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FORMAT LAPORAN KUNJUNGAN DPL KE LOKASI KKN

1. Nama DPL : Anggara Martha P. S.Farm.,Apt.


2. Desa : Curahmalang
3. Kecamatan : Rambipuji
4. Kabupaten : Jember
5. Hari/ Tgl Kunjungan : .............................................................
6. Jam Kunjungan : .............................................................
7. Tempat yang dikunjungi : .............................................................
8. Kunjungan Ke- : .............................................................

9. Tingkat Keterlaksanaan Program


Ketercaaian
No Nama Program Sasaran Keterangan
(%)

10. Permasalahan dan Hambatan yang dihadapi mahasiswa dalam melaksanakan program
kerja
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11. Solusi yang ditawarkan
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Nama dan Tanda tangan DPL : .............................................................

Tanggal Pelaporan : .............................................................

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