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KABINET KELUARGA MAHASISWA

INSTITUT TEKNOLOGI DAN SAINS BANDUNG


Jl. Ganesha Boulevard LOT A1 CBD Kota Delta Mas (Tol Jakarta Cikampek km 37) Cikarang Pusat – Kabupaten Bekasi

FORMULIR PENYERAHAN PROPOSAL

Nama Kegiatan :.............................................................................................................

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Tgl Penyelenggaraan :.............................................................................................................


Pengajuan Dana :.............................................................................................................

Penanggung Jawab
Nama :.............................................................................................................
NIM :.............................................................................................................
No. Telp :.............................................................................................................
Email :.............................................................................................................

Tgl Penyerahan Proposal :.............................................................................................................

Kota Deltamas, ______________________


Yang Menyerahkan, Yang Menerima
(Tanda Tangan & Nama Jelas) (Tanda Tangan & Nama Jelas)

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