Page 15 - Ebook UIN
P. 15
Lampiran 3
Formulir Permohonan Persetujuan Koordinator Program Studi
FORMULIR PERMOHONAN PERSETUJUAN KOORDINATOR PROGRAM STUDI
1. Ketua Kelompok : .................................NIM............ 2. Anggota Kelompok : ..............................NIM............ ..............................NIM............ ..............................NIM............ 3. Rencana lokasi PPL : ................................................
4. Alamat lembaga/perusahaan : ...................................... 5. Jenis lembaga/perusahaan : ........................................ 6. Deskripsi rencana kegiatan PPL: ..................................
........................................................................ ........................................................................ ........................................................................ ........................................................................ ........................................................................ ........................................................................ ........................................................................ ........................................................................ ........................................................................
Ketua Kelompok
Nama Lengkap NIM
Koordinator Program Studi
Nama Lengkap NIP
