FORMULIR PENGAJUAN JUDUL SKRIPSI

PROGRAM STUDI KEPERAWATAN

JURUSAN KEPERAWATAN
FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN
UNIVERSITAS JAMBI

Yang bertanda tangan di bawah ini :

Nama : .............................................................................................................
NIM : .............................................................................................................
Prodi/Semester : ............................................................................................................
No. HP : .............................................................................................................
E-mail : .............................................................................................................
Dengan ini mengajukan judul skripsi sebagai berikut :
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Jambi,
Pemohon,

(Nama Lengkap)
 FORMAT USULAN PENELITIAN SKRIPSI

1. Judul/Tema

2. Latar Belakang Masalah

3. Rumusan Masalah

4. Tujuan Penelitian

5. Mata Kuliah yang Relevan

6. Daftar Pustaka

Jambi,
Pemohon,

(Nama Lengkap)