KEMENTERIAN PENDIDIKAN NASIONAL

POLITEKNIK NEGERI MEDAN

Jl. Almamater No. 1 Kampus USU, Meda !"1##, I do es$a Telp. %"&1' (!1")*1, (!11!)#, (!1)+#1, ,a- . %"&1' (!1#(/# 0ttp.11222.polmed.a3.$d e4ma$l . polmed5polmed.a3.$d, $ 6o5polmed.a3.$d

Medan, 23 November 2013 Kepada Yth. Ketua Juru an !e"n#" Me #n D# Medan $a% & 'urat (ermohonan (ra"te" Ker)a *apan+an ,(K*-

Den+an hormat, 'a.a .an+ bertanda tan+an d# ba/ah #n#& Nama NIM Ke%a Juru an (ro+ram 'tud# & 0%p%#nto Ke%#at & 1105011009 & M1 2 5D & !e"n#" Me #n & !e"n#" Me #n

Den+an #n# menda3tar"an data peru ahaan tempat pera"te" "er)a %apan+an ,(K*a.a eba+a# ber#"ut& Nama peru ahaan & (!. (1*045$0N IND6N1'I0 I , (17'176 - 8040N9 41*0:0N 0%amat peru ahaan & J%n. Kapten 7. 'u%#an No. 1 4e%a/an (#mp#nan (eru ahaan & (#mp#nan (!. (e%abuhan Indone #a I ,(er ero- 8aban+ 4e%a/an Dem#"#an urat #n# a.a ampa#"an. 5ntu" "e%an;aran pe%a" anaan (K*, mohon d#ber#"an urat permohonan (K* "e peru ahaan ter ebut d#ata . 0ta perhat#an dan "er)a ama 4apa" a.a ampa#"an ter#ma "a #h.

$ormat 'a.a, Maha # /a .an+ 4er an+"utan

0%p%#nto Ke%#at NIM. 1105011009

Document No. : F-PD1-04-02 Rev. No. : 00 Date of Issue : 20 November 2008

ID09/1404

005

KEMENTERIAN PENDIDIKAN NASIONAL

POLITEKNIK NEGERI MEDAN

Jl. Almamater No. 1 Kampus USU, Meda !"1##, I do es$a Telp. %"&1' (!1")*1, (!11!)#, (!1)+#1, ,a- . %"&1' (!1#(/# 0ttp.11222.polmed.a3.$d e4ma$l . polmed5polmed.a3.$d, $ 6o5polmed.a3.$d

Medan, 23 November 2013 Kepada Yth Ketua Juru an !e"n#" Me #n D# Medan $a% & 'urat (ermohonan (ra"te" Ker)a *apan+an ,(K*-

Den+an hormat, 'a.a .an+ bertanda tan+an d# ba/ah #n#& Nama NIM Ke%a Juru an (ro+ram 'tud# & Yo ep $arton. (.' & 110501219< & M1 2 5D & !e"n#" Me #n & !e"n#" Me #n

Den+an #n# menda3tar"an data peru ahaan tempat pera"te" "er)a %apan+an ,(K*a.a eba+a# ber#"ut& Nama peru ahaan & (!. (1*045$0N IND6N1'I0 I , (17'176 - 8040N9 41*0:0N 0%amat peru ahaan & J%n. Kapten 7. 'u%#an No. 1 4e%a/an (#mp#nan (eru ahaan & (#mp#nan (!. (e%abuhan Indone #a I ,(er ero- 8aban+ 4e%a/an Dem#"#an urat #n# a.a ampa#"an. 5ntu" "e%an;aran pe%a" anaan (K*, mohon d# ber#"an urat permohonan (K* "e peru ahaan ter ebut d#ata . 0ta perhat#an dan "er)a ama 4apa" a.a ampa#"an ter#ma "a #h.

$ormat 'a.a, Maha # /a .an+ 4er an+"utan

Yo ep $arton. (.' NIM. 110501219<

Document No. : F-PD1-04-02 Rev. No. : 00 Date of Issue : 20 November 2008

ID09/1404

005

KEMENTERIAN PENDIDIKAN NASIONAL

POLITEKNIK NEGERI MEDAN

Jl. Almamater No. 1 Kampus USU, Meda !"1##, I do es$a Telp. %"&1' (!1")*1, (!11!)#, (!1)+#1, ,a- . %"&1' (!1#(/# 0ttp.11222.polmed.a3.$d e4ma$l . polmed5polmed.a3.$d, $ 6o5polmed.a3.$d

Medan, 23 November 2013 Kepada Yth Ketua Juru an !e"n#" Me #n D# Medan $a% & 'urat (ermohonan (ra"te" Ker)a *apan+an ,(K*-

Den+an hormat, 'a.a .an+ bertanda tan+an d# ba/ah #n#& Nama NIM Ke%a Juru an (ro+ram 'tud# & Devr# (r#ma $arahap & 1105011024 & M1 2 5D & !e"n#" Me #n & !e"n#" Me #n

