BUKU KONSULTASI

ENRICHMENT PROGRAM
TRACK: _______________

Nama Perusahaan :

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Alamat Perusahaan :

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School of Computer Science

Computer Science Department
Universitas Bina Nusantara

Data Pribadi Mahasiswa

Nim

: ________________________________________

Nama Mahasiswa

: ________________________________________

Alamat

: ________________________________________
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No. Telepon Rumah

: ________________________________________

No. Telepon Kantor

: ________________________________________

No. Ponsel

: ________________________________________

Judul

: ________________________________________
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Mahasiswa,

Foto
mahasiswa

Rencana Mulai

: ___________________________

Rencana Selesai

: ___________________________

Rencana Daftar Isi :

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Mengetahui,
Pembimbing

( _______________________ )

Tanggal : __________________

Rencana Pelaksanaan
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Absensi Konsultasi
Tgl

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