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    FR-APL-01. FORMULIR PERMOHONAN SERTIFIKASI KOMPETENSI

    Bagian 1 : Rincian Data Pererta

    Pa!a "agian ini# cat$%&an !ata 'ri"a!i# !ata 'en!i!i&an ()r%a* erta !ata 'e&er+aan an!

    a. Data Pri"a!i

    Na%a *eng&a' :

    Te%'at , tg*. Lair :

    eni &e*a%in :

    Ke"angaan :

    A*a%at r$%a :

    N). Te*e')n,E-%ai* :

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    a 'a!a aat ini.

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    Bagian 2 : Daftar Unit Kompetensi

    Pa!a "agian / ini# cat$%&an Unit K)%'eteni ang an!a a+$&an $nt$& !ini*ai,!i$+i &)%'

    %en!a'at&an 'enga&$an e$ai !engan *atar "e*a&ang 'en!i!i&an# 'e*atian erta 'en

    No Kode Unit Judul Unit

    KES.P0/.023.01

    Memfasilitasi pemenuhan keb

    eliminasi

    urin

    Bagian 3 : Kompetensi dan Bukti Pendukung

    Kompetensi/lemen Kompetensi !"#

    Unt$& e*an+$t&an Ae)r a&an %eni*ai &e$aian "$&ti-"$&ti445 ang an!a a+$&an 67a*i! 6

    8$rent 6ter&ini5# S$9cient 6%e%a!ai5 erta %e%"$at re&)%en!ai $nt$& ae%en *an+$

    Unit Kompetensi Bukti $ang Dipers%aratkan Kesesuai&'kema 'erti(kasi" ) *

    Kode dan tipe+tipe bukti :

    Kode bukti ,ipe+tipe bukti

    'K Serti;&at ata$ &$a*i;&ai 6c)nt): 'e*atian# &ea&*ian5

    '- S$rat re(ereni !ari $'er7i)r,'er$aaan %engenai '

    .P 8)nt) 'e&er+aan ang 'erna an!a "$at 6'r)!$& +a!i5

    JD )" !ecri'ti)n< !ari 'er$aan %engenai 'e&er+aan an

    ' =a>ancara !engan e'er7i)r# te%an e"aa ata$ &*ie

    De De%)ntrai 'e&er+aan,&etera%'i*an ang !i'erarat&

    Pe Penga*a%an In!$tri 6)n te +)" training# %agang# &er+a

    0 B$&ti-"$&ti *ain ang re*e7an

    Unit &)%'eteni ang !ia+$&an !a'at "er$'a Unit K)%'eteni T$ngga* (Single Unit)%a

    K)%'eteni (Cluster Units)

    Pa!a "agian ini# an!a !i%inta $nt$& %eng$"$ng&an !an %enc)c)&an (matching)anta

    Bukti+bukti pendukungang an!a %i*i&i !an era&an.

    T$*i&an &e%"a*i "$&ti-"$&ti ang te*a !ica%'$r&an 'a!a Bagian 1 !an 3 'a!a &)*)% b

    cant$%&an kode bukti'a!a etia' ite% "$&ti ang an!a t$*i# !ierti !ata-!ata,!)&$%

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    -ekomendasi : *sesi :

    Na%a

    Tan!a tangan,

    Tangga*

    .atatan : *sesor :

    Na%a

    N). Reg.Tan!a tangan,tangga*

    Tan!a tangan,

    Tangga*

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    teni !a*a% rang&a

    a*a%an &er+a ang an!a %i*i&i.

    tuhan

    ai5# A$tentic 6a*i5#

    t 4445.

    an bukti *sesmen. ' 0an1ut

    &er+aan an!a

    a

    an

    'ra&te !**5

    '$n $nt$& e&e*)%')& Unit

    Keterangan&standar

    khusus/'tandarinternasional

    a Kompetensi!engan

    ukti!i "a>a ini erta

    n ang re*e7an e$ai !engan

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    1.3.1.1. A'a&a a$!ara %a%'$

    %engi!en!i;&ai

    &e"$t$an "e*a+ar

    "er!aar&an %aa*a

    'ri)rita 'ena&it ang

    !ia*a%i &*ien?

