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FAKULTAS TEKNOLOGI INFORMASI

UNIVERSITAS KRISTEN SATYA WACANA


Jalan Diponegoro 52 - 60
Phone. (0298) 321212 (Hunting)
Fax. (0298) 321433
E-mail: fti@uksw.edu
Salatiga 50711 – INDONESIA

LEMBAR PERSETUJUAN PENGANTAR KERJA PRAKTEK

Nama Mahasiswa : .........................................................................................................


NIM : .........................................................................................................
No. Kontak : .........................................................................................................
Konsentrasi : ........................................................................................................

Nama Perusahaan : .........................................................................................................


Alamat Perusahaan : ........................................................................................................
.........................................................................................................
Bidang Usaha Perusahaan : .......................................................................................................

Nama Supervisor : ........................................................................................................


No. Kontak : ........................................................................................................
Email : .......................................................................................................

Tanda Tangan Supervisor : ........................................................................................................

Nama Pembimbing : …....................................................................................................


No. Kontak : ........................................................................................................
Email : ........................................................................................................

Tanda Tangan Pembimbing : .........................................................................................................

* Dibuat 4 rangkap (kantor KP; pembimbing;supervisor;mahasiswa)

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