Friday, 03 May 2024
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Licensing Type

Optical License

Law Basis

Regional Rules of Pekalongan City Number 6 Year 2009 about the Change of Region Rules of Pekalongan city Number 8 year 2008 about the Licensing retribution of Arranging the Private Healthy worker and Service Facilities.

Requirements

  • Photocopy of the Company establishing certificate from Notary ( if it's a legal entity).
  • For the Personal Request is needed a Work Experience was ratified by the Institution Leader where he worked.
  • Photocopy of the Refraction Optician (RO) as an Optical Responsibility.
  • Photocopy of Disturbance License, Location Permits / Recommendation from the Leader of Healthy Service.
  • RO Statement Letter that the person involved can be an Optical Responsibility.
  • List of Healthy Workers and Service Organization structure is described in the duties and functions.
  • Photocopy of the Working licence of Refractionist Optisience (RO) from the Healty Service .
  • Location and Building Plan Drawing.
  • List of the Used Equipments .
  • Statement Letter of obeying the Law and Rules (Legacy Stamp).
  • Disturbance License (HO). 

Processing Time and Fee

  • The processing time is 5 days.
  • Fee : Free

Download Forms

Contact Us

Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu (DPMPTSP) Kota Pekalongan

Jl. Jaksa Agung R. Soeprapto No. 1, Kota Pekalongan

Telp : 0285 - 432086
Fax : 0285 - 420428
Email : oss@pekalongankota.go.id