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BERITA ACARA PRESENTASI PORTOFOLIO

Pada hari ini tanggal : ........................................................................ telah dipresentasikan


portofolio
oleh:
Nama : .........................................................................................................................................
No ID Peserta : ............................................................................................................................
dengan judul/ topik :
......................................................................................................................................................
......................................................................................................................................................
......................................................................................................................................................
No. ID dan Nama Pendamping : ................................................
(Dr. Pendamping atau staf ahli lainnya)
No. ID dan Nama Wahana : ........................................................................................................
Nama Peserta Presentasi

No. ID Peserta

Tanda tangan

1. ..................................... ..................................... ......................................................................


2. ..................................... ..................................... ......................................................................
3. ..................................... ..................................... ......................................................................
4. ..................................... ..................................... ......................................................................
5. ..................................... ..................................... ......................................................................
Berita acara ini ditulis dan disampaikan sesuai dengan yang sesungguhnya.

dr. .
NIP .