8/19/2019 15 MEDIS - izin ruang latihan ged A (PUN).doc

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 No : 15/PH/LKMM-PRADAS/OS/VIII/2014

Lamp : -

Hal : Permohonan Izin Tempat

Kepada

Yt! De"a#at $K %NISS%LA

d& 'empat

A((alam)ala&")m *+! *,!

P)& S.)")+ "ead&+at Alla S*' .a# (e#a#t&a(a mel&mpa"a# +amat da# &da.a-N.a "epada

"&ta (em)a! Solaat da# (alam (emoa te+)+a "epada )#)#a# "&ta Na,& M)ammad SA* ,e(e+ta

 pa+a "el)a+a (aa,at da# pe#&")t#.a!

Se),)#a# de#a# a"a# d&ada"a##.a pelat&a# t&m Med&( LKMM p+ada(a+ .a# a"a#

d&la"(a#a"a# pada:

Ha+& / 'a#al : Ra,) 23 A)(t)( 2014

*a"t) : P"l! 0!00 (ele(a&

'empat: 6ed)# A Lt!1

%#t)" &t) "am& ,e+ma"()d memoo# & ata( pe#.ele#a+aa# aa+a te+(e,)t!

Dem&"&a# ()+at pe+moo#a# & "am& ,)at! Ata( pe+at&a# da# "e+a (ama#.a "am& me#)ap"a#

te+&ma "a(&!

*a((alam)ala&")m *+! *,!

8/19/2019 15 MEDIS - izin ruang latihan ged A (PUN).doc

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Sema+a#

P+e(&de# Maa(&(a $K %NISS%LA Ket)a LKMM 2014 $K %NISS%LA

  Bayu Winoto

  Narendra Tyas Wicaksana

Ka!7a Kemaa(&(aa# da# Al)m#&

$K %NISS%LA

dr. Hj. Andriana, Sp.THT-!, "si."ed

'em,)(a# :

1! Koo+dato+ R)a# 6ed A Lt!1