PT PLN (PERSERO)
PANGGILAN TES FISIK (LULUS PSIKOTEST & FGD)
REKRUTMEN TERBUKA MELALUI POLBAN CAREER EXPO BANDUNG
PT PLN (PERSERO) TINGKAT S1/D4/D3 TAHUN 2014
Bersama ini diumumkan daftar nama peserta yang lulus Psikotest & FGD dan berhak mengikuti tes fisik
Rekrutmen Terbuka Melalui Polban Career Expo Bandung. Adapun tes fisik akan dilaksanakan pada :
HARI & TANGGAL
BATCH NOMOR URUT
WAKTU
Senin, 25 Agustus
2014
1
1 – 130
06.00 WIB
2
131 – 258
08.00 WIB
Tempat
: Laboratorium Klinik Biotest
Jalan Naripan No. 41 Bandung
1. Peserta harap hadir 30 menit sebelum jadwal yang ditentukan untuk keperluan administrasi;
2. Membawa KTP/kartu identitas yang berlaku dan kartu peserta;
3. Peserta berpakaian sopan dan rapi, tidak mengenakan jeans, t-shirt atau sandal / sepatu sandal;
4. Peserta agar membawa alat tulis;
5. Peserta mencetak sendiri dan membawa formulir Anamnesa sebagaimana tercantum pada bagian
akhir pengumuman ini dan dibawa saat pelaksanaan tes fisik. Meterai dan foto 3x4 berwarna sudah
ditempel pada saat menyerahkan formulir anamnesa;
6. Setiap pengumuman ataupun Informasi mengenai rekrutmen PLN hanya melalui website PT PLN
(Persero)
www.pln.co.id
; akun twitter @rekrutmenpln, dan website JPAC Polban. Peserta agar
berhati-hati terhadap segala usaha dan bentuk penipuan yang mengatasnamakan rekrutmen PLN. PLN tidak
pernah memungut biaya terhadap keseluruhan proses seleksi;
KANTOR PUSAT
NO
NO TES
NAMA
1 1407/BDG/JF/S1/ELE/11111 ABDUL GHOFUR SAFAAD S1 ELEKTRO 2 1407/BDG/JF/S1/ELE/11113 AGUS SYAFITRAH S1 ELEKTRO 3 1407/BDG/JF/S1/ELE/11114 AHMAD AZIZ ALQURNAIN S1 ELEKTRO 4 1407/BDG/JF/S1/ELE/11117 ALGI DESTIA S1 ELEKTRO 5 1407/BDG/JF/S1/ELE/11118 ALTINA CORI ZOLA NAINGGOLAN S1 ELEKTRO 6 1407/BDG/JF/S1/ELE/11119 AMIN SETIADJI S1 ELEKTRO 7 1407/BDG/JF/S1/ELE/11120 ANDI UTAMI MUSLIMAH S1 ELEKTRO 8 1407/BDG/JF/S1/ELE/11121 ANDIKA PRATAMA S1 ELEKTRO 9 1407/BDG/JF/S1/ELE/11127 AZHARRY WAHYUDI HARTLAND S1 ELEKTRO 10 1407/BDG/JF/S1/ELE/11131 DAIROBI S1 ELEKTRO 11 1407/BDG/JF/S1/ELE/11132 DANIEL VAN BASTEN S1 ELEKTRO 12 1407/BDG/JF/S1/ELE/11136 DEHAN FIRRMANSYAH S1 ELEKTRO 13 1407/BDG/JF/S1/ELE/11142 DYAN FATUANTA HARAHAP S1 ELEKTRO 14 1407/BDG/JF/S1/ELE/11145 ESTU WIDYARINI S1 ELEKTRO 15 1407/BDG/JF/S1/ELE/11146 FAHADD FEBRIAN S1 ELEKTRO 16 1407/BDG/JF/S1/ELE/11147 FAJAR AKBAR PANDIANGAN S1 ELEKTRO 