P E M E R I N T A H P R O V I N S I D A E R A H K H U S U S I B U K O T A J A K A R T A B A D A N K E P E G A W A I A N D A E R A H

J l . M e d a n M e r d e k a S e l a t a n N o . 8 -9 T e l e p o n . ( 021 ) 3 8 2 3 0 3 3 , 3 8 2 2 6 3 3 F a k s i m i l e . (021) 3 8 2 3 0 3 3 , 3 8 2 2 6 3 3

W e b s i t e : h t t p : / / b k d d k i . j a k a r t a . g o . i d E m a i l : b k d p r o v @ j a k a r t a . g o . i d J A K A R T A

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Y t h . 1 . I n s p e k t u r P r o v . D K I J a k a r t a 2 . P a r a K e p a l a B a d a n P r o v . D K I J a k a r t a 3 . P a r a K e p a l a D i n a s P r o v . D K I J a k a r t a 4 . K e p a l a S a t p o l P P P r o v D K I J a k a r t a 5 . S e k r e t a r i s D P R D P r o v D K I J a k a r t a 6 . P a r a K e p a l a B i r o S e t d a p r o v D K I J a k a r t a 7 . P a r a D i r e k t u r R S U D / R S K D P r o v D K I J a k a r t a 8 . S e k r e t a r i s K a b u p a t e n K e p u l u a n S e r i b u P r o v .

D K I J a k a r t a 9 . P a r a K e p a l a S u k u B a d a n K e p e g a w a i a n K o t a

A d m i n i s t r a s i P r o v D K I J a k a r t a

d i J a k a r t a

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U J I A N D I N A S , U J I A N K E N A I K A N P A N G K A T P E N Y E S U A I A N I J A Z A H D A N U J I A N K E N A I K A N P A N G K A T P E N I N G K A T A N P E N D I D I K A N T A H U N 2 0 1 7

M e n i n d a k l a n j u t i P e r a t u r a n P e m e r i n t a h N o m o r 9 9 T a h u n 2 0 0 0 s e b a g a i m a n a t e l a h d i u b a h d e n g a n P e r a t u r a n P e m e r i n t a h N o m o r 1 2 T a h u n 2 0 0 2 t e n t a n g K e n a i k a n P a n g k a t P e g a w a i N e g e r i S i p i l d a n P e r a t u r a n G u b e r n u r P r o p i n s i D a e r a h K h u s u s I b u k o t a J a k a r t a s e r t a P e r a t u r a n G u b e r n u r N o m o r 4 2 t a h u n 2 0 1 7 t e n t a n g U j i a n D i n a s , U j i a n K e n a i k a n P a n g k a t P e n y e s u a i a n I j a z a h d a n U j i a n K e n a i k a n P a n g k a t P e n i n g k a t a n P e n d i d i k a n , d e n g a n i n i d i b e r i t a h u k a n b a h w a :

A . B a d a n K e p e g a w a i a n D a e r a h P r o v i n s i D a e r a h K h u s u s I b u k o t a J a k a r t a a k a n m e n y e l e n g g a r a k a n U j i a n D i n a s U j i a n P e n y e s u a i a n I j a s a h d a n U j i a n P e n i n g k a t a n P e n d i d i k a n T a h u n 2 0 1 7 ;

B . P e g a w a i y a n g d a p a t m e n g i k u t i U j i a n D i n a s T i n g k a t I ( u n t u k G o l o n g a n l l / d k e I l l / a ) a d a l a h p e g a w a i d e n g a n p a n g k a t P e n g a t u r T i n g k a t I ( l l / d ) d a n t e l a h 2 ( d u a ) t a h u n p a d a p a n g k a t t e r a k h i r ;

C . P e g a w a i y a n g d a p a t m e n g i k u t i U j i a n D i n a s T i n g k a t I I a d a l a h p e g a w a i d e n g a n p a n g k a t P e n a t a T i n g k a t I ( l l l / d ) d a n t e l a h 2 ( d u a ) t a h u n p a d a p a n g k a t t e r a k h i r ;

D . U j i a n P e n y e s u a i a n I j a z a h d i p e r u n t u k k a n b a g i P N S y a n g m e m i l i k i i j a z a h :

