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Administrasi Akademik

FR-TRILOGI-ADAK-012/R0
EDISI 01

PENILAIN PROPOSAL TUGAS AKHIR


PROGRAM STUDI : .......................................
SEMESTER AKADEMIK: ................................................

BAGIAN PENDAFTARAN DAN PERSETUJUAN KELOMPOK KEAHLIAN


Tanggal Pendaftaran :
Nama : ...........................................................................................................
NIM : ................................................................................................................
No. Tlp/Hp : ................................................................................................................
Usulan Judul : ..........................................................................................................
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Nik/No.KTP : ..........................................................................................................
Nama Ibu Kandung : ..........................................................................................................
Ketua Program Studi : ................................................................................................................
Usulan Nama Dosen : ................................................................................................................

Pembimbing : ...............................................................................................................

Catatan dari Ketua Program Studi:


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Nama Pembimbing 1 :............................................
Nama Penguji : 1. ........................................
2. ......................................
Jadwal Seminar Proposal : ..........................................

Tanda tangan Ketua Program Studi

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(tgl/Bln/thn)
Administrasi Akademik
FR-TRILOGI-ADAK-012/R0
EDISI 01

BAGIAN HASIL SEMINAR PROPOSAL

Tanggal Pelaksana Proposal:...................................................... (tgl/Bln/thn)

Usulan Perbaikan/Komentar dari Penguji

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Rencana Ujian Sidang Akhir......................................................................(bulan/Tahun)

(Sulistiani Puteri Rahmadani,M.Pd) (Winda Amelia,M.Pd). (Febrianti Yuli Satrian.S.Pd., M.Pd)

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