[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-id-113":3,"doc-seo-234200-113":41,"doc-detail-234200-id":114},{"code":4,"msg":5,"data":6},0,"success",[7,13,17,21,25,29,33,37],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":4,"slug":12},178,1,"Template","Faktur","faktur",{"id":14,"doc_module":9,"doc_module_name":10,"category_name":15,"show_sort_weight":4,"slug":16},192,"Formulir","formulir-192",{"id":18,"doc_module":9,"doc_module_name":10,"category_name":19,"show_sort_weight":4,"slug":20},180,"Media Sosial","media-sosial",{"id":22,"doc_module":9,"doc_module_name":10,"category_name":23,"show_sort_weight":4,"slug":24},179,"Poster","poster",{"id":26,"doc_module":9,"doc_module_name":10,"category_name":27,"show_sort_weight":4,"slug":28},176,"Presentasi","presentasi",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":4,"slug":32},177,"Resume","resume",{"id":34,"doc_module":9,"doc_module_name":10,"category_name":35,"show_sort_weight":4,"slug":36},182,"Surat","surat-a95d00d3aaf04f3b854ecf140f00d385",{"id":38,"doc_module":9,"doc_module_name":10,"category_name":39,"show_sort_weight":4,"slug":40},183,"Umum","umum-07d1ff437201438088836b2b1ed3c90f",{"code":4,"msg":42,"data":43},"ok",{"site_id":44,"language":45,"slug":46,"title":47,"keywords":48,"description":49,"schema_data":50,"social_meta":107,"head_meta":109,"extra_data":111,"updated_unix":113},113,"id","application-letter-for-work-permit-for-public-health-personnel-form","Permohonan Surat Izin Kerja Tenaga Kesehatan Masyarakat - Formulir","","Permohonan surat izin kerja untuk tenaga kesehatan masyarakat ditujukan kepada Kepala Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kabupaten Pangkep di Pangkajene. Formulir memuat data pemohon seperti nomor KTP, nama lengkap, alamat, nomor telepon, tempat dan tanggal lahir, jenis kelamin, serta informasi permohonan (baru, perpanjangan, atau perubahan). Di bagian kerja dicantumkan tempat kerja, alamat, nomor STRTS, masa berlaku, email, kode pos, dan jenis izin yang diajukan. Lampiran yang disyaratkan mencakup surat permohonan, fotokopi KTP, foto pas 4x6, serta ketentuan tambahan untuk perpanjangan dan pemenuhan SKP, termasuk rekomendasi dari Dinas Kesehatan.",{"@graph":51,"@context":106},[52,68,89],{"@type":53,"itemListElement":54},"BreadcrumbList",[55,59,62,65],{"item":56,"name":57,"@type":58,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":60,"name":10,"@type":58,"position":61},"https://docshare.wps.com/id/template/",2,{"item":63,"name":35,"@type":58,"position":64},"https://docshare.wps.com/id/template/surat/",3,{"item":66,"name":47,"@type":58,"position":67},"https://docshare.wps.com/id/template/application-letter-for-work-permit-for-public-health-personnel-form/234200/",4,{"url":66,"name":47,"@type":69,"image":70,"author":75,"headline":47,"publisher":78,"fileFormat":81,"inLanguage":45,"description":49,"dateModified":82,"datePublished":83,"encodingFormat":81,"isAccessibleForFree":84,"interactionStatistic":85},"DigitalDocument",{"url":71,"@type":72,"width":73,"height":74},"https://docshare.wps.com/thumbnails/application-letter-for-work-permit-for-public-health-personnel-form/234200.png","ImageObject",442,249,{"name":76,"@type":77},"Felix Montgomery","Person",{"url":56,"name":79,"@type":80},"DocShare","Organization","application/pdf","2026-09-12","2026-09-10",true,{"@type":86,"interactionType":87,"userInteractionCount":9},"InteractionCounter",{"@type":88},"ViewAction",{"@type":90,"mainEntity":91},"FAQPage",[92,98,102],{"name":93,"@type":94,"acceptedAnswer":95},"Surat ini ditujukan kepada siapa?","Question",{"text":96,"@type":97},"Surat ditujukan kepada Kepala Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kabupaten Pangkep, di Pangkajene.","Answer",{"name":99,"@type":94,"acceptedAnswer":100},"Apa saja jenis permohonan yang tersedia pada formulir?",{"text":101,"@type":97},"Permohonan dapat