17 1407/BDG/JF/S1/ELE/11148 FANDI ADITYA S1 ELEKTRO 18 1407/BDG/JF/S1/ELE/11149 FANDI RAHMAT S1 ELEKTRO 19 1407/BDG/JF/S1/ELE/11151 FAZARI ABDILLAH S1 ELEKTRO 20 1407/BDG/JF/S1/ELE/11152 FEBRIAN REZY FAHLEVI S1 ELEKTRO 21 1407/BDG/JF/S1/ELE/11156 GELANA MERTY KUSDRIAN S1 ELEKTRO 22 1407/BDG/JF/S1/ELE/11160 HENDRY KURNIAWAN S1 ELEKTRO 23 1407/BDG/JF/S1/ELE/11163 I KOMANG ARI SASTRAWAN S1 ELEKTRO 24 1407/BDG/JF/S1/ELE/11164 IDDHA PERTIWI S1 ELEKTRO 25 1407/BDG/JF/S1/ELE/11165 IRFAN ARYA SATRIA S1 ELEKTRO 26 1407/BDG/JF/S1/ELE/11166 JANUAR ABDUR ROHMAN S1 ELEKTRO 27 1407/BDG/JF/S1/ELE/11168 JEMBAR SEMARA IKHSAN S1 ELEKTRO 28 1407/BDG/JF/S1/ELE/11170 KHAIRUDDIN S1 ELEKTRO 29 1407/BDG/JF/S1/ELE/11171 LEO SAPUTRA S1 ELEKTRO 30 1407/BDG/JF/S1/ELE/11175 MADE GALANG DANANJAYA S1 ELEKTRO 31 1407/BDG/JF/S1/ELE/11176 MAHERIANTO S1 ELEKTRO 32 1407/BDG/JF/S1/ELE/11177 MENDEL SEGORO S1 ELEKTRO 33 1407/BDG/JF/S1/ELE/11178 MIRSYAL S1 ELEKTRO 34 1407/BDG/JF/S1/ELE/11179 MOCHAMMAD RAMADHAN LERRICK S1 ELEKTRO 35 1407/BDG/JF/S1/ELE/11180 MONANG PANDAPOTAN S1 ELEKTRO 36 1407/BDG/JF/S1/ELE/11181 MUHAMAD HAFID ALFIRDAUS S1 ELEKTRO 37 1407/BDG/JF/S1/ELE/11182 MUHAMMAD AMIRUL S1 ELEKTRO 38 1407/BDG/JF/S1/ELE/11183 MUHAMMAD AZHARY SIREGAR S1 ELEKTRO 39 1407/BDG/JF/S1/ELE/11184 MUHAMMAD BILAL JULIAN S1 ELEKTRO 40 1407/BDG/JF/S1/ELE/11188 NOFRA KOPRIA ASTA S1 ELEKTRO 41 1407/BDG/JF/S1/ELE/11189 NOPANDRA ADI PRATAMA S1 ELEKTRO 42 1407/BDG/JF/S1/ELE/11192 OVIE ARIESTA S1 ELEKTRO 43 1407/BDG/JF/S1/ELE/11194 PRATAMA PIRNGADI HARAHAP S1 ELEKTRO
DAFTAR PESERTA TES KESEHATAN FISIK
REKRUTMEN TERBUKA MELALUI POLBAN CAREER EXPO 2014
TINGKAT S1/D4/D3 TAHUN 2014
NO
NO TES
NAMA
JURUSAN
44 1407/BDG/JF/S1/ELE/11196 PUSPA AYU KUSTIA S1 ELEKTRO 45 1407/BDG/JF/S1/ELE/11197 RAHMA YURIKA S1 ELEKTRO 46 1407/BDG/JF/S1/ELE/11202 REZKY ICHWAN KARTA S1 ELEKTRO 47 1407/BDG/JF/S1/ELE/11203 RICKY KURNIA S1 ELEKTRO 48 1407/BDG/JF/S1/ELE/11206 RISKY TRIANANDA S1 ELEKTRO 49 1407/BDG/JF/S1/ELE/11208 ROFIKO ABROR HAMDANI S1 ELEKTRO 50 1407/BDG/JF/S1/ELE/11209 ROMA SAN REGO S1 ELEKTRO 51 1407/BDG/JF/S1/ELE/11210 RUDI ASRUDIN S1 ELEKTRO 52 1407/BDG/JF/S1/ELE/11211 SITI SUDATUL AISYAH NOVIANTI S1 ELEKTRO 53 1407/BDG/JF/S1/ELE/11212 SUHARTOYO S1 ELEKTRO 54 1407/BDG/JF/S1/ELE/11215 TEGUH ANDRA S1 ELEKTRO 55 1407/BDG/JF/S1/ELE/11216 WAHYU NURSYIAM S1 