Anda di halaman 1dari 1

BIODATA PEMBIMBING

PRAKTEK KERJA LAPANGAN


PROGRAM STUDI TEKNIK ELEKTRO
SEKOLAH TINGGI TEKNOLOGI DR. KHEZ. MUTTAQIEN
TAHUN AKADEMIK 2019/2020

1. Nama : ..............................................................................
2. Tempat/Tgl. Lahir : ..............................................................................
3. Alamat : ..............................................................................
Telp/hp : ..............................................................................
4. Nama Perusahaan : ..............................................................................
Unit Kerja : ..............................................................................
Jabatan : ..............................................................................
5. Mahasiswa Bimbingan : ..............................................................................

Purwakarta, Maret 2019


Pas Foto
3x4
(tempel di sini)

....................................

Anda mungkin juga menyukai