UNIVERSITAS MANDALA WALUYA

FAKULTAS ILMU-ILMU KESEHATAN

PROGRAM STUDI S1 KEPERAWATAN
Jl. Jend. A. H. Nasution, No. G-37, Telp. 3193176 (0401) Kendari

FORMULIR PENGAJUAN JUDUL PROPOSAL PENELITIAN MAHASISWA

Nama :
Nim :
Kelas :
Departemen :

Usulan Judul Prioritas :

1. Masalah :………………………………………………………………………………………………..…..
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Judul :……………………………………………………………………………………………………….
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Usulan Judul Cadangan :

2. Masalah :………………………………………………………………………………………………..…..
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Judul :……………………………………………………………………………………………………….
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3. Masalah :………………………………………………………………………………………………..…..
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Judul :……………………………………………………………………………………………………….
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Kendari,……………………..20….
Mahasiswa
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