ELEKTRO 56 1407/BDG/JF/S1/ELE/11218 WENNIE PURWANTI S1 ELEKTRO 57 1407/BDG/JF/S1/ELE/11221 ZALBAWI S1 ELEKTRO 58 1407/BDG/JF/S1/ALE/11224 ADHI KSATRIA THEOGAPA S1 ELEKTRONIKA 59 1407/BDG/JF/S1/ALE/11225 ADITYA KRISNA ANANDA S1 ELEKTRONIKA 60 1407/BDG/JF/S1/ALE/11226 AGUNG SAPUTRA S1 ELEKTRONIKA 61 1407/BDG/JF/S1/ALE/11228 AMAZONE RUWE MUNTHE S1 ELEKTRONIKA 62 1407/BDG/JF/S1/ALE/11229 ANDI PRAMANA TARIGAN S1 ELEKTRONIKA 63 1407/BDG/JF/S1/ALE/11231 ARTON JOHAN LUBIS S1 ELEKTRONIKA 64 1407/BDG/JF/S1/ALE/11232 ARYO PUTRO SADONO S1 ELEKTRONIKA 65 1407/BDG/JF/S1/ALE/11233 ATIKA RAKHMAH PUTRI S1 ELEKTRONIKA 66 1407/BDG/JF/S1/ALE/11239 DWI DANANG HERMAWAN S1 ELEKTRONIKA 67 1407/BDG/JF/S1/ALE/11241 ENGGAL PRASETYO WIDODO S1 ELEKTRONIKA 68 1407/BDG/JF/S1/ALE/11244 FIRMANSYAH LUKMAN S1 ELEKTRONIKA 69 1407/BDG/JF/S1/ALE/11245 GHIDION YOSHIANO S1 ELEKTRONIKA 70 1407/BDG/JF/S1/ALE/11247 HIDAYAT CHANIAGO S1 ELEKTRONIKA 71 1407/BDG/JF/S1/ALE/11250 IRVAN LEWI S1 ELEKTRONIKA 72 1407/BDG/JF/S1/ALE/11251 JOHAN FIRDAUS S1 ELEKTRONIKA 73 1407/BDG/JF/S1/ALE/11253 MAMAN RAHMAN S1 ELEKTRONIKA 74 1407/BDG/JF/S1/ALE/11254 MANLAHIMA PADARIDI AS S1 ELEKTRONIKA 75 1407/BDG/JF/S1/ALE/11255 MASTER JAN ROY TURNIP S1 ELEKTRONIKA 76 1407/BDG/JF/S1/ALE/11257 MOCHAMAD IRFAN MAULANA S1 ELEKTRONIKA 77 1407/BDG/JF/S1/ALE/11259 PRAMESTI YUDANTARA S1 ELEKTRONIKA 78 1407/BDG/JF/S1/ALE/11261 RIZALDY PAHLEVI S1 ELEKTRONIKA 79 1407/BDG/JF/S1/ALE/11263 SOFY FITRIANI S1 ELEKTRONIKA 80 1407/BDG/JF/S1/ALE/11269 YOSANTIA BELLA SYAHRIA S1 ELEKTRONIKA 81 1407/BDG/JF/S1/ALE/11270 YOUANDREW DE VATMA S1 ELEKTRONIKA 82 1407/BDG/JF/S1/ALE/11271 YUDI MUSTAFA ALFAJRI S1 ELEKTRONIKA 83 1407/BDG/JF/S1/ALE/11272 YULIA RETNO WARDHANI S1 ELEKTRONIKA 84 1407/BDG/JF/S1/ALE/11273 YUSUF AMIRUDDIN S1 ELEKTRONIKA 85 1407/BDG/JF/S1/MES/11275 ABDUL RIZAL MUSTAFIZ S1 MESIN 86 1407/BDG/JF/S1/MES/11277 ADITYO SURYO AJI WIBOWO S1 MESIN 87 1407/BDG/JF/S1/MES/11279 AHMAD BUKHORI S1 MESIN 88 1407/BDG/JF/S1/MES/11280 AMALIANTY S1 MESIN 89 1407/BDG/JF/S1/MES/11283 ARY SETYAWAN S1 MESIN 90 1407/BDG/JF/S1/MES/11285 BOY HARPIT AKROMA S1 MESIN 91 1407/BDG/JF/S1/MES/11287 BUBI HAKKULHAKIM S1 MESIN 92 1407/BDG/JF/S1/MES/11294 I.K. AGLA FIDRAN S1 MESIN 93 1407/BDG/JF/S1/MES/11295 ILHAM ABRORI S1 MESIN 94 1407/BDG/JF/S1/MES/11297 IQBAL MAKKI S1 MESIN
