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Contoh Surat Bebas Narkoba Terbaru - Contohsurat
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Contoh Surat Bebas Narkoba Terbaru

Surat Keterangan Bebas Narkoba merupakan surat resmi yang dikeluarkan oleh lembaga/instansi berwenang yang menerangkan seseorang terbebas dari pengaruh narkoba maupun zat-zat psikotropika. Biasanya Surat Keterangan Bebas Narkoba dikeluarkan oleh instansi rumah sakit, polisi, maupun secara pribadi dalam bentuk surat pernyataan.

Surat ini sangat dibutuhkan sebagai salah satu persyaratan untuk berbagai keperluan dalam kehidupan sehari hari, seperti untuk mendaftar beasiswa, melamar pekerjaan, surat keterangan catatan kepolisian, hingga tes untuk pegawai negeri sipil dan kebutuhan lainnya. Sebagai bagian dari surat resmi, tentu surat ini harus memuat informasi-informasi  penting yang dibutuhkan.

Adapun bagian-bagian penting dari Surat Keterangan Bebas Narkoba meliputi :

  1. Header / kop surat. Bagian penciri khusus dari surat resmi yang  menunjukkan identitas dari laboratorium atau rumah sakit yang melakukan pemeriksaan. Biasanya mencantumkan informasi nama rumah sakit, alamat, kontak, dan logo rumah sakit.
  2. Tujuan surat dan nomornya. Tujuan di buatnya surat dan nomor surat yang di buat berdasarkan internal organisasi / rumah sakit. Dalam hal ini berupa tulisan bold di tengah berjudul, “SURAT KETERANGAN BEBAS NARKOBA”
  3. Data pribadi orang yang di periksa. Tulis selengkap – lengkapnya data pribadi orang yang di periksa, pastikan sesuai dengan kartu identitasnya.
  4. Zat / indikator apa saja yang diperiksa.
  5. Pernyataan positif atau negatif.
  6. Detail pemeriksa dan penanggung jawab rumah sakit

Sebagai gambaran jelasnya, berikut kami berikan dua contoh format resmi dari surat keterangan yang dibuat oleh rumah sakit dan pribadi untuk melamar CPNS :


Contoh Surat Bebas Narkoba dari Rumah Sakit

Contoh Surat Bebas Narkoba dari Rumah Sakit

PEMERINTAH KABUPATEN JEMBER

RUMAH SAKIT UMUM DAERAH PATRANG

Jalan Srikaya No 59, Patrang, Jember – 68124

Telepon : (0331) 779889. Fax : (0331) 234644. Email : rsudpatrang@gmail.com

 

SURAT KETERANGAN PEMERIKSAAN NARKOBA

Nomor : 79/SKBN/PSI/RSUDP/XI/2018

 

Yang bertanda tangan di bawah ini :

Nama                           : dr. Sri Endang Wiwik, M.Sc, Sp, KJ

NIP                             : 19641011 199103

Jabatan                           : Psikiater RSUD Patrang Jember

Menerangkan bahwa :

Nama Lengkap            : Dedy Cahyadi

Umur                           : 25 tahun

Jenis Kelamin              : Laki-Laki

Alamat                            : Perum Griya Mangli Indah blok B6, Kaliwates, Jember

Pada hari Senin tanggal 19 November 2018 telah dilakukan pemeriksaan dengan hasil sebagai berikut :

Amphethamine            : negatif

Opiate / Morphine       : negatif

Cannabinoid / THC     : negatif

Benzodiazepine          : negatif

Berdasarkan hasil pemeriksaan urin yang telah dilakukan, dapat disimpulkan bahwa saudara yang bersangkutan telah dinyatakan BEBAS DARI ZAT ADITIF / NARKOBA tersebut.

Demikian surat keterangan ini kami buat dengan sebenar – benarnya dan sesuai dengan ketentuan agar dapat dipergunakan sebagaimana mestinya.

 

Jember, 19 November 2018

Pemeriksa,

(dr. Sri Endang Wiwik, M.Sc, Sp, KJ)

download format words


Contoh Surat Bebas Narkoba CPNS

Contoh Surat Bebas Narkoba CPNS

SURAT PERNYATAAN BEBAS NARKOBA

 

Dengan hormat,

Yang bertanda tangan di bawah ini :

 

Nama                               : Agus Susilo Rahmanudin

Tempat Tanggal Lahir  : Pekalongan, 17 September 1987

Agama                             : Islam

Kewarganegaraan          : Indonesia

Pendidikan terakhir       : S1 Teknologi Informasi dan Komunikasi

Jabatan Dilamar             : Analis Ahli Pertama

Alamat                               : Jalan Belimbing No 5A, Sumberasri, Pekalonga, Jawa Tengah

Nomor Handphone         : 08123657893

 

Dengan ini menyatakan bahwa saya tidak pernah dan tidak akan terlibat dalam penggunaan dan/atau pendistribusian Obat-Obatan Terlarang, Narkotika, Zat Adiktif, dan Psikotropika.

Apabila pernyataan ini ternyata di kemudian hari terbukti tidak benar, maka saya bersedia dituntut di pengadilan sesuai peraturan perundang-undangan yang berlaku.

Demikian saya sampaikan.

Pekalongan,01 Oktober 2018

MATERAI 6000

 

Agus Susilo Rahmanudin

download format words


Demikian format Surat Keterangan Bebas Narkoba yang baik dan benar untuk dijadikan referensi bagi Anda yang membutuhkan.

Sedikit tips dari kami, karena surat keterangan bebas narkoba harus melalui beberapa rangkaian pemeriksaan kesehatan, sebaiknya untuk mendapatkan hasil sesuai dengan yang diinginkan Anda harus mempersiapkan fisik serta mental yang baik terlebih dahulu.

Salah satunya seperti rajin berolahraga, menjaga kesehatan badan dan pikiran, menghindari hal-hal yang bisa menimbulkan stres pikiran, dan tentu saja menghindari mengonsumsi makanan dan minuman yang berpotensi mengandung zat-zat narkoba dan psikotropika.

Mohon maaf apabila terdapat kesamaan nama maupun tempat beserta profil lembaga/instansi karena surat yang dibuat bersifat percontohan untuk membantu Anda membuat surat resmi yang baik dan benar. Semoga contoh surat yang telah dibuat dapat memberikan manfaat bagi anda yang membutuhkan. Kami juga mempersilakan bagi Anda yang ingin membagikan artikel yang telah kami buat ini kepada teman, saudara, keluarga,bahkan kolega Anda sebagai bahan referensi.


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Post Date: Wednesday 21st, November 2018 / 16:52 Oleh :
Kategori : Surat Keterangan

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