Nama : ..........................................................................................................
NIM : ..........................................................................................................
Semester : ..........................................................................................................
Email : ..........................................................................................................
Konsentrasi : ..........................................................................................................
Dosen PA : ..........................................................................................................
No.Handphone : ..........................................................................................................
Tanggal TTD
No. Materi Konsultasi
Konsultasi Dosen PA
Mengetahui,
Lubuklinggau, 2019
K.A Prodi Sistem Informasi
Cindi Wulandari,M.Kom
NIDN. 0221088903