Anda di halaman 1dari 1

FORMULIR PENGAJUAN USULAN JUDUL TESIS/ SKRIPSI/ RISET/ KTI*

PROGRAM STUDI: ___________________________


STIKIM-STIKOM IMA

No. Pengajuan : ______________________________________________

Nama mahasiswa : ______________________________________________

NPM : ______________________________________________

No. Telp/ HP : ______________________________________________

Email : ______________________________________________

Program studi & peminatan : ______________________________________________

Rencana Judul penelitian : ______________________________________________

______________________________________________

______________________________________________

Jakarta,___/____/____
Pembimbing Mahasiswa

(______________) (_____________)

Mengetahui

Ketua Program Studi

(______________)

Anda mungkin juga menyukai