LOG BOOK

KEGIATAN KEMAHASISWAAN

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Nama : ......................................................................................................
Program Studi : ......................................................................................................
NIM / Semester : ......................................................................................................
Nama Kelompok : ......................................................................................................
Anggota Kelompok:
1. ................................................. Program Studi : ........................ NIM : ................
2. ................................................. Program Studi : ........................ NIM : ................
3. ................................................. Program Studi : ........................ NIM : ................
4. ................................................. Program Studi : ........................ NIM : ................
5. ................................................. Program Studi : ........................ NIM : ................
6. ................................................. Program Studi : ........................ NIM : ................
7. ................................................. Program Studi : ........................ NIM : ................
8. ................................................. Program Studi : ........................ NIM : ................
9. ................................................. Program Studi : ........................ NIM : ................
10. ................................................. Program Studi : ........................ NIM : ................
11. ................................................. Program Studi : ........................ NIM : ................
12. ................................................. Program Studi : ........................ NIM : ................

Mentor : ................................................................................
Co - Mentor : ................................................................................

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Nama : ......................................................................................................
Program Studi : ......................................................................................................
NIM / Semester : ......................................................................................................
Nama Kelompok : ......................................................................................................
Anggota Kelompok:
1. ................................................. Program Studi : ........................ NIM : ................
2. ................................................. Program Studi : ........................ NIM : ................
3. ................................................. Program Studi : ........................ NIM : ................
4. ................................................. Program Studi : ........................ NIM : ................
5. ................................................. Program Studi : ........................ NIM : ................
6. ................................................. Program Studi : ........................ NIM : ................
7. ................................................. Program Studi : ........................ NIM : ................
8. ................................................. Program Studi : ........................ NIM : ................
9. ................................................. Program Studi : ........................ NIM : ................
10. ................................................. Program Studi : ........................ NIM : ................
11. ................................................. Program Studi : ........................ NIM : ................
12. ................................................. Program Studi : ........................ NIM : ................

Mentor : ................................................................................
Co - Mentor : ................................................................................

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Nama : ......................................................................................................
Program Studi : ......................................................................................................
NIM / Semester : ......................................................................................................
Nama Kelompok : ......................................................................................................
Anggota Kelompok:
1. ................................................. Program Studi : ........................ NIM : ................
2. ................................................. Program Studi : ........................ NIM : ................
3. ................................................. Program Studi : ........................ NIM : ................
4. ................................................. Program Studi : ........................ NIM : ................
5. ................................................. Program Studi : ........................ NIM : ................
6. ................................................. Program Studi : ........................ NIM : ................
7. ................................................. Program Studi : ........................ NIM : ................
8. ................................................. Program Studi : ........................ NIM : ................
9. ................................................. Program Studi : ........................ NIM : ................
10. ................................................. Program Studi : ........................ NIM : ................
11. ................................................. Program Studi : ........................ NIM : ................
12. ................................................. Program Studi : ........................ NIM : ................

Mentor : ................................................................................

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 TRAINING SOFT SKILL
TINGKAT I – TINGKAT II – TINGKAT III

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 TRAINING SOFT SKILL
TINGKAT I – TINGKAT II – TINGKAT III

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 TRAINING SOFT SKILL
TINGKAT I – TINGKAT II – TINGKAT III

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 TRAINING SOFT SKILL
TINGKAT I – TINGKAT II – TINGKAT III

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 TRAINING SOFT SKILL
TINGKAT I – TINGKAT II – TINGKAT III

Tingkat III :

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 CATATAN MENTORING SOFT SKILL TK I – TK II –
TK III
Hari, Tanggal : _______________________________________________________________
Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

Hari, Tanggal : _______________________________________________________________

Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

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 CATATAN MENTORING SOFT SKILL TK I – TK II –
TK III
Hari, Tanggal : _______________________________________________________________
Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

Hari, Tanggal : _______________________________________________________________

Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

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 CATATAN MENTORING SOFT SKILL TK I – TK II –
TK III
Hari, Tanggal : _______________________________________________________________
Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

Hari, Tanggal : _______________________________________________________________

Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

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 CATATAN MENTORING SOFT SKILL TK I – TK II –
TK III
Hari, Tanggal : _______________________________________________________________
Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

Hari, Tanggal : _______________________________________________________________

Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

CATATAN MENTORING SOFT SKILL TK I – TK II –

TK III

Hari, Tanggal : _______________________________________________________________

Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

Hari, Tanggal : _______________________________________________________________

Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

CATATAN MENTORING SOFT SKILL TK I – TK II –

TK III
Hari, Tanggal : _______________________________________________________________
Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

Hari, Tanggal : _______________________________________________________________

Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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__________________________________________________________________________________

Paraf Mentor : Paraf Co - Mentor :

CATATAN MENTORING SOFT SKILL TK I – TK II –

TK III
Hari, Tanggal : _______________________________________________________________
Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

Hari, Tanggal : _______________________________________________________________

Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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__________________________________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

CATATAN MENTORING SOFT SKILL TK I – TK II –

TK III
Hari, Tanggal : _______________________________________________________________
Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

