. MSc 198607182016113201
011911223045 VISKY AFRINA IVON DIAH WlTTIARlKA S.Keb.Bd. M.Kes 198411112018083201
011911223050 ERMA NURLITA SARI IVON DIAH WITTIARlKA S.Keb.Bd. M.Kes 198411112018083201
011911233001 ARIN TRI WAHYU SETYOWATI RATNA DWI JAYANTI S.Keb. Bd. M.Keb. 198510042020033201
011911233002 ANGGRAINI DIAN PRASTICHA RATNA DWI JAYANTI S.Keb. Bd. M.Keb. 198510042020033201
OJ1c)112~300~ LILTSSRI SUPIATUN M RATNA nwr .JAYANTI S.Kf:h.,8(:I. M.Kp.h. 19R5100420200~~201
011911233004 RISMA MUBAROKAH RATNA DWI JAYANTI S.Keb., Bd., M.Keb. 198510042020033201
011911233005 ANNISA NUR ROHMA RATNA DWI JAYANTI S.Keb., Bd. M.Keb. 198510042020033201lNTAN ANGGRAINI ARTA
011911233006 NINGRUM RATNA DWIJAYANTI, S.Keb., Bd., M.Keb. 198510042020033201
011911233008 HESTA YUNIARTANTI PUTRI RATNA DWIJAYANTI, S.Keb., Bd. M.Keb. 198510042020033201
011911233009 SILVI DINA ROSIDA RATNA DWI JAYANTI S.Keb., aa., M.Keb. 198510042020033201
011911233010 ZAKIA JIHAN SALSA SILA RATNA DWI JAYANTI S.Keb., Bd. M.Keb. 198510042020033201
011911233011 ALlZA UMAR INDRIANI RATNA DWI JAYANTI, S.Keb. Bd. M.Keb. 198510042020033201
011911233012 DWI PUTERI ARISKA RATNA DWI JAYANTI S.Keb. Bd. M.Keb. 198510042020033201
011911233013 DIAN FITRIA KURNIAWATl RATNA DWI JAYANTI, ~.Keb., Bd.,_M.Keb. ~98510~202Q~33201GABRIELA GlOVANI FORTUN
-
011911233014 VISTA RATNA DWI JAYANTI, S.Keb., Bd. M.Keb. 198510042020033201
0119.11233015 FERAS INAR MELATI RATNA DWI JAYANTI, S.Keb., Bd., M.Keb. 1985100420~OO33201
011911233016 DIAH PUSPITA SARI RATNA DWI JAYANTI, S.Keb., Bd., M.Kcb. 198510042020033201
011911233017 PUTRI FINA AMELIA RATNA DWI JAYANTI, S.Keb., Bd. M.Keb. 198510042020033201
011911233018 NITA ANGGRAINI RIZE BUDI AMALIA, S.Keb., Bd., M.Kes 198410232016113201
011911233019 ADELIA AYU QURTWTUL JANNAH RIZE BUDI AMALIA, S.Keb., Bd. M.Kes 198410232016113201
011911233020 VALENTINA FEBRIY ANTI RIZE BUDI AMALIA, S.Keb., Bd. M.Kes 198410232016113201
011911233021 HANIFA IRFANI SALMA ASRI RIZE BUDI AMALIA, S.Keb., Bd., M.Kes 198410232016113201
011911233022 PRATIWI DWI TRISNANTI RIZE Bum AMALIA, S.Keb., Bd., M.Kes 198410232016113201
011911233023 FADIAH MAHARANI RIZE BUDI AMALIA, S.Keb., Bd. M.Kes I 198410232016113201
011911233024 DINDA SEKAR SANTI RlZE BUDI AMALIA, S.Keb., Bd. M.Kes 198410232016113201
011911233025 SANGIDATUL IMRO'AH RIZE BUDI AMALIA, S.Keb., Bd., M.Kes 198410232016113201
011911233026 ARDELIA BERTHA PRASTIKA RIZE BUDI AMALIA S.Keb., Bd. M.Kes 198410232016113201
011911233027 FINA CHOLIDATUN KHASANAH RIZE BUDI AMALIA S.Keb. Bd. M.Kes 198410232016113201WORO SETIA NINGTYAS, S.Keb., Bd.,
011911233028 AULIA AZ ZAHRA WUNI M.Kes. 198603172020033201WORO SETIA NINGTYAS, S.Keb., Bd.,
0.11911233029 HELDA SEVYA ISLAMIYAH M.Kes. 198603172020033201WORO SETIA NINGTYAS, S.Keb., Bd.,
011911233030 DIANA KHOIRUL KHAFIDLOH M.Kes. 198603172020033201
2019A k tT h
011811233037 SHEILA SEKAR MAHADANI ENDYKA ERYE FRETY M.Keb 198902202018032001
01181-1233038 INTAN DEWI ANGIA SARI ENDYKA ERYE FRETY M.Keb 198902202018032001
011811233039 SEKAR PUTRI KlRANA ENDYKA ERYE FRETY M.Keb 198902202018032001
011811233040 SAFIRA CANTlKA DESRA ENDYKA ERYE FRETY M.Keb 198902202018032001
011811233043 NABILA SYAUQHI WIJANARKO ASTlKA GITA NINGRUM M.Keb. 199002262018032001
011811233044 NADIA SHERLI SYAFlRA ASTlKA GITA NINGRUM M.Keb. 199002262018032001
011811233045 FITRI RAMADHANI ASTIKA GITA NINGRUM M.Keb. 199002262018032001
011811233046 ILFINUR ANISSA PUTRI ASTIKA GITA NINGRUM M.Keb. 199002262018032001
011811.233047 .NJANDARI ¥ULIA..DW-ILES.T.ARI .AS.'f..IKAGI:r.A_N.INGRUM.M_Keh. 1990022620.1.8032001FRANSISCA WIGA ALDA
011811233048 MARETHA ASTlKA GITA NINGRUM M.Keb. 199002262018032001
011811233049 HABSYI NUR HAMIDAH ASTIKA GITA NINGRUM, M.Keb. 199002262018032001
011811233050 ELI NITA YULIA ASTlKA GITA NINGRUM M.Keb. 199002262018032001
011811233051 VIONA DELIA ANGELITA ASTIKA GITA NINGRUM, M.Keb. 199002262018032001
011811233052 RIZA ARSANTY FAHRINA ASTlKA GITA NINGRUM M.Keb. 199002262018032001
011811233053 SHAFIRA MEIDY SAVITRI ASTlKA GITA NINGRUM, M.Keb. 199002262018032001
- ----------------------------------------------
a un ngi atan012011223001 NOOR SYAFMTIN UDHMA Dr. LESTARI SUDARYANTI, dr., M.Kes. 197507012005012008
012011223002 NORIKO DYAH AYU SARASWATI Dr. LESTARI SUDARYANTI, dr., M.Kes. 197507012005012008
012011223003 DYAH AYU SETYARINI Dr. LESTARI SUDARYANTI, dr., M.Kes. 197507012005012008
012011223004 RAFA FAIHA ULFAH Dr. LESTARI SUDARYANTI dr., M.Kes. 197507012005012008
012011223005 SULlSTY AN NUGRAHENI Dr. LESTARI SUDARYANTI, dr., M.Kes. 197507012005012008
012011223006 SEPTIANA LAROSHA Dr. LESTARI SUDARYANTI, dr. M.Kes. I 197507012005012008 I012011223007 ROZY DIAN PUTRI Dr. LESTARI SUDARYANTI, dr., M.Kes. 197507012005012008 i012011223008 TRI AYU KHARISMA Dr. LESTARI SUDARYANTI dr. M.Kes. 197507012005012008 I- - - --- --
2020A kT h
WORO SETIA NINGTYAS, S.Keb., Bd.,011911233031 SONIA ISNABILA M.Kes. 198603172020033201
WORO SETIA NINGTYAS, S.Keb., Bd.,011911233032 ALIFIA LISA BAHRUDIN M.Kes. 198603172020033201
WORO SETIA NINGTYAS, S.Keb., Bd.,011911233033 SEKAR ARUM AISYAH SYABAN! M.Kes. 1986031?:~0200332q~
WORO SETIA NINGTYAS, S.Keb., sa.,011911233035 SHIFA NABILA HUSEN M.Kes. 198603172020033201
WORO SETIA NINGTYAS, S.Keb., se., I
011911233036 NURANI RATRIA KUSUMASTUTI M.Kes. 198603172020033201WORO SETIA NINGTYAS, S.Keb., Bd.,
011911233037 FARAHDHILA HANI M.Kes. 198603172020033201NABILAH ZHAF'IRAH AL WORO ScTIA 'NTNGTYAS, S.Keb., Bd.,
011911233038 MUMTAZAH M.Kes. 198603172020033201WORO SETIA NINGTYAS, S.Keb., Bd.,
011911233039 MAYTASYA DWINAQIFAH M.Kes. 198603172020033201WORO SETIA NINGTYAS, S.Keb., Bd.,
011911233040 RANI SIDARYANTI M.Kes. 198603172020033201WORO SETIA NlNGTYAS, S.Keb .. Bd.,
011911233041 WINDAAENAH M.Kes. 198603172020033201RAHAYU KUSUMA WORO SETIA NINGTYAS, S.Keb., Bd.,
011911233042 CANDRAKIRANA M.Kes. 198603172020033201WORO SETIA NINGTYAS, S.Keb., Bd.,
011911233043 SALSABILA ISTIQFANISA M.Kes. 198603172020033201WORO SETIA NINGTYAS, S.Keb., Bd.,
011911233044 AMALIA -FI'R-ANT1 M:Kes. 1:98603172020033201WORO SETIA NINGTYAS, S.Keb., Bd.,
011911233045 DELIA FELLATI MAHARANI M.Kes. 198603172020033201WORO SETIA NINGTYAS, S.Keb., Bd.,
011911233046 LISA FEBRINDA NADHILA M.Kes. 198603172020033201WORO SETIA NINGTYAS, S.Keb., Bd.,
