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PROGRAM STUDI TEKNIK GEODESI

Fakultas Teknik Universitas Diponegoro


Jl. Prof. H. Soedharto, SH. Tembalang Semarang
Telp. (024) 76480785, Telp./Fax. (024) 76480788

FORMULIR KP-2
PERSETUJUAN PERMOHONAN KERJA PRAKTEK
Nama Mahasiswa
: .......................................................................................................
NIM

: ...........................................................................................

............
Pembimbing

Kerja

Praktek

: .......................................................................................................
1.

Nama/Judul KP
: .......................................................................................................

2.

Nama Instansi/
: .......................................................................................................
Perusahaan

3.

Alamat

: ................................................................................

.......................
...........................................................................................
............
4.

Waktu

: ...........................................................................................

............
Mulai tanggal
: .......................................................................................................
Selesai Tanggal
: .......................................................................................................
5.

Lingkup

Pekerjaan

: .......................................................................................................
yang

harus

dilaporkan

.......................................................................................................
pada

laporan

Kerja

.......................................................................................................
Praktek

oleh

Mhs

ybs.

.......................................................................................................
(diisi oleh Pembimbing KP
berdasarkan proposal yang
dibuat Mahasiswa)

Mengetahui,
Sekretaris Program Studi
Teknik Geodesi FT UNDIP

Semarang,
Koordinator Kerja Praktek

Ir. Haniah
MT
NIP. 195401151987032001
197401252006041001
Tembusan : Dosen Wali
(Setelah semua proses selesai)

Bambang Darmo Yuwono, ST.,


NIP.

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