Hari, Tanggal : _______________________________________________________________

Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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__________________________________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

CATATAN MENTORING SOFT SKILL TK I – TK II –

TK III
Hari, Tanggal : _______________________________________________________________
Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

Hari, Tanggal : _______________________________________________________________

Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

CATATAN MENTORING SOFT SKILL TK I – TK II –

TK III
Hari, Tanggal : _______________________________________________________________
Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

Hari, Tanggal : _______________________________________________________________

Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

CATATAN MENTORING SOFT SKILL TK I – TK II –

TK III
Hari, Tanggal : _______________________________________________________________
Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

Hari, Tanggal : _______________________________________________________________

Kegiatan : _______________________________________________________________
Uraian Kegiatan : _______________________________________________________________
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Paraf Mentor : Paraf Co - Mentor :

Dokumentasi Soft Skill Tingkat I

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Dokumentasi Soft Skill Tingkat II

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Dokumentasi Soft Skill Tingkat III

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 Daftar Kehadiran Soft Skill Tingkat I
Ttd
No Tanggal Co - Mentor Mentor
Mahasiswa

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 Daftar Kehadiran Soft Skill Tingkat II
Ttd
No Tanggal Co - Mentor Mentor
Mahasiswa

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 Daftar Kehadiran Soft Skill Tingkat III
No Tanggal Ttd Mahasiswa Mentor

LEMBAR PENGESAHAN SOFT SKILL TINGKAT I

Nama : __________________________________________________________
NIM : ___________________________________________________________
Judul Project : ___________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Log book ini sudah diisi oleh mahasiswa dan diperiksa oleh Mentor / Co-mentor, serta
dinyatakan layak digunakan untuk kepentingan rangkaian kegiatan project soft skill.

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 Semarang, .............................................

Mengetahui,

Mentor Co - Mentor

(_____________________) (_________________)

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 LEMBAR PENGESAHAN SOFT SKILL TINGKAT II

Nama : __________________________________________________________
NIM : ___________________________________________________________
Judul Project : ___________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Log book ini sudah diisi oleh mahasiswa dan diperiksa oleh Mentor / Co-mentor, serta
dinyatakan layak digunakan untuk kepentingan rangkaian kegiatan project soft skill.

Semarang, .............................................

Mengetahui,

Mentor Co - Mentor

(_____________________) (_________________)

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 LEMBAR PENGESAHAN SOFT SKILL TINGKAT III

Nama : __________________________________________________________
NIM : ___________________________________________________________
Judul Project : ___________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Log book ini sudah diisi oleh mahasiswa dan diperiksa oleh Mentor / Co-mentor, serta
dinyatakan layak digunakan untuk kepentingan rangkaian kegiatan project soft skill.

Semarang, .............................................

Mengetahui,
Mentor

(_________________)

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 FORMAT PENGAMATAN PERILAKU MAHASISWA

NAMA :
NIM :
SEMESTER :
PROGRAM STUDI :
Hari Tempat Perilaku Tindakan/Saran,
Tanggal Pengamatan Yang Diamati Tanda Tangan

INDIKATOR PERILAKU BUDI PEKERTI

PERILAKU DESKRIPSI INDIKATOR

Disiplin Tindakan yang menunjukan perilaku 1. Hadir tepat waktu dalam setiap kegiatan
tertib dan patuh pada berbagai 2. Mengunakan seragam sesuai peraturan
ketentuan dan peraturan 3. Mengumpulkan tugas tepat waktu

Ramah Perilaku yang mencerminkan sikap 1. Selalu senyum dan menyapa kepada
ramah, berkomunikasi dengan siapapun
bahasa yang santun kepada 2. Menunjukan sikap terbuka, memulai
siapapun pembicaraan dengan orang lain