011911233047 SALSABILA RAHMA NURANI PUTRI M.Kes. 198603172020033201
011911233049 NURANI ZULFA ZAKIYA FARIDA FITRIANA S.Keb., Bd. M.Sc. 199104162020073201
011911233050 MARWA NUR AZIZAH FARIDA FITRIANA S.Keb. Bd. M.Sc. 199104162020073201
011911233051 LARA LOSTRIST A FARIDA FITRIANA S.Keb., Bd. M.Sc. 199104162020073201
011911233052 SHADILA RISAGIT A PUTRI FARIDA FITRIANA, S.Keb. Bd. M.Sc. 199104162020073201
011911233053 HANA FAJRI ALFIAN FARIDA FITRIANA. S.Keb .. Bd .. M.Sc. 199104162020073201
011911233054 NABILAH SABILILLAH FARIDA FITRIANA S.Keb., Bd. M.Sc. 199104162020073201
011911233055 BINAR CHOIRUN NAJMI FARIDA FITRIANA S.Keb. Bd. M.Sc. 199104162020073201
011911233056 NABILAH MUKTI RIFAHMI FARIDA FITRIANA S.Keb. Bd. M.Sc. 199104162020073201
011911233057 VIRA AMALIA SYAHFIRDA FARIDA FITRIANA, S.Keb. Bd. M.Sc. 199104162020073201
·131191:1233058 ERA SUK0WNrI AISYA FAPdBA PITRL"\NA S:K-eb. se. M.Sc. 199104162020073201
011911233059 SALSABILA BESTARI NUGROHO FARIDA FITRIANA S.Keb., Bd. M.Sc. 199104162020073201
011911233060 AMELIA MAWARTHA FARIDA FITRIANA S.Keb. Bd. M.Sc. 199104162020073201
011911233061 LONNETA AYU RISYANA FARIDA FITRIANA S.Keb., Bd., M.Sc. 199104162020073201
011911233062 ANITA DWI SANTI ENDYKA ERYE FRETY M.Keb 198902202018032001
011911233063 ADELIA RISTA UCTiWlLlA ENDYKA ERYE FRETY M.Keb 198902202018032001
011911233064 IZZATUL NADIA ENDYKA ERYE FRETY, M.Keb 198902202018032001
011911233065 AYU NOVIA CHRISTANTI ENDYKA ERYE FRETY M.Keb 198902202018032001
011911233066 SAYYIDATI TAZKlYA ALFINA ENDYKA ERYE FRETY M.Keb 198902202018032001
011911233070 FEMI SALSABILA HAMID ENDYKA ERYE FRETY, M.Keb 198902202018032001I
011911233071 REKNO WATARI ENDYKA ERYE FRETY, M.Keb 198902202018032001
011911233072 FITASARI NIDIA NURHAYATI ENDYKA ERYE FRETY M.Keb 198902202018032001
011911233073 SHERINA RAMADHAN ENDYKA ERYE FRETY M.Keb 198902202018032001
011911233074 MITA KUSUMAWARDANI Dr. BUDI PRASETYO, dr., Sp.OGIK} 197605032005011001
011911233075 RAHMA ANANDA ZHAFIRAH Dr. BUDI PRASETYO dr. Sp.OG(K) 197605032005011001
012011223009 CANTIKA ERNTNGTYAS Dr. LESTARI SUDARYANTI dr., M.Kes. 197507012005012008012011223010 ANISA YUNIAR FADILLA Dr. LESTARI SUDARYANTI, dr. M.Kes. 197507012005012008012011223012 REZMA LATIFAH HANUM Dr. LESTARI SUDARYANTI, dr., M.Kes. 197507012005012008012011223013 IMRO'ATUL KHASANAH Dr. LESTARI SUDARYANTI, dr., M.Kes. 197507012005012008012011223014 ROMI KIKI NUR FITA SARI Dr. LESTARI SUDARYANTI dr., M.Kes. 197507012005012008012011223015 WI ANA ASTUTIK Dr. LESTARI SUDARYANTI, dr. M.Kes. 197507012005012008012011223016 IZATI MAFrUHA Dr. LESTARI SUDARYANTI dr., M.Kes. 197507012005012008012011223017 OKKEU AZIZAH CALBARA Dr. LESTARI SUDARYANTI, dr., M.Kes. 197507012005012008012011223018 LAlLI NUR IZZAH Dr. LESTARI SUDARYANTI, dr. M,Ke,s, 1Q7S0701200501200R012011223019 FARAH ELQIBTY Dr. LESTARI SUDARYANTI dr., M.Kes. 197507012005012008012011223020 BELLA CINTANIA Dr. LESTARI SUDARYANTI, dr., M.Kes. 197507012005012008012011223021 ITDINAH RARA KARIMA SUTOMO Dr. BUD! PRASETYO, dr., Sp.OG(K) 197605032005011001012011223022 RIDA MUSTASMARA Dr. BUDl PRASETYO, dr. Sp.OG1Kl 197605032005011001012011223023 "RIZQIAMALPl.'AH D1".BUD! PRASETYO, dr., Sp.OG(K) 197605032005011001
YUHENDRA BUDIRAHMA012011223024 WARDANI Dr. BUD! PRASETYO, dr., Sp.OG(K) 197605032005011001012011223025 WIDYA TRESNA KUSUMA Dr. BUDI PRASETYO, dr., S_£.OG1Ig 197605032005011001012011223026 ARlEN DWl AJENG ADHE SAFITRI Dr. BUDI PRASETYO, dr. Sp.OG(K) 197605032005011001012011223027 OSCARHlNY FIRDA LORENZHA Dr. BUDI PRASETYO, dr., Sp.OG(K) 197605032005011001012011223028 IZZATUL AINIYAH Dr. BUD! PRASETYO, dr. Sp.OG(K) 197605032005011001012011223029 DESI RATNASARI Dr. BUDI PRASETYO dr. Sp.OG(K) 197605032005011001012011223030 DHEANETTA AFANSA FIRDAUS Dr. BUDI PRASETYO dr. Sp.OG(K) 197605032005011001
EUVANGGELIA DWILDA FERDINAND US,012011223031 NABILATUL ARIFAH S.Keb. Bd. M.Kes. 198602242020073201
·EU\7i\.i"'lGGELD\DW U;DA'FERD1NANDlJS,012011223032 GUSTI AYU GITA MAHARANI S.Keb. Bd. M.Kes. 198602242020073201
EUVANGGELIA DWILDA FERDINANDUS,012011223033 MUSTIKA ANAJAH S.Keb. Bd. M.Kes. 198602242020073201
EUVANGGELIA DWILDA FERDINAND US,012011223034 RIZA RESTIANA S.Keb. Bd. M.Kes. 198602242020073201
EUVANGGELIA DWILDA FERDINANDUS,012011223035 SALSABILA S.Keb., Bd., M.Kes. 198602242020073201
EUVANGGELIA DWILDA FERDINANDUS,012011223036 DINDA LUCIANA DEWI S.Keb., Bd. M.Kes. 198602242020073201
EUVANGGELIA DWILDA FERDINANDUS,012011223037 DEPOGA FADILAH NUREVTO S.Keb. Bd. M.Kes. 198602242020073201
EUVANGGELIA DWILDA FERDINAND US,012911223038 FA8HIU\H SARI S.Keb., Bd. M.Kes. 198602242020073201
EUVANGGELIA DWILDA FERDINANDUS,012011223039 KIKI APNITA SARI S.Keb. Bd. M.Kes. 198602242020073201
AURELIA MARGARETHA EUVANGGELIA DWILDA FERDINANDUS,012011223040 MANURUNG S.Keb., Bd. M.Kes. 198602242020073201
012011223042 SIT! ZAIMATUL AINUN RIZE BUD! AMALIA S.Keb., Bd. M.Kes 198410232016113201
'012011223043 -B"ESYNUR'IN'fAN RlZE "BUm Mvl.M;lA, S:Ke-b., Btl. M.Kes 198415232016113201
012011223044 ELYSABETH ROSINTA SIANTURI RIZE BUDI AMALIA, S.Keb., Bd. M.Kes 198410232016113201
012011223045 AULIA NUR RAHMAN RIZE BUD! AMALIA s.x-s. Bd. M.Kes 198410232016113201ARTlKA SAVERA MAULIDHA
012011223046 ANWAR RIZE BUD! AMALIA, S.Keb., Bd., M.Kes 198410232016113201BERLIANA NUR FRISDA
012011223047 SUTRISNO RIZE Bum ANmLIA s.xes., Ed., lVI.Kes 198410232016113201
012011223048 AMALIA RAMADHANI RIZE BUD! AMALIA, S.Keb. Bd. M.Kes 198410232016113201
012011223049 RIA ZIA ULFAH RIZE BUDI AMALIA, S.Keb., Bd., M.Kes 198410232016113201
012011233001 DWI WIDYANINGRUM SOFIA AL FARIZI, S.Keb. Bd., M.Kes. 199305222020073201
012011233002 ALIZA TRI PUSPIT ASARI SOFIA AL FARIZI, S.Keb., Bd., M.Kes. 199305222020073201
012011233004 MUMINAH SOFIA AL FARIZI S.Keb. Bd., M.Kes. 199305222020073201
012011233005 INTAN FAIRUZ ZAKIA SOFIA AL FARIZI S.Keb., Bd., M.Kes. 199305222020073201
012011233006 OKY ARNANDA ANTONIA PUTRI SOFIA AL FARIZI, S.Keb., Bd., M.Kes. 199305222020073201RlSMA NOVALINA PUTRI
012011233007 ZUROHMI SOFIA AL FARIZI S.Keb. Bd., M.Kes. 199305222020073201
01201123'3(')(')8'l,)-YM"f AY'URETNOW ATI SOFIA A'L FA'RIZI, S.Keb., na., M.Kes. 19930522202007J201PIONERA SECONDA GIYANTI
012011233009 PUTRI SOFIA AL FARIZI S.Keb. Bd., M.Kes. 199305222020073201
