USULAN JUDUL TUGAS AKHIR

NAMA MAHASISWA :
NIM :
PERIODA :
SEMESTER :
TAHUN :

JUDUL YANG DI USULKAN

1. JUDUL TUGAS AKHIR : _______________________________________________________

KOTA : _______________________________________________________
TEMA : _______________________________________________________
_______________________________________________________
USULAN LOKASI 1. ______________________________________________________
2. ______________________________________________________
3. ______________________________________________________

2. JUDUL SEMINAR : _______________________________________________________

TEMA : _______________________________________________________
_______________________________________________________

Bandung,
Mengetahui
Ketua Jurusan/Koordinator TA Calon Peserta Tugas Akhir

( ____________________________ ) ( ____________________________ )