1 . P e n d i d i k a n M e n e n g a h A t a s a t a u s e d e r a j a t d a p a t d i n a i k k a n p a n g k a t n y a m e n j a d i P e n g a t u r M u d a ( l l / a ) d e n g a n m e m i l i k i p a n g k a t g o l o n g a n r u a n g s a a t i n i J u r u T k . I ( l / d ) k e b a w a h ;

2 . S a r j a n a M u d a , A k a d e m i , D i p l o m a I I I a t a u y a n g s e d e r a j a t d a p a t d i n a i k k a n p a n g k a t n y a m e n j a d i P e n g a t u r ( l l / c ) m e m i l i k i p a n g k a t g o l o n g a n r u a n g s a a t i n i P e n g a t u r M u d a T k I ( l l / b ) k e b a w a h ;

3 . S a r j a n a ( S 1 ) a t a u D i p l o m a I V y a n g d i a n g k a t m e n j a d i P N S b e r d a s a r k a n i j a z a h D i p l o m a I I I d a n a t a u y a n g s e d e r a j a t d a p a t d i n a i k k a n p a n g k a t n y a menjadi Penata Muda (Ill/a) paling kurang memiliki pangkat golongan r u a n g s a a t i n i P e n g a t u r T k I ( t l / d ) k e b a w a h ( u n t u k P N S g o l o n g a n r u a n g l l / a m e m i l i k i m a s a k e r j a m i n i m a l 5 t a h u n ) ;

4 . Dokter, Apoteker,Magister ( S 2 ) , S p e s i a l i s I atau yang sederajat dapat dinaikkan pangkatnya menjadi Penata Muda Tingkat I (lll/b) setelah m e m i l i k i p a n g k a t g o l o n g a n r u a n g P e n a t a M u d a ( I l l / a ) ; d a n

5 . D o k t o r ( S 3 ) , S p e s i a l i s I I a t a u y a n g s e d e r a j a t d a p a t d i n a i k k a n p a n g k a t n y a m e n j a d i P e n a t a ( l l l / c ) s e t e l a h m e m i l i k i p a n g k a t g o l o n g a n r u a n g P e n a t a M u d a T i n g k a t I ( l l l / b ) .

E . U j i a n P e n y e s u a i a n I j a z a h m e l i p u t i :

1 . U j i a n K e n a i k a n P a n g k a t P e n y e s u a i a n I j a z a h T i n g k a t I ( U K P - P I T k I ) d i i k u t i o l e h P N S y a n g p a n g k a t n y a a k a n d i s e s u a i k a n d e n g a n i j a z a h S M A a t a u y a n g s e d e r a j a t m e n j a d i P e n g a t u r M u d a ( l l / a ) ;

2 . U j i a n K e n a i k a n P a n g k a t P e n y e s u a i a n I j a z a h T i n g k a t I I ( U K P - P I T k I I ) d i i k u t i o l e h P N S y a n g p a n g k a t n y a a k a n d i s e s u a i k a n d e n g a n i j a z a h D i p l o m a I I I m e n j a d i P e n g a t u r l l / c ;

3 . U j i a n K e n a i k a n P a n g k a t P e n y e s u a i a n I j a z a h T i n g k a t I I I ( U K P - P I T k I I I ) d i i k u t i o l e h P N S y a n g p a n g k a t n y a a k a n d i s e s u a i k a n d e n g a n i j a z a h S a r j a n a ( S 1 ) a t a u D i p l o m a I V m e n j a d i P e n a t a M u d a ( I l l / a ) ;

4 . U j i a n K e n a i k a n P a n g k a t P e n y e s u a i a n I j a z a h T i n g k a t I V ( U K P - P I T k I V ) d i i k u t i o l e h P N S y a n g p a n g k a t n y a a k a n d i s e s u a i k a n d e n g a n i j a z a h D o k t e r , A p o t e k e r , M a g i s t e r ( S 2 ) , S p e s i a l i s I a t a u y a n g s e d e r a j a t m e n j a d i P e n a t a M u d a T i n g k a t I ( l l l / b ) ;

5 . U j i a n K e n a i k a n P a n g k a t P e n y e s u a i a n I j a z a h T i n g k a t V ( U K P - P I T k V ) d i i k u t i o l e h P N S y a n g p a n g k a t n y a a k a n d i s e s u a i k a n d e n g a n i j a z a h D o k t o r ( S 3 ) , S p e s i a l i s I I a t a u y a n g s e d e r a j a t m e n j a d i P e n a t a ( l l l / c ) .

