KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN

UNIVERSITAS JEMBER
PROGRAM STUDI ILMU KEPERAWATAN
Alamat : Jl. Kalimantan 37 Telp./ Fax (0331) 323450 Jember

BUKTI KEHADIRAN OPONEN SEMINAR PROPOSAL

NAMA : .........................................................................................................
NIM : ............................................................................................................
JUDUL TUGAS AKHIR :.............................................................................................................
...............................................................................................................
...............................................................................................................
...............................................................................................................
...............................................................................................................

Pada hari ini, tanggal .................................................... telah menjadi oponen pada seminar
proposal :
NAMA :.............................................................................................................
NIM :.............................................................................................................
JUDUL TUGAS AKHIR ..............................................................................................................
.............................................................................................................
...............................................................................................................
...............................................................................................................
...............................................................................................................

Menyetujui Jember, ........................................................

Tim Penguji (DPU/ DPA), Oponen,

(...................................................................) (...................................................................)
NIP. NIM.
 KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
UNIVERSITAS JEMBER
PROGRAM STUDI ILMU KEPERAWATAN
Alamat : Jl. Kalimantan 37 Telp./ Fax (0331) 323450 Jember

PERNYATAAN PEMBIMBING SKRIPSI DAN KOMISI SKRIPSI

Kami yang bertanda tangan di bawah ini, bertindak sebagai Pembimbing Skripsi dan
Komisi Skripsi Program Studi Ilmu Keperawatan Universitas Jember setelah
memeriksa dan mengkaji kelayakan judul penelitian:

............................................................................................................................................
............................................................................................................................................
............................................................................................................................................
............................................................................................................................................
yang diajukan oleh:
Nama :........................................................................................................................
NIM :........................................................................................................................
dengan ini kami nyatakan bahwa penelitian tersebut layak untuk diteliti dan segala
sesuatu yang terkait di dalam penelitian ini menjadi tanggung jawab dari peneliti.

Demikian keterangan ini dibuat, agar dapat digunakan sebagaimana mestinya.

Ditetapkan di : Jember
Tanggal : .........................................................
Yang menetapkan :

1. ................................................................................... ( )

2. ................................................................................... ( )

3. .................................................................................... ( )