[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-id-113":3,"doc-seo-234299-113":41,"doc-detail-234299-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-for-dental-nurse-work-permit-sikpg-attachment-1","Permohonan Surat Izin Kerja Perawat Gigi (SIKPG) - Lampiran 1","","Permohonan Surat Izin Kerja Perawat Gigi (SIKPG) ditujukan kepada Kepala Dinas Kesehatan Kabupaten Kapuas Hulu di Putussibau. Surat memuat identitas pemohon seperti nama, alamat, tempat dan tanggal lahir, jenis kelamin, tahun kelulusan, serta nomor STR/SIPG dan nomor telepon. Pemohon mengajukan izin kerja sesuai Keputusan Menteri Kesehatan Nomor 1392/Menkes/SK/XII/2001 dan menegaskan kelengkapan dokumen pendukung melalui daftar lampiran.",{"@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":15,"@type":58,"position":64},"https://docshare.wps.com/id/template/formulir/",3,{"item":66,"name":47,"@type":58,"position":67},"https://docshare.wps.com/id/template/application-for-dental-nurse-work-permit-sikpg-attachment-1/234299/",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-for-dental-nurse-work-permit-sikpg-attachment-1/234299.png","ImageObject",442,249,{"name":76,"@type":77},"Seraphina","Person",{"url":56,"name":79,"@type":80},"DocShare","Organization","application/pdf","2026-09-21","2026-09-11",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},"Siapa penerima surat permohonan SIKPG ini?","Question",{"text":96,"@type":97},"Surat ditujukan kepada Kepala Dinas Kesehatan Kabupaten Kapuas Hulu di Putussibau.","Answer",{"name":99,"@type":94,"acceptedAnswer":100},"Apa dasar aturan untuk pengajuan SIKPG?",{"text":101,"@type":97},"Pengajuan dinyatakan sesuai Keputusan Menteri Kesehatan Nomor 1392/Menkes/SK/XII/2001 tentang Registrasi dan Izin Kerja Perawat Gigi.",{"name":103,"@type":94,"acceptedAnswer":104},"Dokumen lampiran apa saja yang disertakan bersama permohonan?",{"text":105,"@type":97},"Lampiran mencakup permohonan ke Kepala Dinas Kesehatan, fotokopi KTP, fotokopi ijazah dan transkrip, fotokopi SIPG, surat keterangan berbadan sehat, surat keterangan mulai bekerja, pas foto, rekomendasi PPGI, serta surat pernyataan sanggup dan patuh pada peraturan perundang-undangan.","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},234299,1789085938,{"code":4,"msg":5,"data":115},{"doc_id":112,"user_id":116,"nickname":76,"user_avatar":117,"doc_module":9,"category_id":14,"category_name":15,"doc_title":47,"doc_description":49,"doc_content":118,"file_id":119,"file_url":120,"file_type":121,"file_size":122,"view_count":61,"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},962075114101,"https://ap-avatar.wpscdn.com/avatar/e000253a75eb197efd?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780044092746381165","Lampiran : 1 (satu) bandel  \nPerihal : Permohonan Surat Izin Kerja Perawat Gigi (SIKPG)  \nKepada Yth :  \nKepala Dinas Kesehatan Kabupaten Kapuas Hulu Di –  \nPutussibau  \nYang bertanda tangan dibawah ini saya :  \nNama :  \nAlamat :  \nTempat, tgl lahir :  \nJenis kelamin :  \nLulusan dari tahun :  \nNomor STR/SIPG :  \nNo. Handpone :  \nDengan ini mengajukan permohonan untuk mendapatkan Surat Izin Kerja (SIK) Pada..................................................................................... (sebut nama saranakesehatannya, alamat, nama kota, kabupaten/kota) Sesuai dengan Keputusan Mentri Kesehatan Nomor 1392/Menkes/SK/XII/2001 tentang Registrasi dan Izin Kerja Perawat Gigi.  \nSebagai Bahan Pertimbangan Bersama Ini Saya Lampirkan :  \n1. Permohonan kepada Kepala Dinas Kesehatan Kabupaten Kapuas Hulu  \n2. Fotocopy KTP pemohon  \n3. Fotocopy ijazah dan transkip nilai pendidikan perawat gigi  \n4. Fotocopy Surat Izin Perwat Gigi (SIPG)  \n5. Surat keterangan berbadan sehat dari dokter pemerintah  \n6. Surat keterangan dari pimpinan sarana pelayanan kesehatan yang menyebutkan tanggal mulai bekerja sebagai perawat gigi  \n7. Pas foto ukuran 4x6 sebanyak 2 lembar 3x4 sebanyak 2 lembar (80% bagian wajah)  \n8. Rekomendasi dari organisasi propesi (PPGI)  \n9. Surat pernyataan sanggup dan patuh terhadap peraturan perundangundangan yang berlaku  \nDemikian permohonan ini disampaikan, atas terkabulnya permohonan ini diucapkan terimakasih  \nPutussibau, . ................. .... ... Yang memohon,  \n(.......................................)","cbCaithXVkOK6U5u","https://ap.wps.com/l/cbCaithXVkOK6U5u","pdf",13196,"Indonesian","# Lampiran 1\n## Perihal dan tujuan surat\n## Identitas pemohon\n## Dasar pengajuan\n## Daftar lampiran\n## Penutup dan tanda tangan","[{\"question\":\"Siapa penerima surat permohonan SIKPG ini?\",\"answer\":\"Surat ditujukan kepada Kepala Dinas Kesehatan Kabupaten Kapuas Hulu di Putussibau.\"},{\"question\":\"Apa dasar aturan untuk pengajuan SIKPG?\",\"answer\":\"Pengajuan dinyatakan sesuai Keputusan Menteri Kesehatan Nomor 1392/Menkes/SK/XII/2001 tentang Registrasi dan Izin Kerja Perawat Gigi.\"},{\"question\":\"Dokumen lampiran apa saja yang disertakan bersama permohonan?\",\"answer\":\"Lampiran mencakup permohonan ke Kepala Dinas Kesehatan, fotokopi KTP, fotokopi ijazah dan transkrip, fotokopi SIPG, surat keterangan berbadan sehat, surat keterangan mulai bekerja, pas foto, rekomendasi PPGI, serta surat pernyataan sanggup dan patuh pada peraturan perundang-undangan.\"}]","Permohonan Surat Izin Kerja Perawat Gigi (SIKPG) - Lampiran 1 | PDF"]