berupa Baru, Perpanjangan, atau Perubahan.",{"name":103,"@type":94,"acceptedAnswer":104},"Lampiran apa saja yang harus disertakan untuk mengajukan SIK?",{"text":105,"@type":97},"Lampiran meliputi surat permohonan, fotokopi KTP, fotokopi ijazah, pas foto warna ukuran 4x6, serta dokumen tambahan untuk perpanjangan dan pemenuhan SKP, termasuk rekomendasi dari Dinas Kesehatan Kab. Pangkep.","https://schema.org",{"og:url":66,"og:type":108,"og:title":47,"og:site_name":79,"og:description":49},"article",{"robots":110,"canonical":66},"index,follow",{"doc_id":112,"site_id":44},234200,1789084642,{"code":4,"msg":5,"data":115},{"doc_id":112,"user_id":116,"nickname":76,"user_avatar":117,"doc_module":9,"category_id":34,"category_name":35,"doc_title":47,"doc_description":49,"doc_content":118,"file_id":119,"file_url":120,"file_type":121,"file_size":122,"view_count":9,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":123,"language_code":45,"site_id":44,"html_lang":45,"table_of_contents":124,"faqs":125,"seo_title":126,"seo_description":49,"update_tm":113,"read_time":4},549768064778,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","PERMOHONAN SURAT IZIN KERJA TENAGA KESEHATAN MASYARAKAT  \nKepada Yth. Kepala Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu  \nKabupaten Pangkep  \ndi   \nPangkajene  \nS1  \nYang bertanda tangan di bawah ini mengajukan permohonan untuk mendapatkan Surat Izin Kerja (SIK) Tenaga Kesehatan Masyarakat  \nNomor KTP :  \nNama Lengkap :  \nAlamat Rumah :  \n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n\nNomor Telp/HP :                            \nTempat/Tgl Lahir :                            \nJenis Kelamin :  Laki-laki  Perempuan  \nPermohonan Izin :  Baru  Perpanjangan  Perubahan  \nTempat Bekerja :                            \nAlamat Tempat Bekerja :  Nomor STRTS :                            \nSTRTS Berlaku s/d :   \nEmail :   \nKode Pos :           \nSebagai bahan pertimbangan, bersama ini dilampirkan :  \n1 Surat Permohonan ( 1 Lembar );  \n2 Foto Copy KTP Pemohon (2 Lembar);  \n3 Foto Copy Ijasah  \n4 Pas Foto warna 4 x 6 (4 Lembar);  \n5 Bagi permohonan perpanjangan melampirkan dokumen izin yang lama  \n6 Melampirkan Pemenuhan SKP bagi permohonan Perpanjangan  \n7 Rekomendasi dari Dinas Kesehatan Kab. Pangkep  \nPersyaratan untuk mendapatkan rekomendasi dari Dinas Kesehatan antara lain :  \na. Surat Keterangan Berbadan Sehat  \nb. Foto Copy STRTS  \nc. Surat Izin Atasan bagi pemohon Surat Izin Kerja mandiri  \nd. Surat pernyataan taat pada Peraturan Perundang-Undangan yang berlaku.  \nSyarat tersebut akan diverifikasi oleh Bidang Sumber Daya Kesehatan  \nDemikian permohonan ini diajukan dan atas persetujuannya diucapkan terima kasih.  \n...……………………… ………..…………………………….  \n,  \nP e m o h o n  \n.................................................................................  \n)*coret yang tidak perlu","cbCaiawIjP8jS5Jg","https://ap.wps.com/l/cbCaiawIjP8jS5Jg","pdf",152577,"Indonesian","# Permohonan Surat Izin Kerja Tenaga Kesehatan Masyarakat\n## Data Pemohon\n## Jenis Permohonan dan Data Pekerjaan\n## Lampiran Persyaratan\n## Pernyataan dan Tanda Tangan","[{\"question\":\"Surat ini ditujukan kepada siapa?\",\"answer\":\"Surat ditujukan kepada Kepala Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kabupaten Pangkep, di Pangkajene.\"},{\"question\":\"Apa saja jenis permohonan yang tersedia pada formulir?\",\"answer\":\"Permohonan dapat berupa Baru, Perpanjangan, atau Perubahan.\"},{\"question\":\"Lampiran apa saja yang harus disertakan untuk mengajukan SIK?\",\"answer\":\"Lampiran meliputi surat permohonan, fotokopi KTP, fotokopi ijazah, pas foto warna ukuran 4x6, serta dokumen tambahan untuk perpanjangan dan pemenuhan SKP, termasuk rekomendasi dari Dinas Kesehatan Kab. Pangkep.\"}]","Permohonan Surat Izin Kerja Tenaga Kesehatan Masyarakat - Formulir | PDF"]