95 1407/BDG/JF/S1/MES/11298 ISMAIL EFFENDI S1 MESIN 96 1407/BDG/JF/S1/MES/11300 LOBENY MARKUS HEZEKIEL SINAGA S1 MESIN 97 1407/BDG/JF/S1/MES/11302 MUFADDA S1 MESIN 98 1407/BDG/JF/S1/MES/11305 NOFRI INDRAWAN S1 MESIN 99 1407/BDG/JF/S1/MES/11308 PRIMA GINANJAR SYAFA'AT S1 MESIN 100 1407/BDG/JF/S1/MES/11309 RAINY FITRAHARDHIKA S1 MESIN 101 1407/BDG/JF/S1/MES/11310 RAMADHAN KAAFAH S1 MESIN 102 1407/BDG/JF/S1/MES/11311 REFGINANDA AKNUR S1 MESIN 103 1407/BDG/JF/D3/ELE/11320 ABDUL JAFAR D3 ELEKTRO 104 1407/BDG/JF/D3/ELE/11321 ABDUL KHOLIQ SAEPUDIN D3 ELEKTRO 105 1407/BDG/JF/D3/ELE/11323 ADITYA PERDANA KUSUMA D3 ELEKTRO 106 1407/BDG/JF/D3/ELE/11324 AIRLANGGA D3 ELEKTRO 107 1407/BDG/JF/D3/ELE/11325 AJI MUHARAM SOMANTRI D3 ELEKTRO 108 1407/BDG/JF/D3/ELE/11330 AMI RAHAYUNI D3 ELEKTRO 109 1407/BDG/JF/D3/ELE/11334 APRYANTO REDYANA D3 ELEKTRO 110 1407/BDG/JF/D3/ELE/11335 APTIAN AJI DAYUSMAN D3 ELEKTRO 111 1407/BDG/JF/D3/ELE/11336 ARNSEKO PURANTORO WIDYANOMO D3 ELEKTRO 112 1407/BDG/JF/D3/ELE/11337 AYATI SAADAH D3 ELEKTRO 113 1407/BDG/JF/D3/ELE/11338 AYU WANDIRA PAWITRA D3 ELEKTRO 114 1407/BDG/JF/D3/ELE/11344 DANNIS SETIAWAN NURYADI D3 ELEKTRO 115 1407/BDG/JF/D3/ELE/11346 DESTYA ARIS YULIANTI D3 ELEKTRO 116 1407/BDG/JF/D3/ELE/11348 DICKY PAMUNGKAS ASRI D3 ELEKTRO 117 1407/BDG/JF/D3/ELE/11351 DWIKI SETIABUDI D3 ELEKTRO 118 1407/BDG/JF/D3/ELE/11356 EVAN JANSERNIDO ERMIN D3 ELEKTRO 119 1407/BDG/JF/D3/ELE/11357 EVI NOVIANTI D3 ELEKTRO 120 1407/BDG/JF/D3/ELE/11358 FACHRI FADLI D3 ELEKTRO 121 1407/BDG/JF/D3/ELE/11361 FAJAR ROSALINA D3 ELEKTRO 122 1407/BDG/JF/D3/ELE/11362 FAUZIAH NURUL AINI D3 ELEKTRO 123 1407/BDG/JF/D3/ELE/11363 FERIANTY SUPRIYANTO D3 ELEKTRO 124 1407/BDG/JF/D3/ELE/11364 FREDDY KUSDIANTO D3 ELEKTRO 125 1407/BDG/JF/D3/ELE/11365 GALUH NECANATA PRATAMA SEJATI D3 ELEKTRO 126 1407/BDG/JF/D3/ELE/11367 GERRY DENDHI SUKMA D3 ELEKTRO 127 1407/BDG/JF/D3/ELE/11368 GIPY YOGILASMANA D3 ELEKTRO 128 1407/BDG/JF/D3/ELE/11369 GITA RAHAYU RISTIANI D3 ELEKTRO 129 1407/BDG/JF/D3/ELE/11370 HANI APRIANTI SOLIHAH D3 ELEKTRO 130 1407/BDG/JF/D3/ELE/11371 HARRY CHARISMAN D3 ELEKTRO 131 1407/BDG/JF/D3/ELE/11372 HENDRI PRATAMA D3 ELEKTRO 132 1407/BDG/JF/D3/ELE/11373 INDRA KHARISMA D3 ELEKTRO 133 1407/BDG/JF/D3/ELE/11375 JAJANG HENDRA D3 ELEKTRO 134 1407/BDG/JF/D3/ELE/11376 JULIANTI KARTIKA D3 ELEKTRO 135 1407/BDG/JF/D3/ELE/11383 MOCHAMAD RAMDLANI