    1.3.1./. A'a&a a$!ara %a%'$

    %engeta$i 'r)e "e*a+ar

    ang a&an !i"eri&an )*e

    &*ien?

    1.3./.1. A'a&a a$!ara %a%'$

    %engga*i &e"$t$an "e*a+ar

    &*ien ecara ra%a !engan

    %e%'ri)rita&an %aa*a

    'ena&it 'a!a &*ien?

    Daftar Pertan%aan

    K)%')nen ae%en %an!iri

    Asessessment)

    Kriteria

    Un1uk Ker1a:

    /.1 T$+$an "e*a+ar /.1.1. Ma%'$ /.1.1.1. A'a&a a$!ara %a%'$

    !iteta'&an %er$%$&an "er&er+aa%a !engan &*ien

    ecara rea*iti& t$+$an "e*a+ar !a*a% %eneta'&an t$+$an

    e$ai "era%a &*ien "e*a+ar ang a&an !ica'ai?

    &e"$t$an e$ai !engan

    "e*a+ar 'ena&it ang /.1.1./. A'a&a a$!ara %a%'$

    &*ien,'aien !ia*a%i &*ien %en+e*a&an cara

    %e%"$at t$+$an ang

    "ai&?

    /.1.1.3. A'a&a a$!ara %a%'$

    %en+e*a&an &e'a!a &*ien

    !a*a% %eneta'&an t$+$an

    "e*a+ar?

    1.3 Ke"$t$an

    "e*a+ar &*ien,'aien!itent$&an e$ai

    'ri)rita

    1.3.1 Ma%'$%eng&a+i &e"$t$an"e*a+ar &*ien"er!aar&an'ena&it ang!i!erita &*ien

    1.3./. Ma%'$%engana*ia'ri)rita %aa*a&eeatan ter&ait'e%"erian'e%"e*a+aran anga&an !i*a&$&an

    lemen Kompetensi : 2#Mer$%$&an t$+$an !an &riteria ai*

    6Ae%en Man!iri,Self

    ndikator Un1ukker1a

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    Penilaian Bukti+bukti Pendukung

    K BK KD ) * . '

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    /./. Kriteria ai* /./.1. Ma%'$ /./.1.1. A'a&a a$!ara %a%'$

    !iteta'&an %e%"$at %e%"eri&an 'e%"e*a+

    !engan &riteria ai* &e'a!a &*ien e*a%a @

    %e%'erti%"an "era%a &*ien# %enit

    g&an rea*iti& e'erti &*ien

    !an !a'at /./.1./. A'a&a a$!ara %a%'$

    &e%$!aan %ene"$t&an# %e%"$at &*ien 'enca%'aian. %en!e%)trai&an %ene"$t&an &e%"a*i

    an 20 %ateri tentang 'engertian# ta

    ang te*a !an ge+a*a# e"a" 'en

    !ia%'ai&an !iet# &e'at$an !a*a%

    'eng)"atan.

    /./.1.3. A'a&a a$!ara %a%'$

    %enge7a*$ai ai* a

    !ica'ai !a*a%

    'e%"e*a+aran &*ien?

    Daftar Pertan%aan

    K)%')nen ae%en %an!iri

    Kriteria

    ndikator Un1uk ker1aUn1uk Ker1a: 3.1.1.1. A'a&a a$!ara %a%'$

    %encita&an *ing&$nga

    3.1. Strategi 3.1.1. Ma%'$ "iing

    'e%"e*a+aran Menge%"ang&an !an

    !iteta'&an %e%an(aat&an 3.1./.1. A'a&a a$!ara %a%'$

    !engan $%"er-$%"er !aa %e%an(aat&an *ing&$n

    %e%'erati&an: ang tere!ia &)n!$i( 6'enerangan

    a. Ketere!iaan $$ r$angan na%an5

    $%"er-$%"er

    ". aa 3.1./. Ma%'$ 3.1./.1. A'a&a a$!ara %a%'$

    "e*a+ar ang %engg$na&an "er"agai &ee'a&atan !engan &*

    !i&een!a&i %aca% %et)!e &)ntra& te%'at 'e%"e

    c. Ting&at 'e%"e*a+aran 'a!a 'e%"e*a+aran?

