This document is a signed verification form for KKN (Community Service Program) students from STIKES-MW Kendari's 8th cohort in Bombana Regency in 2015. It verifies that the students were placed in the Rumbia sub-district, specifically in the village of Kasipute, working with the Rumbia Community Health Center in Group IV from April 2015. The document is signed by the Village Head of Kasipute who coordinated the placement, and approved by the Head of Committee and Supervising Lecturers.