PUTRA D3 ELEKTRO 136 1407/BDG/JF/D3/ELE/11387 MUHAMMAD SILMAN NUGRAHA D3 ELEKTRO 137 1407/BDG/JF/D3/ELE/11392 OVVY DEWANTI PUTRI D3 ELEKTRO 138 1407/BDG/JF/D3/ELE/11394 PANJI DERMAWAN D3 ELEKTRO 139 1407/BDG/JF/D3/ELE/11395 PRATIWI DWI RETNOSARI D3 ELEKTRO 140 1407/BDG/JF/D3/ELE/11396 PRESELLYA NUR OKTAVIA D3 ELEKTRO 141 1407/BDG/JF/D3/ELE/11400 RAHMAT SAEP AFFANDI D3 ELEKTRO 142 1407/BDG/JF/D3/ELE/11401 REGIA ERFAWINANDA D3 ELEKTRO 143 1407/BDG/JF/D3/ELE/11403 RIDWAN FALAHUDDIN D3 ELEKTRO 144 1407/BDG/JF/D3/ELE/11404 RIHANDENI GUSTIAN D3 ELEKTRO 145 1407/BDG/JF/D3/ELE/11406 RIZKY MUGHNII D3 ELEKTRO
NO
NO TES
NAMA
JURUSAN
146 1407/BDG/JF/D3/ELE/11408 RURIN FAWESTRIALNI D3 ELEKTRO 147 1407/BDG/JF/D3/ELE/11413 TATA SUHARTA D3 ELEKTRO 148 1407/BDG/JF/D3/ELE/11414 TATAN RUSTANDI D3 ELEKTRO 149 1407/BDG/JF/D3/ELE/11415 TEGUH ADIE PAMUNGKAS D3 ELEKTRO 150 1407/BDG/JF/D3/ELE/11416 TIO SARI ELISABETH PANGARIBUAN D3 ELEKTRO 151 1407/BDG/JF/D3/ELE/11418 UMUL HANDAYANI D3 ELEKTRO 152 1407/BDG/JF/D3/ELE/11420 WIMA EKA GANDARA D3 ELEKTRO 153 1407/BDG/JF/D3/ELE/11423 YANTI NURISTIAN D3 ELEKTRO 154 1407/BDG/JF/D3/ALE/11429 ALI YUSUF D3 ELEKTRONIKA 155 1407/BDG/JF/D3/ALE/11430 AMRI SALMAN RIZAL D3 ELEKTRONIKA 156 1407/BDG/JF/D3/ALE/11433 AULIA IKHWAN D3 ELEKTRONIKA 157 1407/BDG/JF/D3/ALE/11437 CITRA SUCIATI SUNARYA D3 ELEKTRONIKA 158 1407/BDG/JF/D3/ALE/11438 DAFY ELVA D3 ELEKTRONIKA 159 1407/BDG/JF/D3/ALE/11439 DEDE MIRAJ D3 ELEKTRONIKA 160 1407/BDG/JF/D3/ALE/11446 GUNTARA WIGUNA D3 ELEKTRONIKA 161 1407/BDG/JF/D3/ALE/11447 HAGI ADICAHYA D3 ELEKTRONIKA 162 1407/BDG/JF/D3/ALE/11448 HANDI PERMANA PUTRA D3 ELEKTRONIKA 163 1407/BDG/JF/D3/ALE/11449 HARY SUSANTO D3 ELEKTRONIKA 164 1407/BDG/JF/D3/ALE/11451 ICHWAN SANTOSO D3 ELEKTRONIKA 165 1407/BDG/JF/D3/ALE/11453 IMAM BAKTI KUSUMA D3 ELEKTRONIKA 166 1407/BDG/JF/D3/ALE/11454 IMROATUN SHOLIHAH D3 ELEKTRONIKA 167 1407/BDG/JF/D3/ALE/11458 LUTHFI FAHRIZAL D3 ELEKTRONIKA 168 1407/BDG/JF/D3/ALE/11459 MAYANK DECYANA NURVICKA D3 ELEKTRONIKA 169 1407/BDG/JF/D3/ALE/11460 METTI MELIANI D3 ELEKTRONIKA 170 1407/BDG/JF/D3/ALE/11461 MOHAMAD NURDINSYAH EKAPUJAKESUMA D3 ELEKTRONIKA 171 1407/BDG/JF/D3/ALE/11465 MUHAMMAD RASHIF NAUFAN D3 ELEKTRONIKA 172 1407/BDG/JF/D3/ALE/11470 RIZKA WULANZANI D3 ELEKTRONIKA 173 1407/BDG/JF/D3/ALE/11471 ROCHMAWATI D3 ELEKTRONIKA 174 1407/BDG/JF/D3/ALE/11472 