KEMENTERIAN AGAMA

INSTITUT AGAMA ISLAM NEGERI (IAIN) MANADO

FAKULTAS TARBIYAH DAN ILMU KEGURUAN

SURAT PERMOHONAN UJIAN KOMPREHENSIF

Yang bertanda tangan dibawah ini saya :

Nama :...............................................................................
NIM :...............................................................................
Program Studi :...............................................................................
Alamat Asal :...............................................................................
Alamat di Manado :...............................................................................
Nomor Hp/Telp :...............................................................................
Alamat Email :...............................................................................
Penasehat Akademik :...............................................................................

Mengajukan permohonan ujian komprehensif :

Hari :.................................................................................
Tanggal :.................................................................................
Waktu :.................................................................................

Manado,.................................................
Pemohon,

(..............................................................)
NIM :