    &e%a%'$an &*ien

    %e%"aca,%en 3.1.3.1. a'a&a a$!ara %a%'$

    3.1.3. Ma%'$ %et)!e ang e$ai !

    %ening&at&an &e"$t$an &*ien e'er

    'engeta$an# cera%a

    lemen Kompetensi : 3#Menge%"ang&an rencana trategi 'e%"e*a+aran

    6Ae%en Man!iri,Self Asessess

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    ran

    !a

    a&it#

    g

    Penilaian Bukti+bukti Pendukung

    K BK KD ) * . '

    ang ti!a&

    gan ang

    ar$ c$&$'#

    ?

    %e%"$at

    ien ter&ait

    rian

    %e%i*i

    ngan

    i !i&$i#

    ent)

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    $*i# cera%a# 'i&)%)t)r# !a*a% 3.1.3./. A'a&a a$!ara %a%'$

    !i&$i# 'r)e 'e%"e*a+aran %enia'&an 'er*eng&

    !e%)ntrai !e%)trai ang !ie

    !an "er%ain 3.1.@. Ma%'$ !engan &e"$t$an &*ie

    'eran 6r)*e %e*i"at&an &*ien#

    '*aing5 &e*$arga &*ien erta 3.1.3.3. A'a&a a$!ara %a%'$

    te%an e+a>at !a*a% %ere!e%)trai&an

    %ening&at&an 'e%"e*a+aran ang e

    'engeta$an. 'ena&it &*ien ata$ &e

    !ari &*ien

    3.1.3.@. A'a&a a$!ara %a%'$

    %e%)ti7ai &*ien ata$

    &*ien !a*a% %en!e%)

    &e%"a*i a'a ang te*a

    !i'ra&ti&&an?

    [email protected]. A'a&a a$!ara %enge

    'entingna %e*i"at&an

    !a*a% 'ening&atan 'e

    3.1.@./. A'a&a a$!ara a&an %

    &e*$arga &*ien "i*a ingi

    %e%"eri&an 'engeta

    'ena&it &*ien?

    3./. S$%"er- 3./.1.1. A'a&a a$!ara %enge

    $%"er 'entingna %e!ia 'e%

    !an a*at 3./.1. Ma%'$

    "ant$ %enge%"ang&an 3./.1./. A'a&a a$!ara !a'at

    'enga+aran %e!ia !an %engg$na&an %e!ia '

    !iteta'&an %ene!ia&an 6*eaCeat# *e%"ar "a*i&5

    e'erti %e!ia

    'a%Cet# 'enga+aran 3./.1.3 A'a&a a$!ara %enget

    a*at "ant$ e$ai !engan %aca% %e!ia ang !a

    'enga+aran &e"$t$an &*ien !ig$na&an )*e &*ien?

    !an %)!e*

    !an

    'era*atan.

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    'an a*at-a*at

    ai&an

    n.

    $ai !engan

    $t$an

    &e*$arga

    trai&an

    a$i

    &e*$arga

    geta$an

    e*i"at&an

    $an ter&ait

    a$i

    "e*a+aran?

    e%"e*a+aran

    ecara "ai&

    $i

    at

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    %en!)&$%entai @.1././. A'a&a a$!ara %ena

    &an %e%"eri&an rencana tin!a& *an+$t

    rencana &*ien !an &e*$arga "er

    tin!a&*an+$t ang >a&t$ !an te%'at an

    te*a !i"eri&an !ie'a&ati?

    &e'a!a &*ien !an

    &e*$arga

    @./. Rencana @./.1.1 A'a&a a$!ara %enget

    'e%"e*a+ar %e%"$at critica* 'at>

    an

    !i%a$&&a @./.1./. A'a&a a$!ara %e%"$

    n &e !a*a% 'at>a 'e%"e*a+ara

    critica* @./.1. Ma%'$ a&an !i"eri&an &e'a!a

    'at>a %e%"$at critica* %a$'$n &e*$arga?

    ang 'at>a

    %en$n+$&& 'e%"e*a+aran ang

    an &a'an te*a !i*a&$&an

    'e%"e*a+ar

    an

    !i*a&$&an

    -ekomendasi *sesor :

    .atatan :

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    'ai&an

    e'a!a

    !aar&an

    g te*a

    $i cara

    a?

    at critica*

    n ang

    &*ien

    Peserta :

    Na%a

    Tan!a tangan,

    Tangga*

    *sesor :

    Na%a

    N). Reg.