SITI AISYAH ARYANI D3 ELEKTRONIKA 175 1407/BDG/JF/D3/ALE/11474 SRI HARTONO D3 ELEKTRONIKA 176 1407/BDG/JF/D3/ALE/11475 TITIEP ANUGRAH GUSTI D3 ELEKTRONIKA 177 1407/BDG/JF/D3/ALE/11477 VIRNA APRIANI AZIS D3 ELEKTRONIKA 178 1407/BDG/JF/D3/MAN/11482 AGY SEPTIAN D3 MANAJEMEN 179 1407/BDG/JF/D3/MAN/11486 AJIF RIZAL ARIFIN D3 MANAJEMEN 180 1407/BDG/JF/D3/MAN/11491 ANNIS SABRIYANTI PUTRI D3 MANAJEMEN 181 1407/BDG/JF/D3/MAN/11492 ANNISA ASTRIA DEWI SAHRONI D3 MANAJEMEN 182 1407/BDG/JF/D3/MAN/11494 ASTRI CAHYANI D3 MANAJEMEN 183 1407/BDG/JF/D3/MAN/11496 AZMI TSAANIYA EL ISLAMI D3 MANAJEMEN 184 1407/BDG/JF/D3/MAN/11498 BESAR PANCA NEGARA D3 MANAJEMEN 185 1407/BDG/JF/D3/MAN/11501 DEDI ARDILA D3 MANAJEMEN 186 1407/BDG/JF/D3/MAN/11503 DEWI NOVITA D3 MANAJEMEN 187 1407/BDG/JF/D3/MAN/11504 DEWI RUKMIATI D3 MANAJEMEN 188 1407/BDG/JF/D3/MAN/11507 DONNY MARTHADIHANTARA D3 MANAJEMEN 189 1407/BDG/JF/D3/MAN/11511 EKA SRI MULYASARI D3 MANAJEMEN 190 1407/BDG/JF/D3/MAN/11516 FAJRI FITRIYAN D3 MANAJEMEN 191 1407/BDG/JF/D3/MAN/11519 FEBBIE SILVIANDARI D3 MANAJEMEN 192 1407/BDG/JF/D3/MAN/11524 GILANG GINANJAR FITRIANTO DARWANTO D3 MANAJEMEN 193 1407/BDG/JF/D3/MAN/11525 GILANG SATRIA PUTRA D3 MANAJEMEN 194 1407/BDG/JF/D3/MAN/11526 HAFID MU'MIN ASSALAM D3 MANAJEMEN 195 1407/BDG/JF/D3/MAN/11527 HERNAWATI PURNAMASARI D3 MANAJEMEN 196 1407/BDG/JF/D3/MAN/11528 HUSEN MUHARDIAWAN D3 MANAJEMEN
197 1407/BDG/JF/D3/MAN/11533 KIKI ZAKIYAH AL NISA D3 MANAJEMEN 198 1407/BDG/JF/D3/MAN/11534 LUSI SUKMAWATI D3 MANAJEMEN 199 1407/BDG/JF/D3/MAN/11536 MARLINA DWI ULI SIHOMBING D3 MANAJEMEN 200 1407/BDG/JF/D3/MAN/11538 MEIDO RIZQI WICAKSANA D3 MANAJEMEN 201 1407/BDG/JF/D3/MAN/11545 NENG ALIA SAMSIAH D3 MANAJEMEN 202 1407/BDG/JF/D3/MAN/11548 NUGRAHA RACHMANAPUTRA D3 MANAJEMEN 203 1407/BDG/JF/D3/MAN/11552 NURULNAGUSTINA D3 MANAJEMEN 204 1407/BDG/JF/D3/MAN/11554 POPI PUSPITASARI D3 MANAJEMEN 205 1407/BDG/JF/D3/MAN/11555 PRIMAWATI TARIK D3 MANAJEMEN 206 1407/BDG/JF/D3/MAN/11558 RANI NUR SHABRINA D3 MANAJEMEN 207 1407/BDG/JF/D3/MAN/11561 RD.SANITA YUANA D3 MANAJEMEN 208 1407/BDG/JF/D3/MAN/11562 RIO NUGRAHA D3 MANAJEMEN 209 1407/BDG/JF/D3/MAN/11563 RISKA EKAWATI NINGSIH D3 MANAJEMEN 210 1407/BDG/JF/D3/MAN/11566 RYAN MUSTOFA D3 MANAJEMEN 211 1407/BDG/JF/D3/MAN/11568 SANIA KARIMA D3 MANAJEMEN 212 1407/BDG/JF/D3/MAN/11569 SANJANI