Nama: ....................................................... NIM: .....................................................

Prodi: Semester: Tanggal Konsultasi:

Usulan Tema: (1.diisi setelah diskusi dengan dosen 2.tuliskan dengan baik dan bisa dibaca)
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Hasil pengarahan dosen: (penenetu judul dan pembimbing skripsi)

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(bila kertas tidak mencukupi, silahkan tambah sendiri)

Dosen pengarah,

Hasil konsultasi dari dosen di unggah ke E-

Learning
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