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NAMA MAHASISWA :.........................................................NIM :.........................................................RUANG :........................................................TANGGAL PRAKTIK :........................................................PEMBIMBING :........................................................BERKAS YANG DIKUMPULKAN :1. .................................................2. ..................................................3. ...................................................4. ...................................................5. Dst.HARI TANGGAL PENYERAHAN :.........................................................PENERIMA :.........................................................LAMPIRAN 1COVER PENGUMPULAN TUGAS