    Tan!a tangan,

    Tangga*

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    E*e%en 1

    B$&ti-"$&ti

    !an eni

    Kriteria Un+$& In!i&at)r B$&ti 6L# TL Met

    Ker+a $n+$& Ker+a !an T54 Ae

    1.1. Ke"$t$an 1.1.1. Ma%'$ U+i *ian"e*a+ar %en+e*a& Ti!a& Lang$ng

    &*ien,'aien an

    !ii!enti;&ai i!enti;&a

    !engan i

    %e%'erti%"ang &e"$t$a

    &an *atar n "e*a+ar

    "e*a&ang &*ien,'ai

    'en!i!i&an# en

    &e"$t$an ang

    ter&ait !engan"aaa !an

    "$!aa# 'ri)rita

    !an 'en!e&atan

    rea*iti&.

    1./. Ma%'$ U+i *ian

    %engi!enti( Ti!a& Lang$ng

    i&ai

    'entingna

    &e"$t$an

    "e*a+ar &*ien

    6*atar "e*a&a

    ng

    'en!i!i&an#

    "aaa#

    "$!aa5

    1./. Keia'an "e*a+ar /.1. Ma%'$ U+i *ian

    !ii!enti;&ai %engi!enti;& Ti!a& Lang$ng

    !engan ai cara

    %e%'erati&an %e%)ti7ai

    %)ti7ai# &*ien $nt$&

    &ee!iaan,&ere*a !a'at

    an# &ea!aan ;i& %engi&$ti

    !an en)ri# 'r)e

    &e%a%'$an 'e%"e*a+aran

    %e%"aca !an

    %en$*i

    /./. Ma%'$ U+i *ian

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    %e*a&$&an Ti!a& Lang$ng

    'eng&a+ian

    !ata !aar

    ter&ait

    &)n!ii ;i&

    &*ien

    eingga%en!$&$ng

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    )!a Perang&at S$%"er !aa

    %en ae%en ;i&,%ateria*

    Intr$%en $+i )a*an !an*ian *e%"ar

    +a>a"an

    Intr$%en i+i S)a*an !an

    *ian *e%"ar

    +a>a"an

    Intr$%en $+i S)a* !an

    *ian *e%"ar

    +a>a"an

    Intr$%en $+i S)a* !an

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    *ian *e%"ar

    +a>a"an

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    'r)e

    'e%"e*a+ar

    an

    /.3. Ma%'$ U+i t$*i

    %engi!enti( Ti!a& *ang$ng

    i&ai ite%

    en)ri

    !a*a%

    'eria'an

    "e*a+ar &*ien

    /.@. Ma%'$ U+i t$*i

    %e*a&$&an Ti!a& Lang$ng

    'eng&a+ian

    'a!a

    &e%a%'$a

    n &*ien

    !a*a%

    %e%"aca

    !an %en$*i

    1.3. Ke"$t$an 3.1. Ma%'$ U+i t$*i

    "e*a+ar %ang&a+i Ti!a& *ang$ng

    &*ien,'aien &e"$t$an

    !itent$&an "e*a+ar &*ien

    e$ai 'ri)rita "er!aar&an

    'ena&it ang

    !i!erita &*ien

    3./. Ma%'$ U+i t$*i

    %engana*ia Ti!a& *ang$ng

    'ri)rita

    %aa*a

    &eeatan

    ter&ait

    'e%"erian

    'e%"e*a+aran

    ang a&an

    !i*a&$&an.

