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SURAT KETERANGAN

Yang bertandatangan dibawah ini, menerangkan bahwa :

Nama : ..........................................................................................
NIM : ...............................................
Prodi : Kedokteran

Telah bergabung dalam pohon penelilian dosen atas nama:


Pembimbing 1 : ..........................................................................................
Pembimbing 2 : ..........................................................................................

Dengan Judul :
....................................................................................................................................................................
....................................................................................................................................................................
....................................................................................................................................................................
....................................................................................................................................................................

Menyatakan bahwa mahasiswa tersebut diatas benar-benar merupakan anggota dari pohon penelitian
tersebut.

Malang, ...........................................
Mahasiswa,

..............................................
NIM.

Mengetahui,

Pembimbing 1, Pembimbing 2,

............................................... ...............................................

NB : Melampirkan fotocopi etik

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