Form Blanko Konsultasi
Form Blanko Konsultasi
Nama
Nomor Induk Mahasiswa
Jurusan
Program Studi
Judul Thesis
Dosen Pembimbing
NO
: _________________________________________________________
: _________________________________________________________
: _________________________________________________________
: _________________________________________________________
: _________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
: 1. ____________________________________________________
2. ____________________________________________________
Masalah
Tanggal
Tanda Tangan
Pembimbing I Pembimbing II
1
2
3
4
5
6
7
8
9
10
Jember, ........................... 2012
An. Direktur
Asisten Direktur I,
Dr. Hj. Titiek Rohanah Hidayati, M.Pd
NIP. 195310111979032001
Catatan:
Kartu Konsultasi ini harap dibawa pada saat konsultasi dengan Dosen Pembimbing Thesis
Dosen Pembimbing
NO
: _________________________________________________________
: _________________________________________________________
: _________________________________________________________
: _________________________________________________________
: _________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
: 1. ____________________________________________________
2. ____________________________________________________
Masalah
Tanggal
Tanda Tangan
Pembimbing I Pembimbing II
1
2
3
4
5
6
7
8
9
10