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FM-BINUS-AA-FPU-753/R0
Formulir Penambahan Mata Kuliah Additional Subject Form Semester: Ganjil/ Genap (*) Tahun Akademik/ Academic Year: ………. Periode: 1 / 2 (*) Admit Term:….Masa Studi:….. Aktif Terakhir:…… SKS:….. IPK:….
NIM/ Student ID
: ____________________
Tanggal/ Date : ____________________
Program Studi/ Study Program : ____________________ Nama/ Name
: ____________________
PENTING!!!
Formulir ini hanya berlaku untuk matakuliah yang dibuka pada periode tersebut.
Matakuliah yang diulang adalah grade D/E dan matakuliah MPM (Matakuliah Pengawasan Mutu).
Jumlah matakuliah yang Anda tambah tidak boleh melebihi maksimal matakuliah yang diikuti per periode (3 matakuliah).
Pengisian yang tidak lengkap/ tidak jelas tidak akan diproses !!!
Diisi oleh mahasiswa Detail is filled by Student KD MTK
Nama Mata Kuliah
Nilai Minimum
Course Code
Course Name
Minimum Grade
UPM
Nilai
SKS
Grade
Credit
Total Diisi oleh Staf Nilai Detail is filled by Grading Staff KD MTK
Nama Mata Kuliah
Nilai Minimum
Course Code
Course Name
Minimum Grade
UPM
Nilai
SKS
Grade
Credit
Total (*) Coret yang tidak perlu Signature by: Student
Student Service Staff
Grading Staff
Checked by
FM-BINUS-AA-FPU-753/R0 Rincian pembayaran diisi oleh Staf Administrasi Keuangan Payment detail is filled by Financial Administration Staff
Jenis
Rincian Biaya
Cara Pembayaran
Item
Cost Breakdown
Payment Method
Paraf Staf Administrasi Keuangan Signature by Finance Adm.Staff
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____________________ Diperiksa oleh*
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Checked by
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*Min. Binusian Grade 10 dari unit yg berwenang/ Min. Binusian Grade 10 from the authorized unit
Diisi oleh Staf Penjadwalan Filled by Scheduling staff
Catatan: Note
Paraf Staf Penjadwalan Signature by Scheduling Staff
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____________________ Diperiksa oleh* Checked by
……………………………………………………………………………………. ……………………………………………………………………………………. ……………………………………………………………………………………. ……………………………………………………………………………………. *Min. Binusian Grade 10 dari unit yg berwenang/ Min. Binusian Grade 10 from the authorized unit
Diisi oleh Staf Layanan Mahasiswa Filled by Student Service Staff
Catatan (Informasi ke Mahasiswa) (Telp/ e-mail)* Note (Information to student) (Telp/ e-mail)
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Signature by Student Service Staff