F . U j i a n K e n a i k a n p a n g k a t P e n i n g k a t a n P e n d i d i k a n d i p e r u n t u k k a n b a g i P N S y a n g m e m i l i k i p a n g k a t t e r t i n g g i s e s u a i d e n g a n i j a z a h y a n g t e r d a f t a r d a l a m S u r a t K e p u t u s a n K e n a i k a n P a n g k a t T e r a k h i r . U j i a n P e n i n g k a t a n P e n d i d i k a n d a p a t d i i i k u t i o l e h :

1 . P N S b e r p e n d i d i k a n S L T A a t a u s e d e r a j a t s e r t a D i p l o m a I d a n D i p l o m a I I d e n g a n p a n g k a t P e n a t a M u d a T k . l , G o l o n g a n R u a n g l l l / b , t e l a h m e m p e r o l e h i j a z a h S a r j a n a S t r a t a S a t u ( S 1 ) a t a u D i p l o m a I V ;

2 . P N S b e r p e n d i d i k a n D i p l o m a I I I d e n g a n p a n g k a t P e n a t a , G o l o n g a n R u a n g l l l / c , t e l a h m e m p e r o l e h I j a z a h S a r j a n a S t r a t a S a t u ( S 1 ) a t a u D i p l o m a I V ;

3 . PNS berpendidikan Sarjana Strata Satu (S1) dengan p a n g k a t Penata T k . ), Golongan Ruang ) ) ) / d m e n j a d i P e m b i n a , Golongan Ruang ) V / a , k a r e n a m e m p e r o l e h I j a z a h S t r a t a D u a ( S 2 ) a t a u I j a z a h l a i n y a n g s e t a r a ;

4 . P N S b e r p e n d i d i k a n S a r j a n a S t r a t a S a t u ( S 2 ) d e n g a n p a n g k a t P e m b i n a G o l o n g a n R u a n g I V / a m e n j a d i P e m b i n a T k I , G o l o n g a n R u a n g I V / a , k a r e n a m e m p e r o l e h I j a z a h S t r a t a t i g a ( S 3 ) a t a u I j a z a h l a i n y a n g s e t a r a .

G . U j i a n P e n i n g k a t a n P e n d i d i k a n m e l i p u t i : 1 . U j i a n K e n a i k a n P a n g k a t P e n i n g k a t a n P e n d i d i k a n S 1 ( U K P - P P S 1 ) d i i k u t i

o l e h P N S y a n g m e m i l i k i p a n g k a t P e n a t a M u d a T i n g k a t I g o l o n g a n l l l / b d a n p a n g k a t P e n a t a g o l o n g a n r u a n g l l l / c ;

2 . U j i a n K e n a i k a n P a n g k a t P e n i n g k a t a n P e n d i d i k a n S 2 ( U K P - P P S 2 ) d i i k u t i o l e h P N S y a n g m e m i l i k i p a n g k a t P e n a t a T i n g k a t I g o l o n g a n r u a n g l l l / d ;

3 . U j i a n K e n a i k a n P a n g k a t P e n i n g k a t a n P e n d i d i k a n S 3 ( U K P - P P S 3 ) d i i k u t i o l e h P N S y a n g m e m i l i k i p a n g k a t P e m b i n a g o l o n g a n r u a n g I V / a ;

H . P e r s y a r a t a n U m u m ;

1 . S e k u r a n g - k u r a n g n y a t e l a h 1 ( s a t u ) t a h u n d a l a m P a n g k a t t e r a k h i r ;

2 . S e t i a p U n s u r p e n i l a i a n p r e s t a s i k e r j a d a l a m 1 ( s a t u ) t a h u n t e r a k h i r b e r n i l a i b a i k ;

3 . D i a n g k a t d a l a m j a b a t a n a t a u d i b e r i t u g a s y a n g s e c a r a n y a t a m e m e r l u k a n p e n g e t a h u a n / k e a h l i a n s e s u a i j e n j a n g p e n d i d i k a n y a n g d i p e r o l e h d a n h a r u s d i b u k t i k a n d e n g a n S u r a t Ijin B e l a j a r d a n R i n c i a n / U r a i a n T u g a s y a n g d i b u a t d a n d i s a h k a n o l e h K e p a l a S K P D a t a u p e j a b a t e s e l o n I I .

