Daftar Isian Mahasiswa untuk keperluan SKPI (Surat Keterangan Pendamping Ijazah)
1. NIM : ......................................................................................
2. NAMA MHS : ......................................................................................
3. TEMPAT/TGL LAHIR : ......................................................................................
4. TAHUN MASUK :......................................................................................
5. PRODI : ......................................................................................
6. PENGHARGAAN DAN PEMENANG KEJUARAAN (PRESTASI) :
Nama Kejuaraan /Prestasi / Penghargaan
No
(dalam Bhs Indonesia dan Bhs Inggris)
7. SEMINAR NASIONAL/INTERNASIONAL
Seminar Nasional/Internasional
No
(dalam Bhs Indonesia dan Bhs Inggris)
8. PENGALAMAN ORGANISASI
Nama Organisasi
No
(dalam Bhs Indonesia dan Bhs Inggris)
No Keterangan
11. JUDUL MAGANG / KP ( BHS IND & BHS INGGRIS)
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12. Soft Skill Training / Pendidikan Karakter ( BHS IND & BHS INGGRIS)
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