012011233010 CINDY WAHYU AGUSTINA SOFIA AL FARIZI S.Keb. Bd., M.Kes. 199305222020073201
012011233011 ARVIYANI DARMAYANTI SOFIA AL FARIZI S.Keb. Bd., M.Kes. 199305222020073201
012011233012 NUR FARIDAH LATIFAH SOFIA AL FARIZI, S.Keb .. Bd., M.Kes. 199305222020073201
012011233013 FAlZAH HASNIA SOFIA AL FARIZI S.Keb. Bd., M.Kes. 199305222020073201
012011.233014 AISYAH AMALIA PUTRI DIANI SOFIA AL FARIZI S.Keb. Bd. M.Kes. 199305222020073201
012011233015 VINITHA DWI RAHMASARI SOFIA AL FARIZI, S.Keb. Bd., M.Kes. 199305222020073201
012011233016 CLARITA MEDIANA TASYA SOFIA AL FARIZI S.Keb. Bd. M.Kes. 199305222020073201
012011233017 NYIMAS VIRA GAFIRA SOFIA AL FARIZI S.Keb. Bd., M.Kes. 199305222020073201
012011233019 ANGGI WILlS PRIHAZTY SOFIA AL FARIZI S.Keb. Bd., M.Kes. 199305222020073201
012011233020 DIAN PUTRI ANGGI PRAMESTI SOFIA AL FARIZI S.Keb. Bd. M.Kes. 199305222020073201
012011233021 ANITA RACHMAWATI DEWI SETYOWATI S.Keb. Bd., M.Ked.Trop. 199405222020073201
01-2011233022 LISNAH HIDA¥ AH D.Ew.r SETYOWATI S.Keb. sa., M.Ked,Trop. ]QQ40522202007320 1
012011233023 ELSA CAHYA LESTARI DEWI SETYOWATI, S.Keb. Bd. M.Ked.Trop. 199405222020073201
012011233024 LANGGENG FATILATUL UMMAH DEWI SETYOWATI S.Keb. Bd., M.Ked.Trop. 199405222020073201
012011233025 NAHDIA RATUS SUHAIMI DEWI SETYOWATI S.Keb. Bd. M.Ked.Trop. 199405222020073201MUNTIA RIZKI ALZAHRA
012011233026 PRAMESTI DEWI SETYOWATI S.Keb. Bd. M.Ked.Trop. 199405222020073201
012011233027 FRANSISKA NIKEN HAPSARI DEWI SETYOWATI S.Keb. Bd., M.Ked.Trop. 199405222020073201
012011233028 ALFINA DAMAYANTI DEWI SETYOWATI S.Keb. Bd. M.Ked.Trop. 199405222020073201
012011233029 KHURIL MALAIL JANAH DEWI SETYOWATI, S.Keb., Bd., M.Ked.TroQ. 199405222020073201
012011233030 GHINA DHIYA ULHAQ DEWI SETYOWATI S.Keb. Bd. M.Ked.Trop. 199405222020073201
012011233031 AZIZAH ALAYDRUS DEWI SETYOWATI, S.Keb .. Bd., M.Ked.Trop. 199405222020073201NABELLA INDRA PUTRY
012011233032 SUKMAWATY DEWI SETYOWATI S.Keb. Bd. M.Ked.Trop. 199405222020073201
012011233033 RAIHAN KlARA MURTI DEWI SETYOWATI S.Keb., Bd., M.Ked.Trop. 199405222020073201
012011233034 ZAHRA THAMIZYA MARPAUNG DEWI SETYOWATI, S.Keb., Bd. M.Ked.Trop. 199405222020073201
012011233035 FRIDISKA SALSABILAH PUTRI DEWI SETYOWATI, S.Keb., Bd., M.Ked.Trop. 199405222020073201,012011233036 GALUH ZEDIARA DEWI SETYOWATI S.Keb. Bd. M.Ked.Trop. 199405222020073201
012011233037 NADHIFA ALYAHAMIDAH DEWI SETYOWATI, S.Keb., Bd., M.Ked.Trop. 199405222020073201
012011233038 DIAN SHALMA KARTlKA DEWI SETYOWATI S.Keb. Bd., M.Ked.Trop. 199405222020073201
012011233039 RAMADHANI AYU WIGUNA DEWI SETYOWATI S.Keb. Bd., M.Ked.Trop. 199405222020073201
012011233040 NATALIA PUTRI ARICAHYO DEWI SETYOWATI S.Keb. Bd., M.Ked.Trop. 199405222020073201__ARDELIA SAVINKA ANANDRIAN
012011233041 pUTRI Dr. PURWO SRI REJEKI dr. M.Kes. 197506122005012003
012011233042 MARIA AGATHA ARLEAN Dr. PURWO SRI REJEKl, dr. M.Kes. 197506122005012003
012011233043 YULINDA AYU PERWITASARI Dr. PURWO SRI REJEKl dr. M.Kes. 197506122005012003
012011233044 GADING NURHAFIZA RACHMA Dr. PURWO SRI REJEKI dr., M.Kes. 197506122005012003
012011233045 RADHIFI'A ZALIANTY Dr. PURWO SRI REJEKI dr., M.Kes. 197506122005012003
012011233046 SITI KOMARIAH Dr. PURWO SRI REJEKl, dr., M.Kes. 197506122005012003
012011233047 NOORLAILA AINUNNISSA Dr. PURWO SRI REJEKl dr. M.Kes. 197506122005012003
012011233048 HANNY NUR AZIZAH Dr. PURWO SRI REJEKI dr., M.Kes. 197506122005012003
012011233049 FANIAZAHRO Dr. PURWO SRI REJEKl, dr., M.Kes. 197506122005012003
012011233050 ARDHILA LUTHFIANA DWI PUTRI Dr. PURWO SRI REJEKI dr., M.Kes. 197506122005012003
012011233051 ANNISA ANGELINA PUTRI Dr. ERNAWATI dr., Sp.OG. 197707162008012013
012011233052 GAYATRI AYU PRAMESWARI Dr. ERNAWATI dr., Sp.OG. 197707162008012013
012011233053 ROSITA WIDARTI Dr. ERNAWATI, dr., Sp.OG. 197707162008012013
012011233054 FATMA ELA ANGELIA Dr. ERNAWATI, dr., se.oo. 197707162008012013
012011233055 NUR AYAFIDA PUTRI TRIANTO Dr. ERNAWATI dr., Sp.OG. 197707162008012013
012011233056 ADINDA KRISTIARAHAYU Dr. ERNAWATI dr., Sp.OG. 197707162008012013
012011233057 YUSTICA QOTHRUNNADA . Dr. ERNAWATI dr. Sp.OG. 197707162008012013
012011233058 MELSA ANA NOFINTIYANI Dr. ERNAWATI dr. Sp.OG. 197707162008012013
f)-120H233059 S:VAf'-I'ATBNAT-HiGH Dr. '&RNA-Wtl.TI -dr., Sp:GG. 197707162008012013
012011233060 EGIDIA ElSCA Dr. ERNAWATl dr., Sp.OG. 197707162008012013AHMADIYAH AZHARI FAIRUZ
012011233061 ALIYAFIRDAUSl Dr. BAMBANG PURWANTO, dr., M.Kes 198008282006041002
012011233062 SYARAFINA ASROFA Dr. BAMBANG PURWANTO dr. M.Kes 198008282006041002
012011233063 AlSHA GRAYLI CAHYANI Dr. BAMBANG PURWANTO dr. M.Kes 198008282006041002
012011233064 NAFlSAH HANl ASYIFAH RAHMA Dr. BAMBANG PURWANTO, dr. M.Kes 198008282006041002
012011233065 ENOK TUTI NURHAYATl Dr. BAMBANG PURWANTO, dr., M.Kes 198008282006041002
012011233066 RILLA AULIA SANDRA Dr. BAMBANG PURWANTO, dr. M.Kes 198008282006041002
012011233067 ISHA AKASTIA Dr. BAMBANG PURWANTO, dr., M.Kes 198008282006041002
lahun ngkatan011913243084 ESTI ISYROOFANAA WAHYUL ANIS S.Keb. Bd.M.Kes. 198703282018083201
011913243085 GNEISS SALMA NABILA WAHYUL ANIS, S.Keb., Bd.M.Kes. 198703282018083201
011913243089 NIKE APRILlDIA WAHYUL ANIS, S.Keb., Bd.M.Kes. 198703282018083201
011923243001 FITRIAH ANNISA RATNA DWI JAYANTI, S.Keb., Bd., M.Keb. 198510042020033201
011923243002 QONITA HANIFAH RATNA DWI JAYANTI, S.Keb. Bd., M.Keb. 198510042020033201
011923243003 JENICA HILLARY EKA FMCRP RATNA DWI JAYANTI, S.Keb., Bd. M.Keb. 198510042020033201
011923243004 VISTA CLAUDIA SARI RATNA DWI JAYANTI, S.Keb. Bd., M.Keb. 198510042020033201
011923243005 RAYANTISAGALA RATNA DWI JAYANTI, S.Keb., Bd., M.Keb. 198510042020033201CEMPAKA YUDITHIA
011923243006 JUNANDAR IVON DIAH WITTIARIKA, S.Keb.Bd. M.Kes 198411112018083201
011923243007 AFDHILA ISTIGFARIN IVON DlAH WITTIARlKA S.Keb.Bd. M.Kes 198411112018083201
011923243008 PUTRI LISDIANA RAHMAWATI NON DIAH WITTIARlKA, S.Keb.Bd. M.Kes 198411112018083201
011923243009 NAOMY SIMANUNGKALIT IVON DIAH WITTIARIKA S.Keb.Bd. M.Kes 198411112018083201
011923243010 MA-RIFATU ULFA HIDAYATI IVON DlAH WITTIARIKA, S.Keb.Bd. M.Kes 198411112018083201
011923243011 ICHA NUR OKTARIA RIZE BUDI AMALIA S.Keb. Bd. M.Kes 198410232016113201
011923243012 AGUSTINA YASINTA YAMI RIZE BUDl AMALIA, S.Keb., Bd. M.Kes 198410232016113201
