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FORMAT LAPORAN KUNJUNGAN DPL KE LOKASI KKN
1. 2. 3. 4. 5. 6. 7. 8.
Nama DPL Desa Kecamatan Kabupaten Hari/ Tgl Kunjungan Jam Kunjungan Tempat yang dikunjungi Kunjungan Ke-
: Anggara Martha P. S.Farm.,Apt. : Curahmalang : Rambipuji : Jember : ............................................................. : ............................................................. : ............................................................. : .............................................................
9. Tingkat Keterlaksanaan Program No
Nama Program
Sasaran
Ketercaaian (%)
Keterangan
10. Permasalahan dan Hambatan yang dihadapi mahasiswa dalam melaksanakan program kerja ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... 11. Solusi yang ditawarkan ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... .......................................................................................................................................
Nama dan Tanda tangan DPL : ............................................................. Tanggal Pelaporan
: .............................................................