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FORMULIR PENGAJUAN JUDUL KARYA TULIS ILMIAH
F.STKH.UP3M.15 R.00.T.25.01.17
1. Nama Mahasiswa
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NIM
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Prodi/Semester
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2. No. Tlp/Hp
: ..................................................................................................... Dengan ini mengajukan judul penelitian :
............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. 3. Pembimbing I
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4. Pembimbing II
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Dosen Pembimbing I
Dosen Pembimbing II
Mahasiswa
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Mengetahui, Ka. UP3M
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