NOPIANDRI MUHAMAD R D3 MANAJEMEN 213 1407/BDG/JF/D3/MAN/11570 SANTI SULISTIYANINGSIH D3 MANAJEMEN 214 1407/BDG/JF/D3/MAN/11573 SARAH AMALIA ZAHRA D3 MANAJEMEN 215 1407/BDG/JF/D3/MAN/11574 SARAH RAHMASARI D3 MANAJEMEN 216 1407/BDG/JF/D3/MAN/11575 SARI BIRRAWATI D3 MANAJEMEN 217 1407/BDG/JF/D3/MAN/11576 SATRIA ELVIZA HANDANI D3 MANAJEMEN 218 1407/BDG/JF/D3/MAN/11580 SITI ANISA HIDAYANTI D3 MANAJEMEN 219 1407/BDG/JF/D3/MAN/11587 TWI NUR MUTMAINAH D3 MANAJEMEN 220 1407/BDG/JF/D3/MAN/11589 VINA EGIANE D3 MANAJEMEN 221 1407/BDG/JF/D3/MAN/11595 ZAENAL MUHAMMAD D3 MANAJEMEN 222 1407/BDG/JF/D3/SIP/11597 ADI PERMADI D3 SIPIL 223 1407/BDG/JF/D3/SIP/11599 ALBERTUS ALFI D N D3 SIPIL 224 1407/BDG/JF/D3/SIP/11600 ANDRI MUGNI D3 SIPIL 225 1407/BDG/JF/D3/SIP/11601 ANGGIA PERMATASARI D3 SIPIL 226 1407/BDG/JF/D3/SIP/11603 ARENDY JANUAR PRAMUDIANTO D3 SIPIL 227 1407/BDG/JF/D3/SIP/11604 ARIEF RAKHMAN D3 SIPIL 228 1407/BDG/JF/D3/SIP/11605 ARIF KURNIA D3 SIPIL 229 1407/BDG/JF/D3/SIP/11606 ARMELYA DHIKA PURNAMA D3 SIPIL 230 1407/BDG/JF/D3/SIP/11607 AULIA HADI SAPUTRA D3 SIPIL 231 1407/BDG/JF/D3/SIP/11608 CHINTIA SRI KUMALADEWI RULIANTO D3 SIPIL 232 1407/BDG/JF/D3/SIP/11613 DIMAS AZIIZ PRATAMA D3 SIPIL 233 1407/BDG/JF/D3/SIP/11616 ENDAH APRIYANI D3 SIPIL 234 1407/BDG/JF/D3/SIP/11617 ENDAH WULANDARI D3 SIPIL 235 1407/BDG/JF/D3/SIP/11618 EVI OLYVIANTI SULISTYANINGRUM D3 SIPIL 236 1407/BDG/JF/D3/SIP/11619 FATHU RIZAL D3 SIPIL 237 1407/BDG/JF/D3/SIP/11620 FITRIA RACHMAWATI PRATIWI D3 SIPIL 238 1407/BDG/JF/D3/SIP/11621 GANTINA DANIAR RAMADHANI D3 SIPIL 239 1407/BDG/JF/D3/SIP/11623 HANNA FRANSISCA D3 SIPIL 240 1407/BDG/JF/D3/SIP/11624 HARRY PRATAMA D3 SIPIL 241 1407/BDG/JF/D3/SIP/11626 IKHBAL MUTTAKIN D3 SIPIL 242 1407/BDG/JF/D3/SIP/11627 IRVAN LOVIAN D3 SIPIL 243 1407/BDG/JF/D3/SIP/11629 M. ANJAR SHEVTIAN D3 SIPIL 244 1407/BDG/JF/D3/SIP/11631 MILA SRIJAYANTI D3 SIPIL 245 1407/BDG/JF/D3/SIP/11638 PUTRI IRIANI PERTIWI D3 SIPIL 246 1407/BDG/JF/D3/SIP/11640 RACHMA YANTI DEWI D3 SIPIL 247 1407/BDG/JF/D3/SIP/11643 REIZA GINANJAR D3 SIPIL
NO
NO TES
NAMA
JURUSAN
