UNIVERSITAS MALAHAYATI

FAKULTAS KEDOKTERAN
JURUSAN KEDOKTERAN UMUM
Jalan Pramuka No. 27 Bandar Lampung, Telp 0721-271112, 271114,271116, Faks. 0721-271119

FORM REVISI SIDANG HASIL

(PEMBIMBING 1)
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Revisi selambat-lambatnya akan diserahkan kepada pembimbing 1 dan 2 serta penguji

pada tanggal .............. bulan ................... tahun..................... untuk diperiksa kembali sebelum
di tandatangani.
Bandar Lampung, ......................................... 2013

Pembimbing I Mahasiswa Ybs,

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 UNIVERSITAS MALAHAYATI
FAKULTAS KEDOKTERAN
JURUSAN KEDOKTERAN UMUM
Jalan Pramuka No. 27 Bandar Lampung, Telp 0721-271112, 271114,271116, Faks. 0721-271119

FORM REVISI SIDANG HASIL

(PEMBIMBING 2)
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Revisi selambat-lambatnya akan diserahkan kepada pembimbing 1 dan 2 serta penguji

pada tanggal .............. bulan ................... tahun..................... untuk diperiksa kembali sebelum
di tandatangani.
Bandar Lampung, ......................................... 2013

Pembimbing II Mahasiswa Ybs,

......................................... ................................................
 UNIVERSITAS MALAHAYATI
FAKULTAS KEDOKTERAN
JURUSAN KEDOKTERAN UMUM
Jalan Pramuka No. 27 Bandar Lampung, Telp 0721-271112, 271114,271116, Faks. 0721-271119

FORM REVISI SIDANG HASIL

(PENGUJI)
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Revisi selambat-lambatnya akan diserahkan kepada pembimbing 1 dan 2 serta penguji

pada tanggal .............. bulan ................... tahun..................... untuk diperiksa kembali sebelum
di tandatangani.
Bandar Lampung, ......................................... 2013

Penguji Mahasiswa Ybs,

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