011923243013 ANGGRAENI W.K.D RIZE Bum AMALIA S.Keb. Bd. M.Kes 198410232016113201
011923243014 MUFTIYATURROHMAH RIZE Bum AMALIA, S.Keb., Bd. M.Kes 198410232016113201
011923243015 WINARTY NATALIA HASIBUAN RIZE BUDI AMALIA, S.Keb. Bd., M.Kes 198410232016113201
011923243016 ANISAH SRI UTAMI DWI IZZATI S.Keb., Bd., MSc 198607182016113201
011923243017 LUISA OcrOVIANA ELUAMA DWI IZZATI, S.Keb. Bd., MSc 198607182016113201
011923243018 IRMINA TULLE DWI IZZATI S.Keb. Bd., MSc 198607182016113201
011923243019 ESTIN PUSPANINGRUM DWI IZZATI S.Keb. Bd., MSc 198607182016113201
'0-11923243020 MEGA 'MERDEI0\ -PERTPN'I -OWl -I2-ZAT-IS"Iieb. -Bd. MSc 198607182016113201WORO SETIA NINGTYAS, S.Keb., Bd.,
011923243021 FITRI INDAH PRATIWI M.Kes. 198603172020033201WORO SETIA NINGTYAS, S.Keb., Bd.,
011923243022 IDA AYU SETYARINI M.Kes. 198603172020033201WORO SETIA NINGTYAS, S.Keb., Bd.,
011923243023 FITRI ERNA ERFIANY M.Kes. 198603172020033201WORO SETrA NINGTYAS, S.Keb., Bd.,
011923243024 ALFI SYIFA DARMASTUTI M.Kes. 198603172020033201WORO SETIA NINGTYAS, S.Keb., Bd.,
011923243025 LUH SUKENINGSIH M.Kes. 198603172020033201
2019AIT\ •
un gl a an011813243063 ROSMIATI ANDRIYANTI, S.Keb. Bd. 199001102016077201
011813243096 MUNADIAH JANNATUN N. IVON DIAH WITTIARIKA S.Keb.Bd. M.Kes 198411112018083201
2018An k tTab
un 19. atan011723243001 DIANA FITRI LATHIFAH IVON DIAH WITTIARlKA S.Keb.Bd., M.Kes 198411112018083201 I011723243004 LILIS RETNOW ATI ATlKA S.Si. NIsi. 197002091998022001 J
2017AnkTab
Dosen Wali Program Studi Pendidikan Profesi Bidan Tabun Ajaran 2020/2021
012011233068 DINA AZMILATUN WALIYUNA Dr. BAMBANG PURWANTO dr., M.Kes 198008282006041002
012011233069 ESTER NUGRAHENI Dr. BAMBANG PURWANTO dr. M.Kes 198008282006041002
012011233070 SRI REJEKI LAILATUL HIKMAH Dr. BAMBANG PURWANTO dr. M.Kes 198008282006041002
012011233071 DINDA ANDRIANI Dr. SULISTlAWATI, dr. M.Kes. 196502281990032002
012011233072 AFIFAH KHOlRUNNISA Dr. SULISTlAWATI dr., M.Kes. 196502281990032002
012011233073 QURROTA A'YUNI IMAMA Dr. SULISTIAWATI dr. M.Kes. 196502281990032002
012011233074 WIYANA HENDRI WID Dr. SULISTIAWATI dr., M.Kes. 196502281990032002
012011233075 IFLAH ANINDA WAHDANI Dr. SULISTIAWATI, dr., M.Kes. 196502281990032002
012011233076 CHALIMATUS SA'DIYYAH CHANIF Dr. SULlSTIAWATt dr .., M.Kes. 196502281990032002
012011233077 AYUWULANSARI Dr. SULISTIAWATI dr., M.Kes. 196502281990032002
012011233078 BINTA ULFATUL KHARISMA Dr. SULlSTIAWATI dr., M.Kes. 196502281990032002PARAFOILA CLEMENTINE
012011233079 ELITANINGRUM Dr. SULISTIAWATI dr. M.Kes. 196502281990032002
a un ng; a an012013243001 LlNTANG PURWATI DYAH L. WORO SETlA NlNGTYAS, S.Keb., Bd. M.Kes. 198603172020033201
012013243002 AYUNDA ARDIANA RATNA DWI JAYANTI, s.xes.. Bd. M.Keb. 198510042020033201RARA YUMNA ELFRIDA PUTRI
012013243003 P. RATNA DWI JAYANTI, S.Keb .. Bd .. M.Keb. 19851004202003~201
012013243004 TUTFAH RAZZAK FITRIARI RATNA DWI JAYANTI S.Keb. Bd., M.Keb. 198510042020033201
012013243005 DHEA REGITA SASTlKA PUTRI RATNA DWI JAYANTI, S.Keb., Bd., M.Keb. 198510042020033201
012013243006 DHEA HESTY PURWANINGRUM RATNA DWI JAYANTI, S.Keb., Bd., M.Keb. 198510042020033201
012013243007 SILVIA MAYAANANTA RIZE BUDI AMALIA S.Keb., Bd. M.Kes 198410232016113201
012013243008 'ANGGIS PUT'RI WIJ-AYAN'!'! RIZ-EBum A.Vil\LIA,s.xse.. BeL, M.I{'e-s 198410232016113201
012013243009 HAUNA NISA' NUR RIDHA RIZE BUDI AMALIA, S.Keb. Bd. M.Kes 198410232016113201
012013243010 ADELLA WAHYUNINGSIH RIZE BUDI AMALIA, S.Keb. Bd., M.Kes 198410232016113201
012013243011 FIFI LAILIYA RIZE BUD! AMALIA S.Keb. Bd., M.Kes 198410232016113201
012013243012 LAILATUL FITRIA DWI IZZATl, S.Keb., Sd., MSc 198607182016113201
012013243013 JlANTI FINA LESTARl DWI (ZZA1'l, S.Keb., 8d., MSc 198607182U16113201 I012013243014 ZAHRA LUTFIAH SAFITRI DWI IZZATI S.Keb. Bd. MSc 198607182016113201
012013243015 AULIA RAHMA OKTAVIYA DWI IZZATI, S.Keb. sa.. MSc 198607182016113201
012013243016 NABILA ILMA NISA RUKMANA DWI IZZATI, S.Keb., Bd., MSc 198607182016113201EUVANGGELIA DWILDA FERDINAND US, I·0120·132430'}7RENA~A ALYAUL-HAQ S.-Kea., sa. M.Kes. , 198602242020073201 ,EUVANGGELIA DWILDA FERDlNANDUS,
012013243018 NISAK LUVI MEGA IRAWATI S.Keb., Bd., M.Kes. 198602242020073201EUVANGGELlA DWILDA FERDINAND US,
012013243019 RECA DWI PUTRI SUSW ANTI S.Keb., Bd. M.Kes. 198602242020073201EUVANGGELIA DWILDA FERDINANDUS,
012013243020 YUNIAR SETYAWATI S.Keb., Bd., M.Kes. 198602242020073201EDVANCCELlA DWILl>A FERDINAND US,
012013243021 WINDA FATMA SARI S.Keb., Bd. M.Kes. 198602242020073201
012013243022 LUCYANA SEPTIA PRAMITA FARIDA FITRIANA S.Keb. Bd., M.Sc. 199104162020073201
012013243023 EVA SILVIA YAHYA FARIDA FITRIANA S.Keb. Bd. M.Sc. 199104162020073201
012013243024 RIKA ORTININGSIH FARIDA FITRIANA S.Keb. Bd. M.Sc. 199104162020073201
'012013243025 MUFIDAH BINTI EIQ\. FPffiIDA FIT~A: ·S.Keb. Bd., IVLSc. 199104162020073201
012013243026 NURULHIKMA FARIDA FITRIANA S.Keb. Bd., M.Sc. 199104162020073201
012013243027 HANY NABILA WORO SETIA NINGTYAS S.Keb. Bd. M.Kes. 198603172020033201
012013243028 HIDAYAHTUS SOLICHAH WORO SETIA NINGTYAS, S.Keb. Bd., M.Kes. 198603172020033201
012013243029 DWI RAHAYU CANDRA PERTIWI WORO SETIA NINGTYAS S.Keb., Bd. M.Kes. 198603172020033201
2020A k tTh
011923243026EUVANGGELIA DWILDA FERDINAND US,
FARIDATUL UMMI S.Keb. Bd. M.Kes. 198602242020073201EWANGGELIA DWILDA FERDINANDUS,
011923243027 OLVINDA EKA ZULFI S.Keb. Bd. M.Kes. 198602242020073201EUVANGGELIA DWILDA FERDlNANDUS,
011923243028 YUNI -HtJKUBUr-r ,S.-Kea. ·Bcil.·l\U(:es. 198602242020073201DESY JEIN RIMELDA EWANGGELIA DWILDA FERDINANDUS,
011923243029 MASOMBE S.Keb. Bd. M.Kes. 198602242020073201EUVANGGELIA DWILDA FERDINANDUS,
011923243030 NURUL ISTIQOMAH S.Keb. Bd. M.Kes. 198602242020073201
011923243031 YULIDA MUFIDAH ANDRIYANTI S.Keb. Bd. 199001102016077201
ei1923243032 MARIA -MAGDALENA NvVl ANDitI¥ANTI S:Ke·b. Ed. 199001102016077201
011923243033 ATMI MARMIATI ANDRIYANTI S.Keb. Bd. 199001102016077201
011923243034 HANIFA DIAN FITRI ANDRIYANTI S.Keb. Bd. 199001102016077201
011923243035 EKA SUCI WULANDARI ANDRIYANTI, S.Keb., Bd. 199001102016077201
011923243036 REGITHA ADIT PRAMESTY FARIDA FITRIANA S.Keb. Bd., M.Sc. 199104162020073201-R:A:lSSA.M1\:NlKA
011923243037 PURWANINGTIAS FARIDA FITRIANA S.Keb. Bd. M.Sc. 199104162020073201
011923243038 ATlKA ANGGARSARI FARIDA FITRIANA, S.Keb. Bd. M.Sc. 199104162020073201
