Anda di halaman 1dari 1

PENGAJUAN IJIN STUDI PENDAHULUAN/PENELITIAN

MAHASISWA PRODI .........................................


STIKES HAFSHAWATY ZAINUL HASAN GENGGONG

Kepada :
...................................................................
di
............................................
Yang bertanda tangan dibawah ini :
Nama : ..........................................................................................
NIM : ..........................................................................................
Mengajukan judul untuk pembuatan skripsi
Judul : ...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
Waktu : ...................................................................................................

Genggong, ........................................
Pembimbing 1, Mahasiswa,

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

Mengetahui,
Koordinator Ujian Akhir,

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

Anda mungkin juga menyukai