    E*e%en /

    B$&ti-"$&ti

    !an eni

    Kriteria Un+$& In!i&at)r B$&ti 6L# TL Met

    Ker+a $n+$& Ker+a !an T54 Ae

    1 T$+$an "e*a+ar 1.1. Ma%'$ U+i *ian

    !iteta'&an %er$%$&an Ti!a& Lang$ng

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    ecara rea*iti& t$+$an "e*a+ar

    e$ai "era%a &*ien

    &e"$t$an e$ai !engan

    "e*a+ar 'ena&it ang

    &*ien,'aien !ia*a%i &*ien

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    Intr$%en $+i S)a*an !an

    t$*i *e%"ar

    +a>a"an

    Intr$%en $+i S)a*an !an

    t$*i *e%"ar

    +a>a"an

    Intr$%en $+i S)a*an !an

    t$*i *e%"ar

    +a>a"an

    Intr$%en $+i S)a*an !an

    t$*i *e%"ar

    +a>a"an

    )!a Perang&at S$%"er !aa

    %en ae%en ;i&,%ateria*

    Intr$%en $+i )a*an !an

    *ian *e%"ar

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    +a>a"an

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    / Kriteria ai* /.1. Ma%'$ U+i t$*i

    !iteta'&an %e%"$at Ti!a&

    !engan &riteria ai* Lang$ng

    %e%'erti%"ang "era%a &*ien

    &an rea*iti& !an "er!aar&an

    &e%$!aan &e"$t$an

    'enca'aian. "e*a+ar &*ien#

    e'erti &*ien

    !a'at

    %ene"$t&an#

    %en!e%)tra

    i&an 20

    %ateri ang

    te*a

    !ia%'ai&an

    E*e%en 3

    B$&ti-"$&ti

    !an eni

    Kriteria Un+$& In!i&at)r B$&ti 6L# TL Met

    Ker+a $n+$& Ker+a !an T54 Ae

    1 Stategi a. Ma%'$ U+i *ian

    'e%"e*a+aran Menge%"ang&a Ti!a&

    !iteta'&an !engan n !an Lang$ng

    %e%'erati&an: %e%an(aat&an

    a. &etere!ian $%"er-$%"er

    $%"er-$%"er !aa ang

    tere!ia

    ". aa "e*a+ar ". Ma%'$ U+i *ian

    ang !i&een!a&i %engg$na&an Ti!a&

    "er"agai Lang$ng

    %aca% %et)!e

    'e%"e*a+aran

    'a!a &*ien

    c. Ting&at c.1. Ma%'$ U+i *ian

    &e%a%'$an %ening&at&an Ti!a&

    %e%"aca,%en$* 'engeta$an# Lang$ng

    i# cera%a# 'i&)%)t)r#

    !i&$i# !a*a% 'r)e

    !e%)ntrai !an 'e%"e*a+aran

    "er%ain 'eran

    6r)*e '*aing5

    c./. Ma%'$ U+i *ian

    %e*i"at&an &*ien# Ti!a&

    &e*$arga &*ien Lang$ng

    erta te%an

    e+a>at !a*a%

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    %ening&at&an

    'engeta$an

    / S$%"er-$%"er !an /.1. Ma%'$ U+i *ian

    a*at "ant$ %enge%"ang& Ti!a&

    'enga+aran an %e!ia !an Lang$ng

    !iteta'&an e'erti %ene!ia&an

    'a%Cet# a*at "ant$ %e!ia

    'enga+aran !an 'enga+aran

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    Intr$%en $+i S)a*an !an

    t$*i *e%"ar

    +a>a"an

    )!a Perang&at S$%"er !aa

    %en ae%en ;i&,%ateria*

    Intr$%en $+i S)a*an !an

    *ian *e%"ar

    +a>a"an

    Intr$%en $+i S)a*an !an

    *ian *e%"ar

    +a>a"an

    Intr$%en $+i S)a*an !an

    *ian *e%"ar

    +a>a"an

    Intr$%en $+i S)a*an !an

    *ian *e%"ar

    +a>a"an

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    Intr$%en $+i S)a*an !an

    *ian *e%"ar

    +a>a"an

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    Pengat$ran 'er)ni*

    ang ter*i"at Ae)r !an aei !ir$ang ae%en

    Ke'a*a r$ang "era!a !i te%'at %aing-%aing

    Pe%"ant$ $%$% !i r$ang 'era*atan

    Re&a%an !an *a')ran Ae)r %enga%"i*an 'erang&at ae%en !i e&retari

    Ae)r %e%ati&an e%$a !)&$%en *eng&a' !an teri

    Ae)r %enge%"a*i&an e%$a !)&$%en !an *a')ran

    ete*a ae%en "er*ang$ng

    K)n;r%ai !an &ee'a&atan 'ia& ter&ait :

