Saturday, 04 May 2024
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Licensing Type

Childbirth Clinic License(SIRB)

Legal Basis

Regulation Rules of Pekalongan City Number 6 Year 2009 about The Change of Regional Rules of Pekalongan City Number 8 Year 2002 about the Licensing Retribution og Implementation the service Facilities and Private Healthy worker.

Requirements

  • Fill the request form.
  • Photocopy of the Established Certificate of the Foundation which has a legal entity from Notory ( Special for a legal entity Company).
  • For the personal request, it's needed a job experience history is ratified by the Leader of Institution where he worked.
  • Photocopy of the Disturbance License.
  • Location License/Recommendation from the Leader of Healthy Service.
  • Table of Healthy Workers and the Organization Structure of Service which is described in the duty and function definition.
  • Photocopy of the Doctor Practical License and Paramedical .
  • Location plan drawing and building plan drawing.
  • Available Medicine Draft in Childbirth Clinic.
  • Statement Letter that will be obeyed to the valid institutions rules (Legacy Stamp) .
  • Disturbance License (HO). 

Processing Time and Fee

  • 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