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SURAT KETERANGAN LULUS

Nama : ______________________________________

Tempat & Tanggal Lahir : ________________________________________

No.Mahasiswa : __________________________

Tahun Masuk : __________________________

Tanggal Pendadaran :___________________________

JudulTA/Skripsi :_______________________________________________

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Tanggal pengajuan :

Yogyakarta,

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Ket.
Surat diambil 1 hari setelah pengajuan