    N). Na%a a"atan,Pe&er+aan Para( !an tangga*

    1

    /

    3

    @

    Tan!a tangan Aei: Tangga*:

    Tan!a tangan Ae)r: Tangga*:

    Keterangan:

    RPL : Rencana Peni*aian *an+$t

    R88 : Rec)gniti)n 8$rrent 8)%'etenc

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    at ae%en &)%'eteni

    i e$ai 'et$n+$&

    e'a!a e&retari %a&i%a* 1 ari

    8atatan :

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    In!i&at)r Un+$& Ker+a

    B$&ti-"$&ti !an

    Kriteria $n+$& &er+a eni B$&ti 6L# TL Met)!a

    !an T#FP54

    1. Ke"$t$an "e*a+ar 1.1. Ma%'$ U+i *ian

    &*ien,'aien %en+e*a&an Ti!a& Lang$ng

    !i!enti;&ai i!enti;&ai

    !engan &e"$t$an

    %e%'erti%"ang&a "e*a+ar

    n *atar "e*a&ang &*ien,'aien

    'en!i!i&an#

    &e"$t$an ang

    ter&ait !engan

    "aaa !an

    "$!aa# 'ri)rita

    !an 'en!e&atan

    rea*iti&

    1./. Ma%'$ U+i *ian

    %engi!enti;&ai Ti!a& Lang$ng

    'entingna

    &e"$t$an

    "e*a+ar &*ien

    6*atar "e*a&ang

    'en!i!i&an#

    "aaa# "$!aa5

    &*ien e"e*$%

    %e*a&$&an

    'r)e

    'en!i!i&an

    1.3. Ma%'$ U+i *ian

    %e*a&$&an Ti!a& Lang$ng

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    Perang&at ae%ene%en

    Intr$%en $+i S)a*an !an Se$ai

    *ian Le%"ar a>a"an

    Intr$%en $+i S)a*an !an e$ai

    *ian *e%"ar +a>a"an

    Intr$%en $+i S)a*an !an e$ai

    *ian *e%"ar +a>a"an

    S$%"er !aa;i&,%ateria*

    8atatan ai*Penin+a$an

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    'eng&a+ian

    &e"$t$an

    "e*a+ar &*ien

    6*atar "e*a&ang

    'en!i!i&an#

    "aaa# "$!aa5

    &*ien e"e*$%

    %e*a&$&an

    'r)e

    'en!i!i&an

    /. Keia'an /.1. Ma%'$ /.1. Ma%'$

    "e*a+ar %engeta$i cara %engi!enti;&ai Ti!a& Lang

    !ii!enti;&ai %e%)ti7ai &*ien cara %e%)ti7ai

    !engan $nt$& !a'at &*ien $nt$& !a'at

    %e%'erati&an %engi&$ti 'r)e %engi&$ti 'r)e

    %)ti7ai# 'e%"e*a+aran 'e%"e*a+aran

    &ee!iaan,&ere*a

    an# &ea!aan

    ;i& !an

    en)ri#

    &e%a%'$an

    %e%"aca !an

    %en$*i

    /./. Ma%'$ /./. Ma%'$

    %e*a&$&an %e*a&$&an Ti!a& Lang

    'eng&a+ian !ata 'eng&a+ian !ata

    !aar ter&ait !aar ter&ait

    &)n!ii ;i& &)n!ii ;i&

    &*ien eingga &*ien eingga

    %en!$&$ng %en!$&$ng

    'r)e 'r)e

    'e%"e*a+aran 'e%"e*a+aran

    /.3. Ma%'$ /.3. Ma%'$

    %e*a&$&an %e*a&$&an Ti!a& Lang

    'eng&a+ian 'eng&a+ian 'a!a

    &e%a%'$an &*ien &e%a%'$an

    !an %e%"aca &*ien !a*a%

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    *ian

    U+i *ian Intr$%en $+i Se$ai

    $ng *ian

    U+i t$*i Intr$%en $+i e$ai

    $ng t$*i