248 1407/BDG/JF/D3/SIP/11644 RESA BUDI SUSILA D3 SIPIL 249 1407/BDG/JF/D3/SIP/11646 RIKA NURHAETI AGUSTINI D3 SIPIL 250 1407/BDG/JF/D3/SIP/11647 RIMA RIVA'ATUL MUNAWAROH SM D3 SIPIL 251 1407/BDG/JF/D3/SIP/11649 RITA PUSPITA D3 SIPIL 252 1407/BDG/JF/D3/SIP/11651 RUDY GAMANANDA D3 SIPIL 253 1407/BDG/JF/D3/SIP/11658 TRI FEBRIANTO PAMUNGKAS D3 SIPIL 254 1407/BDG/JF/D3/SIP/11659 WINDA INDAH PERTIWI D3 SIPIL 255 1407/BDG/JF/D3/SIP/11661 YALIA YANA D3 SIPIL 256 1407/BDG/JF/D3/SIP/11663 YULIA DEWI PUSPASARI D3 SIPIL 257 1407/BDG/JF/D3/SIP/11665 YULYANA NURAENI D3 SIPIL 258 1407/BDG/JF/D3/SIP/11666 ZULFIKAR HELINGO D3 SIPIL
TIM REKRUTMEN
JAKARTA, 18 AGUSTUS 2014
PT PLN (PERSERO)
1
FORMULIR ANAMNESA CALON PEGAWAI
Lokasi Tes : ___________________
Tanggal
: ___________________
Nomor Lab. : ___________________ (Kolom ini diisi petugas)
IDENTITAS PESERTA
1. Nama
:
2. No. Tes
:
3. Jenis Kelamin
: Laki-Laki / Perempuan
*)4. Tempat/Tgl Lahir :
5. Status
: Kawin / Duda / Janda / Belum Menikah
*)6. Alamat
: ________________________________________________________________
________________________________________________________________
RIWAYAT PEMERIKSAAN KESEHATAN
Apakah Anda pernah mengikuti tes kesehatan sebelumnya : Ya / Tidak
*)Jika jawaban Anda ya, maka :
1. Lokasi : ______________
2. Tanggal : ____ Bulan ____ Tahun ____
3. Keperluan : ___________
4. Hasil : Lulus / Tidak
*)RIWAYAT PENYAKIT
1. Penyakit yang pernah diderita (beri tanda √ pada pilihan Anda) :
Berilah tanda (√) apabila kondisi-kondisi tersebut pernah Anda alami atau Anda alami selama 3 bulan terakhir
Penyakit/Kondisi Ya Tidak Tdk Tahu Penyakit/Kondisi Ya Tidak Tdk Tahu Penyakit/Kondisi Ya Tidak Tdk Tahu
Saluran Nafas Saluran Cerna Sendi & Tulang
Sinusitis Typhoid Radang Sendi/Rematik
Bronchitis Muntah Darah Penyakit Lain
Batuk Darah Sulit BAB Alergi Makanan
TBC Sakit Lambung/Maag Makanan : ………..
Radang Paru Penyakit Kuning Alergi Obat
Asma Penyakit Kantung
Empedu Obat :
Sesak Nafas Buang Air Besar
Berdarah Tetanus
Ginjal & Saluran Kemih Sering Diare Pingsan
Sulit Buang Air
Kecil Gangguan Menelan Pelupa
Radang Saluran
Kemih Kulit & Kelamin Gangguan Pendengaran
PT PLN (PERSERO)
2
Penyakit Ginjal Cacar Air Sakit Pinggang
Kencing Batu Jamur Kulit Tumor Ganas/Kangker
Jaringan Syaraf Penyakit Kelamin Penyakit Jiwa
Radang Selaput
Otak/meningitis Jantung TBC Kulit
Gegar Otak Serangan Jantung TBC Tulang & Lainnya
Polio Nyeri dada Campak
Ayan/Epilepsi Rasa Berdebar Malaria
Stroke/Lumpuh Tekanan Darah Tinggi Diabetes
Sakit Kepala Pembuluh Darah Gangguan Tidur
Kelenjar Ambeien/Wasir
Penyakit
Gondok/Thyroid Varises