011923243039 NUR MALIATUL FIRDAUS FARIDA FITRIANA S.Keb. Bd., M.Sc. 199104162020073201
011923243040 DEVVY APRIANI FARIDA FITRIANA S.Keb. Bd., M.Sc. 199104162020073201
011923243041 SmJVIAT-UL -CHASANAH WA,t..pf·BLM·rIS, s.xes., Bd.M.Kes. 198703282018083201
011923243042 YENIRISKAWATI WAHYUL ANIS S.Keb. Bd.M.Kes. 198703282018083201
011923243043 TALITHA ASLAMIYAH WAHYUL ANIS, S.Keb. Bd.M.Kes. 198703282018083201
011923243044 IRDAYANTI WAHYULANIS S.Keb., Bd.M.Kes. 198703282018083201
011923243045 NUR HIDAYATI WAHYUL ANIS S.Keb. Bd.M.Kes. 198703282018083201
012013243030 IDELIA CARLA ACHSAN WORO SETIA NINGTYAS S.Keb., Bd., M.Kes. 198603172020033201012013243031 KHOIDATUN MAUFIROH IVON DIAH WITTIARIKA, S.Keb.Bd. M.Kes 198411112018083201
012013243032 AMlLIA KRISDIANTINI IVON DIAH WlTTIARlKA, S.Keb.Bd., M.Kes 198411112018083201012013243033 WAFIROTUL RIZQI HASANAH IVON DIAH WITTIARlKA, S.Keb.Bd. M.Kes 198411112018083201012013243034 APRILIA LARASWATI IVON DIAH WITTIARlKA, S.Keb.Bd., M.Kes 198411112018083201
012013243035 REVINA AGE STIKA ANDRIYANTI S.Keb. Bd. 199001102016077201
012013243036 LUBBANNA AINI ALVIN SYAH ANDRIYANTI S.Keb. Bd. 199001102016077201
012013243037 GITTA ARINDA FAUSTINA ANDRIYANTI, S.Keb. Bd. 199001102016077201
01.201.32430.38ANGGRAY PUSPASARl ANDRIYANTJ .S..Keb..,Bu. 199001102016077201
012013243039 ERVINA PUSPA WAHYU A. WORO SETIA NINGTYAS S.Keb. Bd. M.Kes. 198603172020033201
012013243040 WAHYUNNISA INDRAROSIANA RIZE BUDI AMALIA S.Keb. Bd. M.Kes 198410232016113201
012013243041 EKA WAHYUNI RIZE BUDI AMALIA S.Keb. Bd., M.Kes 198410232016113201
012023243001 YEKTI TUNJUNGSARI DWI IZZATI S.Keb. Bd., MSc 198607182016113201
'012023243002 'RELISA NURIS stItFA DWI IZZA'I'I S:K~b. 'Bu. MSc 198607182016113201
012023243003 SARLITA RAHMI AMALIA DWIIZZATI S.Keb. Bd., MSc 198607182016113201
012023243004 MELYNDA TRILAMSARI PUTRI DWI IZZATI S.Keb. Bd., MSc 198607182016113201
012023243005 AYU CITRA GESTARI DWI IZZATI S.Keb. Bd. MSc 198607182016113201
012023243006 MARIA BERNADETA S. DJANO DWI IZZATI S.Keb. Bd. MSc 198607182016113201
012023243007 YUL1TRIYANI DWIIZZAT1 S.Keb. Bd., MSc 198607182016113201
012023243008 NURRAHMI ZULLIANTI DW1 lZZATl S.Keb. Bd. MSc 198607182016113201
012023243009 REGINA MARTINA CILIK DWI IZZATI S.Keb. Bd. MSc 198607182016113201
012023243010 NURMEYDA LENTINA POHAN DWIIZZATI S.Keb. Bd., MSc 198607182016113201EUVANGGELIA DWILDA FERDINAND US,
'0120232430H B-IANHGSIANA PANGARIHUA..b.J S.-Keb. -Bd., M:l~es. 198602242020073201EUVANGGELIA DWILDA FERDINAND US,
012023243012 FITRIANA CIPTANINGTYAS S.Keb., Bd. M.Kes. 198602242020073201EUVANGGELIA DWILDA FERDINAND US,
012023243013 BADIAH S.Keb. Bd. M.Kes. 198602242020073201EUVANGGELIA DWILDA FERDINAND US,
012023243014 UMMUKULSUM S.Keb., Bd. M.Kes. 198602242020073201"EWANGG"ELIAnWfLDA r'E'RDINAND US,
012023243015 RAHMA FURl SAGITA S.Keb. Bd. M.Kes. 198602242020073201EUVANGGELIA DWILDA FERDINAND US,
012023243016 VEBIANTI PERMADI S.Keb. Bd. M.Kes. 198602242020073201EUVANGGELIA DWILDA FERDINANDUS,
012023243017 ZAKIYAH ASLAMIYAH S.Keb., Bd. M.Kes. 198602242020073201EUVANGGELIA DWILDA FERDINANDUS,
012023243018 NUNUK YULIASTRI S.Keb. Bd. M.Kes. 198602242020073201EUVANGGELIA DWILDA' FERDlNANDUS,
012023243019 DEVIATI JUWITA SARI S.Keb., Bd. M.Kes. 198602242020073201EUVANGGELIA DWILDA FERDlNANDUS,
012023243020 MONIKA MONGANG MANUK S.Keb., Bd., M.Kes. 198602242020073201
012023243021 ZULFA LAILATUL NADIFA WORO SETIA NINGTYAS S.Keb. Bd. M.Kes. 198603172020033201
012023243022 FADLILA THAMRIN WORO SETIA NINGTYAS S.Keb., Bd., M.Kes. 198603172020033201
012023243023 MEIINDARTI . WORO SETIA NINGTYAS S;Keb. Bd. M.Kes. 198603172020033201
012023243024 WAHYUNI MAHMUD DATE WORO SETIA NINGTYAS S.Keb., Bd. M.Kes. 198603172020033201
012023243025 DIAN LEST ARI WORO SETIA NINGTYAS S.Keb., Bd., M.Kes. 198603172020033201
01202.3243026 GETRUmS DENO TITA WORO SETIA NINGTYAS, s.s-s., Brl. M.Kes. 19860317202003320J
012023243027 WIDYA RETNO SARI WORO SETIA NINGTYAS S.Keb. Bd., M.Kes. 198603172020033201
012023243028 QONITA AZIZAH WORO SETIA NINGTYAS, S.Keb., Bd., M.Kes. 198603172020033201
012023243029 SESILIA SERLY KEBO WORO SETIA NINGTYAS, S.Keb., Bd., M.Kes. 198603172020033201
012023243030 ALDILA DIAH RUMIYANDINI WAHYUL ANIS, S.Keb., Bd.M.Kes. 198703282018083201 I012023243031 ru~INDA 'REGITA PU'I'RI BARNA WAHYUL ANIS, s.xes., Bd.M.Ke~. 19870328201808J201
I
012023243032 VIONA INTAN SAFITRI WAHYUL ANIS S.Keb. Bd.M.Kes. 198703282018083201
012023243033 FARIDA TRIANI WAHYULANIS S.Keb., Bd.M.Kes. 198703282018083201
012023243034 FITRIA NENGSIH WAHYULANIS S.Keb., Bd.M.Kes. 198703282018083201
012023243035 DESI FITRIANI WAHYULANIS S.Keb. Bd.M.Kes. 198703282018083201
012023243036 NURUL MARDIYAH WAHYUL ANIS, S.Keb., Bd.M.Kes. 198703282018083201
012023243037 AUGUSTIEN JULIA SAWITRI WAHYUL ANIS S.Keb., Bd.M.Kes. 198703282018083201
012023243038 FIRDA AZIZAH WAHYUL ANIS,S.Keb., Bd.M.Kes. 198703282018083201
012023243039 RlZKI AMALIA SARI WAHYUL AN1S S.Keb., Bd.M.Kes. 198703282018083201
012023243040 DIAN LESTARI HIDAYAH WAHYUL ANIS S.Keb. Bd·.M.Kes. 198703282018083201
Salinan disarnpaikan kepada Yth.1. Rektor Universitas Airlangga;2. Para WakilDekan FKUnair;3. Koordinator Staf Dekanat FKUnair;4. KepalaBagian Tata Usaha FK Urrair;5. Para Kepala Sub Bagian FKUnair6. KPSS1 dan Profesi Kebidanan FKUnair
BUDISANTOSONIP. 196302171989111001
Itttd
DEKAN,Tata Usaha,
pada tanggal 8 Maret 202 1Ditetapkan di SurabayaS sesuai dengan aslinya
01202324'3041 EZA YUSNELLA WAHYUL ANIS S.Keb. Bd.M.Kes. 198703282018083201
01-2023243042 lKA DWI MARTANTI RATNA DWI JAYANTI, S.Keb., Bd., M.Keb. 198510042020033201MUFIDAH SHEENA ANDANI
012023243043 PRASTINI RATNA DWI JAYANTI S.Keb. Bd. M.Keb. 198510042020033201
012023243044 I TIEN AULIA'RAt:IMAWATI RATNADWI JAYANTI, S.Keb. Bd., M.Keb. 198510042020033201012023243045 RIANIWIDIA PARANTlKA RATNADWI JAYANTI S.Keb., Bd. M.Keb. 198510042020033201012023243046 SRI STYANINGSIH .RATNADWI JAYANTI S.Keb. Bd. M.Keb. 198510042020033201
Tembusan:1. Dekan;2. Yang bersangkutan
.,Sp.BP-RE(K)
Surabaya, 6 Januari 2020a.n. DekanWakil Dek___
Demikian surat tugas kami buat untuk dilaksanakan sebaik-baiknya dan penuh tanggungjawab.
sebagai Dosen Wali Program Studi S1 Kedokteran FK UNAIR Semester Gasal TahunAkademik 2019/2020 sebagaimana terlampir.
