Anda di halaman 1dari 1

Formulir Usulan Dosen Pembimbing dan Penguji Skripsi

Assalamu’alaikum wr wb

Yang bertandatangan di bawah ini saya:

Nama Mahasiswa : ...................................................................................................................

NIM : ...................................................................................................................

Bersama ini saya mengajukan usulan:

Dosen Pembimbing I :....................................................................................................................

Dosen Pembimbing 2 :....................................................................................................................

Dosen Penguji I :....................................................................................................................

Dosen Penguju II :....................................................................................................................

Judul Usulan Proposal Penelitian :

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

Sifat Usulan Penelitian :

PKM (................................................................................................................/Sebutkan Nama Dosen)/


Penelitian Dosen (.............................................................................../Sebutkan Nama Dosen)/ Pribadi*

*coret yang tidak perlu

Demikian usulan Dosen Pembimbing dan Penguji Skripsi saya sampaikan. Atas perhatiannya saya
ucapkan terimakasij.

Wasalamu’alaikum wr wb

Semarang ,....................................

Hormat Saya

(...........................................)

Anda mungkin juga menyukai