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Contoh Surat Permohonan Rehabilitasi Narkoba yang Baik - Contohsurat
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Contoh Surat Permohonan Rehabilitasi Narkoba yang Baik

Pada dasarnya, terdapat dua macam rehabilitasi narkotika, yaitu: Rehabilitasi Medis yang merupakan proses kegiatan pengobatan secara terpadu untuk membebaskan pecandu dari ketergantungan Narkotika dan Rehabilitasi Sosial yang merupakan proses kegiatan pemulihan secara terpadu, baik fisik, mental maupun sosial, agar bekas pecandu Narkotika dapat kembali melaksanakan fungsi sosial dalam kehidupan masyarakat.

Pecandu Narkotika dan korban penyalahgunaan Narkotika wajib menjalani rehabilitasi medis maupun rehabilitasi sosial walaupun sedang menjalani proses penyidikan, penuntutan, dan persidangan di pengadilan. Dan untuk melakukan rehabilitasi kepada pengguna penyalahgunaan narkoba tersebut diperlukan surat permohonan yang ditujukan kepada badan atau instansi yang menyelenggarakan rehabilitasi narkoba.

Berikut ini merupakan contoh surat permohonan rehabilitasi narkoba yang baik dan benar agar surat permohonan diterima.

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Contoh Surat Permohonan Rehabilitasi Narkoba kepada BNN

Contoh Surat Permohonan Rehabilitasi Narkoba kepada BNN

Bandung, 14 Juni 2016

Kepada
Kepala Badan Narkotika Nasional
Jalan Kuda Laut Raya No. 1
Kota Bandung

 

Yang bertanda tangan dibawah ini:
Nama                           : Alsya Fandhika
Jenis Kelamin            : Perempuan
Pekerjaan                    : Wiraswasta
Alamat                         : Jalan Kayu Putih 5 No. 7 Kota Bandung
No. Telepon                : 022 – 970218

Merupakan orang tua dari :
Nama                           : Ezi Gionino Amin
Jenis Kelamin            : Laki – Laki
Umur                           : 18 Tahun
Pekerjaan                    : Belum bekerja/ Mahasiswa
Alamat                         : Jalan Kayu Putih 5 No. 7 Kota Bandung
Status Pernikahan     : Belum Menikah

bermaksud untuk mengajukan permohonan untuk rehabilitasi anak saya tersebut yang memiliki riwayat memakai narkoba selama 2 tahun, yaitu sejak sekitar Maret 2014 hingga Mei 2016 dengan jenis narkoba yang dipakai adalah shabu – shabu.

Anak saya tersebut merupakan korban dari penyalahgunaan narkoba yang dilaporkan kepada pihak kepolisian pada tanggal 26 Mei 2016 pada pukul 16.00 WIB. Lalu anak saya saat ini berstatus sebagai tersangka.

Demikian permohonan ini kami buat dengan sebenar – benarnya. Atas bantuan dan terkabulnya permohonan ini, kami ucapkan terima kasih.

 

Hormat kami,

 

Alsya Fandhika

download format words


Contoh Surat Permohonan Rehabilitasi Narkoba Kepada Badan Sosial

Contoh Surat Permohonan Rehabilitasi Narkoba Kepada Badan Sosial

Kepada
Kepala Balai Pengobatan dan Rehabilitasi Narkoba
Rumah Narkoba Melati
Jalan Tikus No. 15B Kota Bandung

 

Dengan hormat,

Saya, Alsya Fhandika, seorang ibu rumah tangga, bermaksud untuk mengajukan permohonan rehabilitasi narkoba untuk anak saya :
Nama                           : Ezi Gionino Amin
Jenis Kelamin            : Laki – Laki
Umur                           : 18 Tahun
Pekerjaan                   : Belum bekerja/ Mahasiswa
Alamat                         : Jalan Kayu Putih 5 No. 7 Kota Bandung
Status Pernikahan     : Belum Menikah

Anak saya tersebut memiliki riwayat memakai narkoba selama 2 tahun, yaitu sejak sekitar Maret 2014 hingga Mei 2016 dengan jenis narkoba yang dipakai adalah shabu – shabu. Dan saat ini kondisi anak saya tersebut adalah menjadi pendiam, susah tidur, tidak ada nafsu makan, mata sayu, mudah marah,dan sering sakit kepala yang amat sangat.