Menugaskan kepada nama di bawah ini :(Dafter Nama Terlampiri
: Prof. Dr. David S Perdanakusuma,dr.,Sp.BP-RE(K): 196003051989011002: Pembina Utama 1Guru Besar ( IVIe ): WakiI Dekan I: Fakultas Kedokteran Universitas Airlangga
NamaNIPPangkat/GolJabatanUnit Organisasi
Yang bertanda tangan dibawah ini :
SURATTUGASNo. \;3> IUN3.1.1IDL.lO/2020
e-mail: dekan@fk.unair.ac.idWebsite: bttp://www.fk.unair.ac.idk ......"'nQ "'.11 M..v;.... Prof Ilr M~~~nnn 47 ""r"h"v" .....1~I ·,·..In III~' \ ""711..,'" ""~n7"7_'~ ""'" 11141\ ...,1774.77------r-- ---. -..-.14----- .. ·-· ----~-r- --·-~-01----- --r-'---'-------,-------- -~--\---,------
ITNTVRRSTTAS ATRLANGGAFAKULTASKEDOKTERAN
6,ANGGU~I FITHRIY,~NTI
LANA BAGUSAOI C~HYOMO
\ RAHMAt\IISA PERDANAI(IJSUI\1A---_-------_------)ITV!] RAFI HAHI)ON0---_-----..,-------- -----AMMAD ~IUH IHSAN 0119'11133022EL It5~AHClURI~)TA ),EN'r-------- 011S'11133023-..,-_---_-_-..,---..,-- _----A SEVIAt>.IAPUTRI 011~H1133024
-------------..,----)1HAliMAR:DI S'VAM-_-----------_-_-_AD lo,KMAI_UDDIN
INDA ZALZABILlAH T,~ZKIR.A.HTHIWlrJ,~R 5ELLYNASTITI
~ SAlSABIIA-_---------------- ....----DZAI.FAROBI
LlA MAZII<HATUL FAIZAHSYIRAHKHAERA,NA
ILIA ft.NASTASYAIR ft.-----------------_ ....----JS OWl NLlGRJ\HA
rANI TIARA SAFITRI
)IX 9\MARTA ''''ITARTO------------------ ..,----~ MELlAt'lIJ\
JDA NUSANTARA PUTRA UTOIVIO
NDII\ PUWITASARI-----------_-_---.., _----~NG ELiN MASSITA
IA REZKYDE LORIHI ------------------IIA MllLA.
L1AMITR~ NOVITA-..,---------..,------AMI\D ABI SAI.MAt'l1,6,ZIZ
AD VERI EI~IAI\I-0( WI~)IASTUTI
--. ____,
IINO Nama Dosen Wall NIP
ITAT"AHM
1- MUHAMMAD MIPTAHl,JSSUHUR,dr., M,Kes., Sp.PD. 1979092920P8121003, SHISI:MUb-~
!---t',SASKClm-~ARNI
? DEASYFETARAYANI, dr., Sp.PD. 1974071820P5012001' LINT,f--~GARIBEN!
, -AHILCAH--
~ JONGKY HENDRO PRAJITNO, dr., $p.PD. 197211112010121002 AME~--.A.IN,APRIHAN,
41. HgRMAWAN SUSANTO, dr., ;>p. Pt). 197203022010121001 HAFI--.SARP--BEll
1-.." -ZENt-s Dr. MAFTUCHAH ROCHMANTI, dr., M.Kes 1974081120031220011 AHMADRJ
I PRA[MuH'UrrE--
tJ P~ADANA ZAKY RPMAPHON, dr., se.ro 198405292014041001 RISMMAl)--.AULI,..,
Daftar Nama DoSeD Willi Program Studi Sl Kedokteran FK UNAIR Semester Gasal Tahun Akademik 2019/2020
NO Nama Dosen Wali NIP Nama Mahasiswa NIM
FATHIMATUZ ZAHRO 011911133027TAZKIA IZZATUN AZ ZAHRA 011911133028
7 YULIA PRIMITASARI, dr., Sp.M(K) 197307012005012001 ILHAM RAHMANTO 011911133029SAFASALSABILAHANUM 011911133030INGGIL WIRYA PRANATA 011911133031ESTERCHATELINESUSANTO 011911133032MUFIDA FATHIN ROFIQI 011911133033
8 DELFITRILUTFI, dr., Sp.M(K) 198006272010122002 GALUH SENJANIYULFANI PUTRI 011911133034GHULAM RAMADHIANSYAH 011911133035SHAFAGARNtTA KINTANI PUTRI 011911133036FATIMAH AZIZAH SALSABILA 011911133037ACHMAD FAYYADMAS'UDI 011911133038
9 LOEKYINDRIASWATI,'dr. Sp.M(K). 196201182016016201 RIZALDYRAMADHAN 011911133039ARYA~GUNG HARI SUBAGIONO 011911133040TEDDYYUSUF 011911133041FIRMAN SYAUQI MAULANA HABAIB SULTHON Olf911133042PINKYKURNIAWATI 011911133043
10 ISMI ZUHRIA, dr.,SpM(K) 196406162016016201 HASANTHALIB 011911133044VALENSIAARITA PUTRI 011911133045FADHILAH JlLAN SHABIRAH 011911133046MALIKULSALEH 011911133047HANAN ALYA FARHANA 011911133048
11 Dr. MANIK RETN€)WAHYUNITISARI, dr., M.Kes. 19660521199702200] MONYCHA HELAINA CAL'STAWALUYO 011911133049AQILLA FADIA WULANDARI 011911133050ALiF RAIHAN LAKSONO 011911133051
• SALSABILAAULIA RIMADHANI 011911133052SALMA FIRDAUs 011911133053
12 LlNDAWATI ALlMSARDJONO, dr., M.Kes. 195710271986012001 ALVIYATULAININ NUVUS 011911133054AFllA REZAKUSWORO 01~911133055MIKHAEL AKBAR RIZKYSlAGIAN 011.911133056-- ~,
SARONO.GAYUHWILUJENG 011911133057RAFLYILHAM RASYIDIWIBOWO 011911133058
1'3710S')920L601G101 FAIHJZ I\IADHInA HERMADIPUTRI-------------------- ------HANAN HANIF
13 MOULI EDWARD,.:lr.,S~I.OT[lqMUf-AMMAD HARITS
BAGUSMUlE DWI H :NDRARTCI------------------------- ----------------------------- ------GABHIELF:IOWIDIPF.IYATAMA
1'37409')2201)8121002, MUf-AMMAD FADHILA NAUFAL-------------------- -----ALICIA MJ\RIAN DARMA
1B MUHAMMAD ARDIAN CAHYA LA~:SAI\IJ\,dr., Sp.OG., lvl.Kes
RAKA IBF:AHIM FAIZSYAF~ISAL--------------------- -----AYU ARIFlA PUTRI
YASYVIENAZA,'MA EIN~.IlILA
1'377071620080:L~OB HAFIlA AMADHIN HUSTI--------------------NABI::ELlJ5AMA OKEiAH17 Dr. ERI\lAWATI, dr. Sp.OG.
SABF:INAI(EM,IILA HAPSAI~I
BUrJGA PHiSCILLAF:OTUAMAI\ URU'JG----------------------------- -------- -------------------- -----OKTA MJ\I~GARITA.sUSIAI~A
TALr-HA ZAHF:ANAJELlN.l1WAIROO'(1977081420050nOOl PUTFtIBHILLlAI\ BETHISTAVIOF.IZKA16 EIGHTYMAI~DIYt\l~ KUHNIAWATI, dr., ~;p.OG-K
CHJ\IRUI\II~ISADEA MARETHAABDIJLLAH AZZIZI
CAESARIOINDHA ARDAI'IIA--------------------AND MUlt RI2A PAHLEVI
198210)1200801;~014 QO'((UM NADAA YUSRIYYAH15 DEVI AF,IANI SUDI13YO.. fr., Sp.S
DEVIANGSRAENI------------------------ ------WILDAN HAKAlvl MAULIDY
MUf- AMMAD TAUFIK ASSEGJlJF
1%4091)6199102;~00l. AFKt.RIN,II NORMA t.5IU,H---------------------------AZKIA DI.I\NAHINI14 NLJRULWIQOYAH, Dra., M.:5 .