Den+an #n# menda3tar"an data peru ahaan tempat pera"te" "er)a %apan+an ,(K*a.a eba+a# ber#"ut& Nama peru ahaan & (!. (1*045$0N IND6N1'I0 I , (17'176 - 8040N9 41*0:0N 0%amat peru ahaan & J%n. Kapten 7. 'u%#an No. 1 4e%a/an (#mp#nan (eru ahaan & (#mp#nan (!. (e%abuhan Indone #a I ,(er ero- 8aban+ 4e%a/an Dem#"#an urat #n# a.a ampa#"an. 5ntu" "e%an;aran pe%a" anaan (K*, mohon d# ber#"an urat permohonan (K* "e peru ahaan ter ebut d#ata . 0ta perhat#an dan "er)a ama 4apa" a.a ampa#"an ter#ma "a #h.

$ormat 'a.a, Maha # /a .an+ 4er an+"utan

Devr# (r#ma $arahap NIM. 1105011024

Document No. : F-PD1-04-02 Rev. No. : 00 Date of Issue : 20 November 2008

ID09/1404

005

KEMENTERIAN PENDIDIKAN NASIONAL

POLITEKNIK NEGERI MEDAN

Jl. Almamater No. 1 Kampus USU, Meda !"1##, I do es$a Telp. %"&1' (!1")*1, (!11!)#, (!1)+#1, ,a- . %"&1' (!1#(/# 0ttp.11222.polmed.a3.$d e4ma$l . polmed5polmed.a3.$d, $ 6o5polmed.a3.$d

Medan, Kepada Yth Ketua Juru an !e"n#" Me #n D# Medan $a% & 'urat (ermohonan (ra"te" Ker)a *apan+an ,(K*-

November 2013

Den+an hormat, 'a.a .an+ bertanda tan+an d# ba/ah #n#& Nama NIM Ke%a Juru an (ro+ram 'tud# & Muhammad 7e=a 7#="# & 1105011052 & M1 > 5D & !e"n#" Me #n & !e"n#" Me #n

Den+an #n# menda3tar"an data peru ahaan tempat pera"te" "er)a %apan+an ,(K*a.a eba+a# ber#"ut& Nama peru ahaan & (!. (1*045$0N IND6N1'I0 I , (17'176 0%amat peru ahaan & J%n. 'umatera No. 1 4e%a/an (#mp#nan (eru ahaan & (#mp#nan (!. (e%abuhan Indone #a I ,(er eroDem#"#an urat #n# a.a ampa#"an. 5ntu" "e%an;aran pe%a" anaan (K*, mohon d# ber#"an urat permohonan (K* "e peru ahaan ter ebut d#ata . 0ta perhat#an dan "er)a ama 4apa" a.a ampa#"an ter#ma "a #h.

$ormat 'a.a, Maha # /a .an+ 4er an+"utan

Muhammad 7e=a 7#="# NIM.1105011052

Document No. : F-PD1-04-02

Rev. No. : 00

Date of Issue : 20 November 2008

ID09/1404

005

KEMENTERIAN PENDIDIKAN NASIONAL

POLITEKNIK NEGERI MEDAN

Jl. Almamater No. 1 Kampus USU, Meda !"1##, I do es$a Telp. %"&1' (!1")*1, (!11!)#, (!1)+#1, ,a- . %"&1' (!1#(/# 0ttp.11222.polmed.a3.$d e4ma$l . polmed5polmed.a3.$d, $ 6o5polmed.a3.$d

Medan, 23 November 2013 Kepada Yth Ketua Juru an !e"n#" Me #n D# Medan $a% & 'urat (ermohonan (ra"te" Ker)a *apan+an ,(K*-

Den+an hormat, 'a.a .an+ bertanda tan+an d# ba/ah #n#& Nama NIM Ke%a Juru an (ro+ram 'tud# & Jo ua 'eba t#an & 110501104< & M1 2 5D & !e"n#" Me #n & !e"n#" Me #n

Den+an #n# menda3tar"an data peru ahaan tempat pera"te" "er)a %apan+an ,(K*a.a eba+a# ber#"ut& Nama peru ahaan & (!. (1*045$0N IND6N1'I0 I , (17'176 - 8040N9 41*0:0N 0%amat peru ahaan & J%n. Kapten 7. 'u%#an No. 1 4e%a/an (#mp#nan (eru ahaan & (#mp#nan (!. (e%abuhan Indone #a I ,(er ero- 8aban+ 4e%a/an Dem#"#an urat #n# a.a ampa#"an. 5ntu" "e%an;aran pe%a" anaan (K*, mohon d# ber#"an urat permohonan (K* "e peru ahaan ter ebut d#ata . 0ta perhat#an dan "er)a ama 4apa" a.a ampa#"an ter#ma "a #h.

$ormat 'a.a, Maha # /a .an+ 4er an+"utan

Jo ua 'eba t#an NIM. 110501104<

Document No. : F-PD1-04-02 Rev. No. : 00 Date of Issue : 20 November 2008

ID09/1404

005