UNIVERSITAS MATARAM
FAKULTAS TEKNIK
Jalan Majapahit nomor 62 Mataram 83125
Telpon (0370) 636126 Faximile (0370) 636523
DAFTAR KEGIATAN
PRAKTEK KERJA LAPANGAN
Nama Instansi/ Perushaan
Alamat
Judul PKL
Lama PKL
Nama
NIM
No
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Tanggal
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: ...............................................bulan
(tanggal...................................s.d...................................)
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Uraian Pekerjaan dan Kegiatan
Paraf
pembimbing
Lapangan