Sekolah Tinggi Teknik Surabaya
Jalan Ngagel Jaya Tengah 73 – 77, Surabaya 60284 , Indonesia
Telp. (031) 5027920 Fax. (031) 5041509
PROPOSAL WORKSHOP / PROYEK *)
Nama Mahasiswa : ___________________________________________________________
NRP Mahasiswa : ___________________
Nama Mata Kuliah : ___________________________________________________________
Judul Workshop :
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Pembimbing : ____________________________________________________________
Menyetujui, Surabaya, ____________________
Ketua Jurusan Pembimbing Pemohon
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KEPUTUSAN USULAN : DISETUJUI / DITOLAK *)
Pembimbing : ______________________________________________________________________
Bagian yang harus diperbaiki / ditambahkan :
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*) Coret yang tidak perlu
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BAA ‐ (16‐06‐2010) ‐ Proposal Workshop v2 F‐016.doc