CURRICULUM VITAE

PERSONAL IDENTITY

Name : dr. Ricksando Siregar

Place / Date of Birth : Tanjung Pinang, 21 February 1991

Age : 24

Gender : Male

Marital Status : Single

Religion : Moslem

Nationality : Indonesia

Address : Jl. Dahlia Gang Travo no.18 RT/RW 003/011 kelurahan Labuh Baru Timur Kecamatan Payung Sekaki Pekanbaru Riau

Phone Number (Home) : -

Phone Number (Mobile) : +6287778088066

E-mail : ricksandosiregar@gmail.com

FORMAL EDUCATION

2013 – 2015 Profession on Medical Degree, Professional Graduate, (Medical Doctor) Medical Faculty of Trisakti University Jakarta, Indonesia

2008 – 2013 Diploma of Medicine, Medical Faculty of Trisakti University Jakarta, Indonesia

2005 – 2008 Senior High School (Majoring Science) at SMAN 8 Pekanbaru, Riau

2002 – 2005 Junior High School at SMPN 1 Pekanbaru, Riau

1996 – 2002 Elementary School at SDN 002 Pekanbaru, Riau

1995 – 1996 Kindergarten School at TK Bhayangkara Tanjung Pinang, Kep.Riau

NON FORMAL EDUCATION

2005 Intermediate English Course at LIA, Jakarta

SYMPOSIUMS AND COURSES

2015 Participant of “Emergency Electrocardiography Course” PERKI DKI, Jakarta

2014 Participant of “Pelatihan HIPERKES dan Keselamatan Kerja Bagi Dokter Perusahaan” Lembaga K3, Yogyakarta

ORGANIZATIONAL AND OTHER EXPERIENCES

2014 Member of Event Division at XLIV Inauguration Oath Doctor Medical Faculty Trisakti University

2014 Bass player on inauguration 2013

2012 Bass Player on inauguration 2011

2011 Rampak Gendang in Roedjak Tjingoer Event, Jakarta

2011 Bass Player on inauguration 2010

2011 Rampak Gendang dance in Batikeris Event, Jakarta

2010 Bass Player on inauguration 2009

2010 Rampak Gendang in Batikeris Event, Jakarta

2010 Vice Chief of Rampak Gendang Division BEM Medical Faculty of Trisakti

University, Jakarta

2009 Dancer of Saman dance in Roedjak Tjingoer Event, Jakarta

2007 Vice Chief of Rohani Islam Organization at SMAN 8 Pekanbaru

WORKING EXPERIENCE

2016 Internship Doctor at Puskesmas Kecamatan Batu Aji, Batam

2015 Internship Doctor at Rumah Sakit Umum Daerah Embung Fatima, Batam

2012-2014 Clinical Clerkship at RSUD Koja (Jakarta), RSUD Soeselo (Slawi), RSU Kardinah (Tegal), RS dr.H.Marzoeki Mahdi (Bogor), RSUD Budhi Asih (Jakarta), RSUD Kota Bekasi (Jakarta), IKM Undip (Semarang), Puskesmas salaman (Magelang), Hiperkes (Yogyakarta), RS Tarakan (Jakarta), RSUD Ketileng (Semarang)

RESEARCHES

2013 “Upaya Meningkatkan Angka Kunjungan K3 Periode Maret – April 2013 di Puskesmas Salaman” Magelang

ADDITIONAL INFORMATION

COMPUTER SKILLS : Microsoft Office (Ms Word, Ms Excel, Ms Powerpoint) Internet Application (Such as : Basic Mail, Blog, and Other Social

Network)

LANGUAGES :Active and Passive

Indonesia English

The undersigned hereby certifies that all information given in this document is true and correct.

Yours faithfully,

dr. Ricksando Siregar