: .........................................................................................................
Jabatan/Profesi
: .........................................................................................................
Instansi/Perusahaan
: .........................................................................................................
Alamat Instansi/Perusahaan
: .........................................................................................................
.........................................................................................................
: .........................................................................................................
Alamat
: .........................................................................................................
: .........................................................................................................
: .........................................................................................................
Kemandirian
Sangat baik
Baik
Cukup
Kurang
2.
Sangat baik
Baik
Cukup
Kurang
3.
Kemampuan
mengemukan pendapat
Kemampuan analisis
Sangat baik
Baik
Cukup
Kurang
4.
Daya nalar
Sangat baik
Baik
Cukup
Kurang
Hal hal lain yang dianggap potensial dalam menunjang keberhasilan calon peserta :
...........................................................................................................................................................................
...........................................................................................................................................................................
...........................................................................................................................................................................
...........................................................................................................................................................................
Demikian rekomendasi ini diberikan dengan sebenarnya untuk digunakan sebagai bahan pertimbangan dalam
proses penerimaan calon peserta Program Studi Magister/Doktor/Profesi* pada Program Pascasarjana
Universitas Udayana.
Denpasar, ....................................
Pemberi rekomendasi
(.............................................................)
*) Coret yang tidak perlu