4 . M e m i l i k i S u r a t T a n d a T a m a t B e l a j a r / l j a z a h / D i p l o m a y a n g d i p e r o l e h s e b e l u m a t a u s e s u d a h m e n j a d i P e g a w a i N e g e r i S i p i l d a n s e c a r a n y a t a d i p e r l u k a n p a d a p e t a k e b u t u h a n p e g a w a i b e r d a s a r k a n p e n d i d i k a n .

5 . I j a z a h y a n g d i p e r o l e h s e t e l a h t a h u n 2 0 1 5 h a r u s d a r i l e m b a g a p e n d i d i k a n y a n g b e r a k r e d i t a s i m i n i m a l B .

I . P e r s y a r a t a n A d m i n i s t r a s i b a g i P e s e r t a U j i a n K e n a i k a n P a n g k a t P e n y e s u a i a n I j a z a h d a n U j i a n K e n a i k a n p a n g k a t P e n i n g k a t a n P e n d i d i k a n s e b a g a i b e r i k u t :

1 . S u r a t U s u l a n y a n g d i t a n d a t a n g a n i o l e h K e p a l a S K P D y a n g b e r s a n g k u t a n ;

2 . F o t o c o p y P P K P N S t a h u n 2 0 1 6 ( S K P , C a p a i a n d a n P P K P N S ) y a n g d i l e g a l i s i r o l e h p e j a b a t y a n g b e r w e n a n g ;

3 . F o t o c o p y I j a z a h d a n T r a n s k r i p N i l a i y a n g d i l e g a l i s i r o l e h p e j a b a t y a n g b e r w e n a n g ;

4 . F o t o c o p y S u r a t T a n d a L u l u s U j i a n K e n a i k a n P a n g k a t ( S T L U K P ) S t r a t a S a t u ( S I ) u n t u k p e s e r t a y a n g a k a n m e n g i k u t i u j i a n P e n y e s u a i a n a t a u P e n i n g k a t a n P e n d i d i k a n S t r a t a D u a ( S 2 ) d a n S u r a t T a n d a L u l u s U j i a n K e n a i k a n P a n g k a t ( S T L U K P ) S t r a t a D u a ( S 2 ) u n t u k p e s e r t a y a n g a k a n m e n g i k u t i u j i a n P e n y e s u a i a n a t a u P e n i n g k a t a n P e n d i d i k a n S t r a t a T i g a ( S 3 ) ;

5 . U r a i a n T u g a s A s l i y a n g d i t a n d a t a n g a n i o l e h K e p a l a S K P D m i n i m a l E s e l o n I I ;

6 . P a s P h o t o t e r b a r u u k u r a n 3 X 4 c m s e b a n y a k 3 ( t i g a ) l e m b a r d e n g a n m e n c a n t u m k a n n a m a d a n N I P d i b a l i k P h o t o ;

7 . F o t o k o p i S K P a n g k a t t e r a k h i r y a n g d i l e g a l i s i r o l e h p e j a b a t y a n g b e r w e n a n g .