Maka dari itu, besar harapan saya agar permohonan rehabilitasi narkoba untuk anak saya ini dapat dikabulkan.

Demikian dari surat permohonan ini. Atas perhatian dan kerjasama Bapak/ Ibu, saya ucapkan terimakasih.

 

Bandung, 14 Juni 2016
Hormat saya,

Alsya Fhandika

download format words


Contoh Surat Permohonan Rehabilitasi Narkoba Kepada Rumah Sakit

Contoh Surat Permohonan Rehabilitasi Narkoba Kepada Rumah Sakit

Bandung, 14 Juni 2016

Perihal : Permohonan Rehabilitasi

Kepada
Kepala RS. Jauhi Narkoba
Jalan Kuda Laut Raya No. 1
Kota Bandung

 

Dengan hormat,
Yang bertanda tangan dibawah ini:
Nama                           : Alsya Fandhika
Jenis Kelamin            : Perempuan
Pekerjaan                    : Wiraswasta
Alamat                         : Jalan Kayu Putih 5 No. 7 Kota Bandung
No. Telepon                : 022 – 970218

Merupakan orang tua dari :
Nama                           : Ezi Gionino Amin
Jenis Kelamin            : Laki – Laki
Umur                           : 18 Tahun
Pekerjaan                    : Belum bekerja/ Mahasiswa
Alamat                         : Jalan Kayu Putih 5 No. 7 Kota Bandung
Status Pernikahan     : Belum Menikah

bermaksud untuk mengajukan permohonan untuk rehabilitasi anak saya tersebut yang memiliki riwayat memakai narkoba selama 2 tahun, yaitu sejak sekitar Maret 2014 hingga Mei 2016 dengan jenis narkoba yang dipakai adalah shabu – shabu.

Kondisi anak saya tersebut saat ini menjadi pendiam, susah tidur, tidak ada nafsu makan, mata sayu, mudah marah,dan sering sakit kepala yang amat sangat. Maka dari itu, besar harapan saya agar permohonan rehabilitasi narkoba untuk anak saya ini dapat dikabulkan.

Demikian dari surat permohonan ini. Atas perhatian dan kerjasama Bapak/ Ibu, saya ucapkan terimakasih.

 

Hormat saya,

Alsya Fhandika

download format words


Perlu diketahui, biasanya dalam surat permohonan rehabilitasi narkoba ini diperlukan beberapa lampiran seperti :

  • Pas Foto yang akan direhabilitasi ukuran 4 x 6 sebanyak 1 lembar,
  • Foto Copy Surat Nikah bila pemohon suami/istri yang akan direhabilitasi,
  • Foto Copy Surat Izin Beracara bila pemohon surat merupakan Kuasa Hukum/Pengacara dari yang akan direhabilitasi dan surat kuasa dari keluarga,
  • Surat Keterangan dari Sekolah/Perguruan Tinggi/Lembaga Pendidikan, bila yang akan direhabilitasi adalah pelajar/Mahasiswa,
  • Surat keterangan dari tempat kerja, bila yang akan direhabilitasi sebagai pekerja/pegawai, Fotocopi surat penangkapan dan surat penahanan,
  • Surat Keterangan dari tempat rehgabilitasi, bila yang bersangkutan pernah atau sedang proses Rehabilitasi,
  • Surat Rekomendasi dari penyidik, Jaksa Penuntut umum atau hakim untuk direhabilitasi/asesmen,
  • Fotocopi Surat Permohonan Rehabilitasi kepada Penyidik, Jaksa Penuntut Umum atau Hakim,
  • Foto copy KTP Orang Tua/Wali, Yang akan direhabilitasi dan Pengacara/ Kuasa Hukum,
  • Foto copy kartu keluarga, dan
  • Foto copy izin dari pengacara.
  • serta dokumen – dokumen lainnya yang diperlukan tergantung dari dimana tempat rehabilitasinya

Itulah mengenai contoh surat permohonan rehabilitasi narkoba semoga dapat menjadi referensi dalam menulis surat permohonan rehabilitasi narkoba yang baik dan benar.


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Post Date: Monday 13th, June 2016 / 21:47 Oleh :
Kategori : Surat Permohonan

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