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versi PDF - Sistem Keamanan Pangan Terpadu - Badan POM

versi PDF - Sistem Keamanan Pangan Terpadu - Badan POM

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BADAN PENGAWAS OBAT DAN MAKANAN<br />

REPUBLIK INDONESIA<br />

Sub Lampiran 2<br />

DAFTAR PESERTA<br />

PENYULUHAN KEAMANAN PANGAN DALAM RANGKA PEMBERIAN<br />

SPP-IRT<br />

NO<br />

NAMA<br />

JABATAN<br />

(PEMILIK /<br />

PENANGGUNGJAWAB)<br />

SERTIFIKAT<br />

PKP NO. :<br />

NAMA<br />

DAN<br />

ALAMAT<br />

IRTP<br />

NILAI<br />

..............................................., .................................<br />

DINAS KESEHATAN KAB/KOTA ................................<br />

KEPALA,<br />

.............................................................<br />

NIP. .......................................<br />

*) Coret yang tidak perlu

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