8 . F o t o k o p i S K J a b a t a n y a n g d i l e g a l i s i r o l e h p e j a b a t y a n g b e r w e n a n g ( b a g i P e g a w a i N e g e r i S i p i l y a n g m e n d u d u k i J a b a t a n S t r u k t u r a l ) ;

9 . F o t o k o p i S u r a t P e r n y a t a a n P e l a n t i k a n ( S P P ) y a n g d i l e g a l i s i r o l e h p e j a b a t y a n g b e r w e n a n g b a g i P e g a w a i N e g e r i S i p i l y a n g m e n d u d u k i J a b a t a n S t r u k t u r a l ;

1 0 . F o t o k o p i s u r a t p e m b e b a s a n s e m e n t a r a b a g i P N S y a n g p e r n a h m e n d u d u k i j a b a t a n F u n g s i o n a l ;

1 1 . S u r a t P e r n y a t a a n a s l i K e p a l a S K P D b a h w a i j a z a h y a n g d i p e r o l e h d i b u t u h k a n s e s u a i d e n g a n F o r m a s i ( p e t a k e b u t u h a n p e g a w a i b e r d a s a r k a n p e n d i d i k a n ) ;

1 2 . F o t o k o p i s u r a t I z i n B e l a j a r b a g i y a n g l u l u s p e n d i d i k a n s e t e l a h m e n j a d i P N S . K h u s u s u n t u k p e s e r t a U j i a n K e n a i k a n P a n g k a t P e n y e s u a i a n I j a z a h

S 1 G u r u , j i k a t i d a k m e m i l i k i S u r a t I z i n B e l a j a r a g a r m e l a m p i r k a n S u r a t P e r n y a t a a n K e p a l a D i n a s s e b a g a i m a n a d i l a m p i r a n ;

1 3 . F o t o k o p i s e r t i f i k a t a k r e d i t a s i l e m b a g a p e n d i d i k a n ;

1 4 . H a s i l c e t a k p e n c a r i a n n a m a m a h a s i s w a d a r i w w w . f o r l a p . d i k t i . g o . i d b a g i l u l u s a n P T S y a n g l u l u s d i a t a s t a h u n 2 0 0 3 .

J . P e r s y a r a t a n A d m i n i s t r a s i P e s e r t a U j i a n D i n a s T i n g k a t I d a n U j i a n D i n a s T i n g k a t I I s e b a g a i b e r i k u t :

1 . S u r a t U s u l a n y a n g d i t a n d a t a n g a n i o l e h K e p a l a S K P D y a n g b e r s a n g k u t a n ;

2 . F o t o k o p i P P K P N S t a h u n 2 0 1 6 ( S K P , C a p a i a n d a n P P K P N S ) y a n g d i l e g a l i s i r o l e h p e j a b a t y a n g b e r w e n a n g ;

3 . P a s P h o t o t e r b a r u u k u r a n 3 X 4 c m s e b a n y a k 3 ( t i g a ) l e m b a r d e n g a n m e n c a n t u m k a n n a m a d a n N I P d i b a l i k P h o t o ;

4 . F o t o k o p i S K P a n g k a t t e r a k h i r y a n g d i l e g a l i s i r o l e h p e j a b a t y a n g b e r w e n a n g .

5 . F o t o k o p i S K J a b a t a n y a n g d i l e g a l i s i r o l e h p e j a b a t y a n g b e r w e n a n g ( b a g i P e g a w a i N e g e r i S i p i l y a n g m e n d u d u k i J a b a t a n S t r u k t u r a l ) ;

6 . F o t o k o p i S u r a t P e r n y a t a a n P e l a n t i k a n ( S P P ) y a n g d i l e g a l i s i r o l e h p e j a b a t y a n g b e r w e n a n g b a g i P e g a w a i N e g e r i S i p i l y a n g m e n d u d u k i J a b a t a n S t r u k t u r a l ;

7 . F o t o k o p i s u r a t p e m b e b a s a n s e m e n t a r a b a g i P N S y a n g p e r n a h m e n d u d u k i j a b a t a n F u n g s i o n a l ;

K . P e r s y a r a t a n / b e r k a s s e b a g a i m a n a h u r u f F d i a t a s d i m a s u k k a n k e d a l a m MAP-SNELHECTER d e n g a n p e n g e l o m p o k k a n s e b a g a i b e r i k u t :