    U+i t$*i Intr$%en $+i e$ai

    $ng t$*i

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    !i"eri&an

    &e'a!a &*ien

    !an &e*$arga

    /. Rencana /.1. Ma%'$ %e%"$at $+i *ian

    'e%"e*a+aran critiaca* 'at>a Ti!a& Lang$ng

    !i%a$&&an &e 'e%"e*a+aran

    !a*a% critica* ang te*a

    'at>a ang !i*a&$&an.

    %en$n+$&an &a'an

    'e%"e*a+aran

    !i*a&$&an

    8atatan :

    LAMPIRAN DOKUMEN PERANKAT ASESMEN:

    1. Perang&at Ae%en O"er7ai

    /. Perang&at Ae%en U+i T$*i,Lian

    3. Perang&at Ae%en P)rt) P)*i)

    @. Perang&at Ae%en Pia& &e3 6Si&a'5

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    Intr$%en $+i S)a*an !an e$ai

    t$*i *e%"ar +a>a"an

    Ae)r :

    Na%a

    N). Reg.

    Tan!a tangan,

    Tangga*

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    K)nte&t$a*iai tan!art

    &)%'eteni :

    6$nt$& %enga&)%)!ai

    'eraratan 'ei;&

    in!$tri# 'a!a "ataan

    7aria"e* !an 'e!)%an"$&ti5

    Peng&a+ian %et)!a !an 'erang&at ae%en

    Ac$an 6$nit K)%'eteni5

    Kriteria 'eng&a+ian :

    Prini'-'rini'ae%en

    a*i!ita

    A'a&a a&ti;ta ae%en %e%en$i e*$r$ "agian !ari ac$an 'e%"an!ing?

    Re*ia"i*ita- A'a&a a&ti;ta ecara &)niten %eng$&$r a'a ang ear$na !i$&$r?

    - A'a&a intr$&i-intr$&i ang !ie!ia&an $nt$& &an!i!at %e%ati&an

    'enera'an ang &)niten !ari a&ti;ta-a&ti;ta?

    - Da'at&a a&ti;ta-a&ti;ta !ig$na&an )*e ae)r ang "er"e!a 'a!a it$a

    ang "er"e!a !engan &an!i!at ang "er"e!a $nt$& %enca'ai ai* ang

    &)niten?

    F*e&i"i*ita

    A'a&a a&ti;ta %e%en$i &e"$t$an &an!i!at !an )rganiai?

    Kea!i*an

    A'a&a a&ti;ta %e%en$i &e"$t$an !an &ara&teriti& &an!i!at?

    A'a&a a&ti;ta "e"a !ari "ia !an a'a&a !a'at !ia!a'tai&an $nt$&

    %encega a%"atan-a%"atan 'a!a in!i7i!$ !engan &e"$t$an &$$?

    At$

    ran-a

    t$ranB$&ti

    a*i!ita

    A'a&a "$&ti !iara&an 'a!a e*$r$ "agian !ari ac$an 'e%"an!ing?

    Ter&ini

    A'a&a "$&ti ter&ini?

    Kec$&$'an

    A'a&a c$&$' "$&ti $nt$& %e%en$i e*$r$ "agian ac$an 'e%"an!ing?

    Kea*ian

    A'a&a "$&ti ang !i&$%'$*&an %er$'a&an 'er&er+aan &an!i!at en!iri?

    @. Meng)rganiai&an ae%en :

    Pengat$ran $%"er Pera*atan $!a !ieting !ir$ang te%'at ae%en

    !aa ae%en Peria'an a*at $nt$& ae%en !iia'&an en!iri )*e aei en!i

    Pengat$ran !$&$ngan i&a ter!a'at a%"atan ecara te&ni !a'at %eng$"$ngi $'er

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    'eia*i ae%en

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    Me%en$i

    a Ti!a&

    i

    ri

    i)r r$ang ra>at te%'at

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