LAIl), FAIQOTUL HUSNA------------------------------ -------- ----------------------- ------AJENG NLZUL ULPA
1'36804')9199903;~001 AHMAD I\JAJJAMAULANA------------------------------ -------FEBYCINDI LOF:EN2JI
NIP Nama MiilhasiswaNaill a 01)sen Wall
MOCHAMMAD RAFLYAKBAR
NIM
NO Nama Dosen Wali NIP Nama Mahasiswa NIM
DIVA SAPHIRA 011911133092POPPYAZURA PUTRI 011911133093ALMIRA SASKIASABILA 011911133094
20 Dr. DWIKORA NOVEMBRI UTOMO, dr., SpOT(K) 196411152016016101 REIHAN KHAIRUNNISA 011911133095VINDY VANESSAWENNAS 011911133096PINGKAN DYANINGRATRI AZZAHRA 011911133097ANNISA DWIRETNOASTUTI 011911133098FARHAN BUDI HIDAYAT 011911133099
21 MUHAMAD ROBI'UL FUADI, dr. 197912262010121001 ALFI SYAHRIANI 011911133100MUHAMMAD AL FAROUQYUFIROAKBAR 011911133101ALVA KUSUMANINGRUM 011911133102LANA KAUTSARIN IZZATAZKIA 011911133103
, ANISA FIRDAWIBOWO 01191113310422 PAULUSBUDIONO NOTOPURO, dr., Sp.PK. 197705052009121001 HANNA RETSAZUHROTUN NISA 011911133105
RAYNANDA SABTACHARISBINTI 011911133106ALFIAMIRAH PUTRI EFFENDI 011911133107ALYA DWI OKTALIANI 011911133108MUHAMMAD IRFAN INDIARTO 011911133109
23 LINDA ASTARI, dr., Sp.KK. 198103062009122003 RISKAAYU ELiANA 011911133110MUHAMMAD ZAIM ABBAS HISYAM 011911133111AULIA PUTRIUTOMO 011911133113SHAKILAZULEIKA PUTRIMAHARANI 011911133114ANDIVA NURUL FITRI 011911133115
24 MEDHI DENISAALiNDA, dr.Sp.KK 198412112014042001 ANGELA ESTHERNATHAN IELLASIHOMBING 011911133116JAMES KEVINALFEDO 011911133117AWWALlYAH AZMIIZZATI 011911133118ANNISA SALSABILLADWI NUGRAHANI 011911133119MUHAMMAD WILDAN NABALAH HARTAWAN 011911133120
2S YURIWIDIA, dr., Sp.KK. 198407062014042001 ATHIRAH SALQIS 011911133121NAUFALIA GHINA ALMIRA 011911133122HAFIZH RIZKYPRASETYA 011911133123DZAKIYAHYASMIN 011911133124
1'36212122016016201 NAD RA PJTRI NASTITI
RASYAAZI<ALAZUWARDI--------------------- -----AFIFUR Rt.FI HLMI,IIZIZ
HAICAR IVIAHDIAN-------------------- -----SHEII.A RIFQA KAMILA
SHJlJFAA \lNISI~-------------------- -----1'3600:W420l6016201 MAHARJl,rJI SUI~ADI PUTRI
1'361042620:l60lli101 AUUA ANISA PUTRI--------------------------- ------KATHERINEALYCIA 2AM
KHAI.IMtl-US SA'DIYAH-------------------------- ------AMATULL~H HAYYATUNI\IUPLJ:;
SALSABILJIAULlYA IJUTRI
1'36012202016016201 CAH"AAYU PHATIWI------------------------ -----VIENDA I.[ONY AGLJ:;TINt.
MAULANJI HAI\IIF IBI~AHIM1'36504122016016201 INSYRA HAYHANA IHSAN
MUI- AMI\1AD 1'ITIKSORA\JGStING AGUNG
SHJl.rIRAPUTEI WI[)IAW,~N
HILYA MIF:ATS IWZANA-----------------------1'38104')420l21nOOEi MUTHIA ALiFI NA HANIF
BERSELLYI~ICJl.AZARINE .AZZAHRA---------------------------ALLYlA FIHDAUS
AMALIA PUTRI ANDHIANI------------------------1'365071920:l6016201 NA(),(A (,(NDI KARTIKA \~IDAYANT(I
NIMNama I\hhasiswa
FRIA\JDI C'ANANG HABITHO
M KHARISKHJ\IVIDJ\J~
NIP
..
32 dr YUI\IIASSETIA'NATI, Sp.KJ (K)
31 NI \JING FEB".lYANA, dr.,Sp.KJ (K)
33 SCETJIPTO,dr.,SpIU(K)
B NlINIEK NUGRAHENI SULISTAWATY, dr.,Sp.KFR
28 NOOR IDHA IiANCIAJAI\II, dl..Sp.ICI:R.
:u LY)IA ,~RFIAJHI, dr.
ARD" A FARMA .ARISSAJ\I~N15-------------------------------- -------------------------------- -------NAH )AH l'oJABIlLAH
ICHi~N ---------------------------------------------------- --------- ---------------------
LUHIFAN HAKI VI SA\JUSI
RAFJ\ELOTNIEl KE5TITO----------------------------------- ------------ ------------------------ ------VANIA MEIDl":" PUTRIC.~LLlSTA
25 EVYEHVIANTI, dr.,SpKK(K),FAADV
Nanl a 01)sen Wall
NO Nama DosenWali NIP Nama Mahasiswa NIM
RATIH DEWI ANGGRAINI JUBAIR HEGEMUR 011911133157QAMAR 011911133158DHAWAM DECANDRA PUTRA 011911133159DEWI KUSUMA AYUNINGRAT 011911133160
33 MARTONO TRI UTOMO, dr., Sp.A.(K) 197301261999031002 ULFINA AlIYA SULHANA· 011911133161CHLOESHADA NARESWARI 011911133162MUHAMMAD ZA'IM MUNIF 011911133163AULlYA SYAFI'URROCHMAH 011911133164AIMMATUL YUMNA NIHAYATUL WAFA 011911133165
34 DWIYANTI PUSPITASARI,dr., DTMH, MCTM, Sp.A(K) 197410162008012014 ISNA YEFARAHIVIATIFANI 011911133166ABDURRAHMAN FADLILAHAMANU 011911133167LUTHFIYAH FIRDAUSMAHESWARI 011911133168
,FIDELAAZARINE FEBYNURHADI 011911133169ZAHR'ARABIATUL ZHAFIRA 011911133170
35 MIRA IRMAWATI, dr., Sp.A(K) 197503162016016201 ANASYA PUTRI RAMADHINA 011911133171ONI AS'AD HADI 011911133172ANNISA RAHMA DEWI 011911133173DITA TRY FRASTINA 011911133174ANANDA YULI CANTIKA 011911133175
36 Dr MAHRUS A RAHMAN, dr.,SpA (K) 195912132016016101 MILKA MELVARIZA FAUZIE 011911133176LUISAYULIA SAPUTRA 011911133177AISHA FAIRUZZAHIRA 011911133178SASKIA INTANDIVANTY KAMALIA ANGGIKA 011911133179FADILAH CITRACENDIKA 011911133180
37 MAHENDRA TRI ARIF SAMPURNA, dr.SpA 198301252015041001 NURVANIA AURELLIA BUDIRAHMADINA 011911133181TITO ROBBANI AKBAR 011911133182BRIGITA DEYAWIDIANA 011911133183NI MADE INDIRA KUSUMA PUTRI 011911133184ARLINGGA PRATAMA 011911133185
38 Dr. BAGUSSETYOBOEDI,dr., SpA(K) 196908182016016101 SANCHIA CALLISTARAIHANAH WIRYAWAN 011911133186SALMA NUR SAJIDAH 011911133187GHEFIRASONIA DONIS 011911133188
..
Ril HM.I\DEWI, dr, Sp.KIC
Dr. REI~YI'TI~;HOM, S.Pi., M5i.
1'377102620080J,;~01l HAr~ FAI-~~ZZ~.HRt~i 011~'111~321~TAZ~IYA YASRIFA 0115'11133214--------- ----------------------- ------HArJA 0115'11133215
1'3711023200212:l001. --------------------- -----ANII\ITYAS WINDRIYONIN,3RUM 0115'11133216--------- -------------------- -----
1'363032320160J,()201 AM~LlA r~IATI-~LDA 011~'111~321~MUI-. ZAKI AN~,HAnr FAF:ID 0115'11133218
ZAKIYtI--UL FAIZ.AJI,dr., M.KI~s.
dr AGU~;SAI\JTOSOBUe'I, Sp.BP-HE
Dr. ISWINAHII.JODOSO~;APU-rRO,dr., Sp.BP-I~E(K)
1'374121120:L601610l NA~~'WA~~Zzt~~RA!'Un~ HID~,YAT~ 011~'111~320~YOHANA ZENITHA THlYAI\ITI 0115'11133208----------- ----------------------- -------
1'363041520:L60J.1>10l RAT~JDI\~\ Nl~~ALI~IA YI~SUF 011~'111~320~AILSA RElr~AF~RADIBA 0115'11133210----------- ------------------------ ------
1'364082620:L60J,610l LlN-~\NG ~:AH!ANII~G R/~rRI 011~'111~321!EVELYN 011~11133212
ECWARD KlJ:;UMA, dr.,M.Kes.,Sp.An. ~IC
l'375101820081n002. NUH SHOfWAl\1 ZAHROI\IIMARIZ,l\ FITRIATI. dr., SJ.An.AISYAH SHABFUNA
MARIO HtISOL.OAN~EBASTIAN
AWl/IN BIN ALIAS
--.....--------------------QUINAMORA E5TEVANS·UTANTYO
ALBERTUSREII\ ER fMHARDJO---------------------1'3840 12420081nOOl REII~ALDI YAKCBUS43 MINElTE D ARQI)M~ ell.
MAULYDIA, dr., S~'An., (IC~ . QUH ~OTULA'YUN 0115'11133198
1'3680b')920:L60J,h20l ---------------------- -------U~. \JUR I'RAIVIESTIKARMAN 0115'11133199-------- ----------------------- -----FAMR AVICENNA 0115'11133200
LUCKYPRA~,ETlo\NATI, dr., M.Biomed
MUI-AMMAD }\BDIR RAHMAN ALB~,ROK
EEN JERII/IATA 5ARI--------------------1'35907')32016011>20l AISYAH I\IABILL~H-------------------- -------BRAVEN ~RMANDO33 Dr. RIS~,ETIKA, dr., SpA(K)
ZAHHAH HISAI\IAH H FDMI
NIMNIP Narlla M.ilha!iiswaNall1a DI) sen Wali
TI\NIA tIRDI~.N1SJ!.LEH,Dra., M.S.