MAP-SNELHECTER w a r n a MAP-SNELHECTER w a r n a MAP-SNELHECTER w a r n a MAP-SNELHECTER w a r n a MAP-SNELHECTER w a r n a MAP-SNELHECTER w a r n a MAP-SNELHECTER w a r n a MAP-SNELHECTER w a r n a MAP-SNELHECTER w a r n a MAP-SNELHECTER w a r n a MAP-SNELHECTER w a r n a

b i r u u n t u k U j i a n D i n a s T i n g k a t I h i j a u u n t u k U j i a n D i n a s T i n g k a t I I m e r a h u n t u k U K P - P I T i n g k a t I k u n i n g u n t u k U K P - P I T i n g k a t I I h i t a m u n t u k U K P - P I T i n g k a t I I M e r a h M u d a u n t u k U K P - P I T i n g k a t P u t i h u n t u k U K P - P I T i n g k a t I V k u n i n g u n t u k U K P - P I T i n g k a t V b i r u u n t u k U K P - P P S 1 h i j a u u n t u k U K P - P P S 2 m e r a h u n t u k U K P - P P S 3

L . P e n d a f t a r a n a k a n d l a k u k a n s e c a r a o n l i n e a k a n d i b u k a m e l a l u i s i t u s j a k g o v . j a k a r t a . g o . i d m u l a i t a n g g a l 1 0 M e i 2 0 1 7 s a m p a i d e n g a n 1 6 M e i 2 0 1 7 .

M . P e s e r t a y a n g t e l a h m e n d a f t a r s e c a r a o n l i n e s e g e r a m e n y e r a h k a n b e r k a s u s u l a n k e p a d a K e p e g a w a i a n S K P D a g a r d a p a t d i v e r i f i k a s i o l e h S K P D . K e p e g a w a i a n S K P D w a j i b m e m v e r i f i k a s i s e c a r a m a n u a l d a n s e c a r a s i s t e m d i j a k g o v . j a k a r t a . g o . i d .

N . P e n y e r a h a n b e r k a s u s u l a n a d a l a h s e b a g a i b e r i k u t : 1 . P N S d i l i n g k u n g a n K e l u r a h a n , K e c a m a t a n , S e k r e t a r i a t K o t a m e n y e r a h k a n

b e r k a s k e S u k u B a d a n K e p e g a w a i a n K o t a s e t e m p a t ; 2 . P N S d i l i n g k u n g a n S u k u D i n a s m e n y e r a h k a n k e k e p e g a w a i a n D i n a s ; 3 . P N S d i l i n g k u n g a n S u k u B a d a n m e n y e r a h k a n b e r k a s k e k e p e g a w a i a n

B a d a n ; 4 . P N S d i l i n g k u n g a n B i r o S e k r e t a r i a t D a e r a h m e n y e r a h k a n k e K e p e g a w a i a n

B i r o ;

5 . P N S d i l i n g k u n g a n S e k r e t a r i a t D P R D m e n y e r a h k a n k e K e p e g a w a i a n S e k r e t a r i a t D P R D ;

6 . P N S d i l i n g k u n g a n S e k r e t a r i a t K a b u p a t e n m e n y e r a h k a n k e k e p e g a w a i a n S e k r e t a r i a t K a b u p a t e n .

O . B e r k a s u s u l a n d a r i K e p e g a w a i a n S K P D d i t e r i m a d i B a d a n K e p e g a w a i a n D a e r a h P r o v i n s i D a e r a h K h u s u s I b u k o t a J a k a r t a u . p . K e p a l a B i d a n g P e n g e m b a n g a n , p a l i n g l a m b a t t a n g g a l 1 9 M e i 2 0 1 7 .

P . B e r k a s u s u l a n y a n g T i d a k L e n g k a p s e b a g a i m a n a h u r u f I a t a u J d a n t e l a h m e l e w a t i b a t a s w a k t u s e b a g a i m a n a h u r u f L d a n O s e r t a t i d a k d i v e r i f i k a s i o l e h K e p e g a w a i a n S K P D t i d a k a k a n d i p r o s e s .

D e m i k i a n S u r a t E d a r a n i n i u n t u k d i p e d o m a n i d a n d i p e r h a t i k a n

T e m b u s a n : 1 . A s i s t e n P e m e r i n t a h a n S e t d a P r o v i n s i D K I J a k a r t a 2 . I n s p e k t u r P r o v i n s i D K I J a k a r t a