NO Nama Dose" Wali NIP • Nama Mahasiswa NIM
Dr. AFIF NURUL HIDAYATI, dr.,Sp.KK, FINS-DV, FAADV 196908152016016201CAESAROYAFIFWIBOWO 011911133219
51 . BENEDICTUSANSEL.LSUSANTO 011911133220
DIAH MIRA INDRAMAYA, dr., Sp.KK. 196511082016016201ANISA PUTRI KHAIRUL 011911133221
52ERNESTOEVERALDBAIBELINO HARFONSO 011911133222
• JOSHUATEOFILUSSUTADJI 01191113322353 SAWITRI, dr.,Sp.KK(K) 196602142016016201
MUHAMMAD IRFANGANI PUTRA 011911133224ALBERTUSALARIK LlAUWNARDO 011911133225
54 DAMAYANTI, dr., Sp.KK. 198204282010122003 YOGAAKBAR ARIFANDI 011911133226NATASYADYAHAYU PURNAMASARI 011911133227
SRIPURWANINGSIH, dr., M.Kes. 197101131998022001QURROTAA'YUNIN 011911133228
5SAHMAD AKMAL ZAIDAN 011911133229
YUANI SETIAWATI, dr., M.Ked. 197806282005012002MUHAMMAD MIRZA ABDUL AZIZ 011911133230
56SAMUEL DAVIN 011911133232
NURINA HASANATULUDHHIYAH, dr., M.Si. 198110062008012018NADHIRA SHAFA KHAIRUNNISA 011911133233
57CONSTANTIA LlDWINA TARGANSKI 011911133234AMARA DESTANIAARMYNE 011911133235
58 MOHAMMAD FATHULQORIB, dr., Sp.KFR 197804112008011012 THOMAS JASONSIMADIBRATA 011911133236MUHAMMAD HASAN AL BANNA 011911133237
Dr. ARIFA MUSTIKA, dr., M.Si. 197009151998022001ALYA MUTIARA AZZAHRA 011911133238
59VERIO DAMAR ERLANTARAPUTRA 011911133239
N:URMAWATI FATIMAH, dr., M.Si. 198008172008012016DEBORARATRIALDORA 011911133240
60SANI BAGUSDARMAWAN . 011911133241
DANTI NUR INDIASTUTI, dr., M.Ked. 198002022006042002MUHAMMAD YASIRSYAFA'ATULLOH 011911133242
61NADA SALSABILA 011911133244
Dr. LlLIK HERAWATI, dr., M.Kes., AIFO 197503142003122001SARASWATI RETNOGUMILANG 011911133245
62SOFIAZAHRA KAMILA 011911133246
• --I-JOSHUA MOSES 011911133247
63 HAYURISKINANDITA SETIAWAN, dr., M.Si. 198206072008122003NAUFAL DAFFA UZZUHDI 01\911133248
Dr. PURWOSRIREJEKI,dr., M.Kes. 1975QP122005012003ALFASYEMILA ZUHRI 011911133249
64TASYAFANIA BUDI PUTRANTI 011.911133250
IRFIANSYAHIRWADI, dr., M.Si. 198210122009121003TSABITA HADID 011911133251
6SJELITAAPRISANO PUTRI 011.911133252
1'3730124199903;~002ARII:_AN ~AR[~ PU1~URt~-NAI\l1 011~111133283--------- -----FARt. YASMINA YAZIDA 011~'11133284-------- -------------------- -----
NU~Nama M:lha!;iswaNIP
Dr MIJ\ RAW/ITA AND,II,RSINI, dr. Sp.AI<
Dr. UW: DJUARI, cr., M.Kes.
Dr, ALPHA FJ\RDAHATHIYYAH, dr., Sp./I(K)
NI..A KLiRNIASARI, dr., ~jp.PA.
ALPHA~IIA F:AHNIAYU, dr., Sp.PA.
SUUS BAYUSENTCNO, dr., M.Ke~" Sp.OT.
Dr. sue: PR,IISET{:), dr. Sp,OG(K)
BLlDIO~IO, dr., M.I(es.
Dr. SUUSTIAWATI, dr., IVl.Ke!i.--------~------------------
7'J NLJRULKUSLMA WAR[lANI, dr.Sp.KFF:
RR. INDRAYUNILLIKITHA W.ARDHJ'NI, dr., Sp.KFF:.
Dr. BAMBANG PLJI~WJ\lnOi dr., l"-I.Ke:,
KRISTArnl \~ANITO WI<jATI, dr., !JI.Si,
NarTJa 01)sen Wall
""Prof. Dr. DavidI NIP. 196003051
Surabaya, 6 Januari 2020a.n. DekanWakil Dekan 1,
NO Nama DosenWali NIP Nama Mahasiswa NIM
80 Dr. SRI RATNA DWININGSIH, dr., Sp.OG(K) 197308281999032002AKMAL ZIDAN ALAUDIN 011911133285SALZA FITRIADHITAMA 011911133286
81 Dr. PUD.JILESTARI,dr., M.Kes. 197001291997022002HAFIDZ NAUFAL DHIYAULHAQ 011911133287NADIRA ZAHRA MAULIDYA PERMANA 011911133293
82 dr. VISKASARI PINTOKO KALANJATI, M.I(es.,PA(K).,PhD 197603202005012003PETERASA 011911133288MUHAMMAD MUHIBBUDDIN HILMY ASARI 011911133289
83 Prof. Dr. ABDURACHMAN, dr., M.Kes., PA(K) 196609111996011001AZARINE ARIQOH ARYSANTI BAHYSHIDQI 011911133290KAMILA PUTRI RAHMANI 011911133291
84 Dr RETNOASIH SETYONINGRUM, dr., Sp.A(K) 197103261999032001MUHAMMAD BRAHMA DWIANANDRA 011911133294NABILAH IZZATUNNISA 011911133295
85 PESTAPARULIAN MAURID EDWAR, dr.,Sp.An. 196712262016016101DHEA HASNA SALSABILLA 011911133296HANIF ARDIANSYAH SULISTYA 011911133297
86 Dr. GADIS MEINAR SARI, dr., M.Kes. 196605041996032001 ALKAUTSAR xrrro AVENZORA, 011911133298
87 Dr. dr. ASRAAL FAUZI, SE., MM., Sp.BS(K). FICS,IFAANS 197010012000031010DAFFA MUHAMMAD CANTONA GUERIN 011911133299AHMED ELlAAN SHAKERABUAJWA 011911133306
88 Dr. WIDATI FATMANINGRUM, dr., M.Kes., Sp.GK 196601081997022001ANISATIA MAUDINA 011911133300
• RIFDATUNNISA BURMANA 011911133301
89 Dr. GONDO MASTUTIK, drh., M.Kes. 197306272002122001MUHAMMAD DANY RAMADHAN 011911133303NADINE SALSABILA PUTRI 011911133304
1. Menyusun rencana pertemuan untuk:konsultasi dengan mahasiswa wali.
2. Membantu mahasiswa memahami dan menjalankan program belajar secara
komprehensif sesuai dengan mata kuliah yang sedang dijalaninya, serta mendorong dan
menanamkan kesadaran kepada mahasiswa wah untuk bekerja keras dan belajar giat
secara berkesinambungan.
3. Membantu pengembangan soft skill mahasiswa yang dilakukan dengan strategi
pelaksanaan Sistem Kredit Prestasi (SKP) sesuai dengan pedoman mutu Universitas
Airlangga. Implementasi SKP meliputi pengembangan soft skill kegiatan
kemahasiswaan antara lain: organisasi dan kepemimpinan, penalaran dan keilmuan,
minat, bakat, dan kegemaran, kepedulian sosial, kegiatan kemahasiswaan yang lain.
4. Mengikuti perkembangan studi mahasiswa dengan cara:
a. Mengadakan pertemuan secara periodik sedikitnya 3 kali dalam 1 semester, misalnya
di awal semester, sebelum ujian perbaikan (bila mahasiswa menjalaninya) serta pada
akhir semester menjelang Penetapan Hasil Studi (PHS) atau Yudisium., baik individual
maupun kelompok untuk memecahkan kesulitan-kesulitan akademik.
b. Memberikan tanda tangan di buku log perwalian mahasiswa pada setiap akhir
pertemuan
c. Memonitor perkembangan dan kemajuan belajar mahasiswa walinya secara periodik
d. Memonitor kegiatan mahasiswa walinya yang dianggap perIu.
5. Mendorong dan menanarnkan kesadaaran kepada mahasiswa bimbingannya untuk
bekerja keras dan belajar giat serta berkesinambungan.
6. Menampung masalah-masalah akadernik maupun non akademik yang dihadapi
mahasiswa walinya dan memberikan altematif solusi untuk:dilaksanakan secara mandiri
oleh mahasiswa.
7. Bila dosen wali menghadapi kesulitan dalam pembimbingan masalah akademik, dapat
menghubungi Koordinator Program Studi (KPS). Sedangkan kesulitan dalam
pembimbingan masalah non akademik tennasuk masalah etik, dosen wah dapat
melaporkan kepada KPS. Bila perIu, KPS mengkonsultasikan mahasiswa wali ke Unit
Bimbingan dan Konseling Mahasiswa.
PERAN DOSEN DALAM PROSES PERW ALlANPROGRAMSTUDlKEDOKTERAN
PROGRAM STUDI PENDIDIKAN PROFESI DOKTER
KEMENTERIAN PENDIDIKAN DAN KEBUDA YAANUNIVERSITAS AIRLANGGAFAKULTASKEDOKTERAN
Kampus A 11. Mayjen Prof Dr. Moestopo 47 Surabaya 60131Telp. (031) 5020251, 5030252-3 Fax. (031) 5022472
Website: http://www.fk.unair.ac.id e-mail: dekan@fk.unair.ac.id
J-Prof. Dr. Da~·t"f/r~a,~iKy:j!J4rna,Qr.,Sp.BP-RE(K)NIP. 19600305
8. Berkewajiban menghadiri rapat-rapat koordinasi yang diselenggarakan Program
StudilFakultas.
9. Berkoordinasi dengan KPS dalam menjalankan tugas dan kewajibannya.
e-mail : dekan@fK.unair.ac.idWebsite: httpv/www.fk.unair.ac.id
Kampus A Jl. Mayjen Prof.Dr. Moestopo 47 Surabaya 60131Telp. (031) 5020251, 5030252-3 Fax. (031) 5022472
KEMENIERlAN PEl'-IDIDI!(j\N DlL~ ¥.EBlJDA YA.A~...~UNIVERSITAS AIRLANGGAFAAu~TASKEDOKTERAN
top related