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Salam Perilaku yang mencerminkan selalu
memberi salam atau menyapa ketika
bertemu dengan orang lain
Jujur Perilaku yang didasarkan pada
upaya menjadikan dirinya sebagai
orang yang selalu dapat dipercaya
dalam perkataan, tindakan dan
pekerjaan
Peduli Sikap dan tindakan yang selalu ingin
memberi bantuan kepada orang lain
dan masyarakat yang membutuhkan
Empati Sikap dan kemampuan untuk
merasakan keadaan emosional
orang lain, merasa simpatik dan
mencoba menyelesaikan masalah,
dan mengambil perspektif orang lain
Public Sikap dan perilaku berkomunikasi
speaking yang dilakukan di hadapan khalayak
ramai atau sekelompok orang,
bertujuan untuk memberikan
informasi, mempengaruhi, atau
menghibur orang banyak.
Critical Perilaku atau keterampilan yang
thinking memungkinkan seseorang membuat
keputusan yang logis, berdasarkan
informasi yang didapat dan diolah
sesuai kemampuan. 
Tanggung Sikap dan perilaku seseorang untuk
jawab melaksanakan tugas dan
kewajibannya, yang seharusnya dia
lakukan terhadap diri sendiri,
masyarakat dan lingkungan
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1. Mengucapkan dan menunjukan salam
Namaste pada setiap pertemuan dan
bertemu dengan orang lain
2. Mengucapkan kalimat salam sesuai kondisi
ketika bertemu dengan orang lain
1. Menyerahkan apabila menemukan barang
2. Tidak melakukan kecurangan atau
kebohongan pada saat ujian
3. Tidak melakukan plagiarism saat
mengerjakan tugas
1. Menunjukan perilaku membantu orang lain
2. Menunjukan sikap empati dan menolong
kepada orang lain
1. Menunjukan perilaku mendengarkan
pembicaraan orang lain dengan baik
2. Menunjukan perilaku menerima orang lain
1. Menunjukan perilaku berbicara
menggunakan bahasa yang santun dan
menerapkan komunikasi dengan baik
2. Mampu melakukan edukasi kepada pasien,
keluarga dan masyarakat
3. Menggunakan bahasa komunikasi yang
mudah dipahami dan jelas
1. Mempunyai kemampuan berpikir kritis
2. Mampu menganalisis kondisi secara tepat
dan benar
1. Menyelesaikan tugas yang menjadi tanggung
jawab mahasiswa secara tepat waktu dan
sesuai panduan
2. Melaporkan setelah penyelesaikan tugas
3. Menunjukan perilaku tidak menyalahkan
orang lain
Kerjasama Perilaku yang merupakan suatu
usaha bersama antara orang
perorangan atau kelompok untuk
mencapai tujuan tertentu
Kreatif Perilaku berpikir dan melakukan
sesuatu untuk menghasilkan cara
atau hasil baru dari sesuatu yang
dimiliki
Inovasi Kemampuan memberikan ide,
gagasan, ojek, dan praktik yang
dilandasi dan diterima sebagai suatu
hal yang baru oleh seseorang atau
kelompok tertentu untuk
diaplikasikan atau pun diadopsi.
Daya juang Perilaku atau kemampuan seseorang
untuk melakukan tindakan dan
upaya bergerak ke dapan secara
maksimal dan mengatasi segala
kesulitan untuk mencapai tujuan
tertentu sampai titik puncak
Problem Sikap dan perilaku dalam
solving penyelesaian masalah dengan
proses berpikir. atau metode
perencanaan kerja yang meliputi
penilaian, identifikasi masalah,
perencanaan, implementasi, dan
evaluasi.
Omotenashi Sikap dan perilaku yang
mencerminkan tata cara orang
melayani oran lain dengan sepenuh
hati  dalam membantu orang lain
Mandiri Sikap atau perilaku yang tidak
mudah tergantung dengan orang
lain dalam menyelesaikan tugas
Kerjasama Sikap dan perilaku yang dilakukan
tim oleh beberapa orang atau kelompok
untuk mencapai tujuan bersama.
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1. Menunjukan perilaku gotong royong kepada
siapapun dalam setiap melakukan kegiatan
2. Mengerjakan pekerjaan secara bersama-
sama
1. Menunjukan perilaku banyak ide yang positif
2. Selalu mempunyai pemikiran ke masa depan
1. Perilaku menghasilkan suatu bentuk nyata
dari ide yang dapat memberikan manfaat
kepada orang lain
1. Menunjukan perilaku yang pantang
menyerah, selalu bersemangat dan bekerja
keras dalam mencapai tujuan
2. Menunjukan perilaku gigih dan percaya diri
dalam mengerjakan
3. Menunjukan perilaku tidak malas dan tidak
putus as
1. Menunjukan perilaku kritis dan analitis
dalam menghadapi seuatu permasalahan
2. Berani mengambil keputusan dan
bertanggung jawab
1. Menunjukan perilaku empati dan suka
menolong orang lain
2. Menunjukan perilaku yang tulus dan ikhlas
1. Menunjukan perilaku tidak tergantung dari
orang lain
2. Selalu menyelesaikan pekerjaan atau tugas
dengan baik dan tepat waktu
1. Menunjukan perilaku bekerja bersama,
gotong royong dalam mencapai tujuan
2. Menunjukan perilaku mudah menerima
anggota kelompok atau tim
Toleransi Sikap dan tindakan yang menghargai 1. Menghargai pendapat orang lain
perbedaan pendapat, agama, suku, 2. Memberikan kesempatan orang lain untuk
berbicara atau berpendapat
3. Mengutamakan kepentingan orang lain

Komunikatif Sikap dan perilaku saling 1. Menunjukan perilaku mudah bergaul

berhubungan dan mudah dipahami dengan siapapun
2. Berkomunikasi dengan menggunakan
bahasa yang santun dan sikap yang
menyenangkan

CODE OF CONDUCT

Salam – Ramah 1. Mengucapkan salam dan tersenyum apabila 1. Ketika bertemu dan berinteraksai
bertemu orang lain : “selamat pagi, siang, dengan siapapun
sore…”
2. Menunjukan salam “Namaste”

Disiplin 1. Hadir tepat waktu pada setiap kegiatan : 1. Kegiatan pembelajaran

akademik dan non akademik 2. Kegiatan softskill
2. Mengumpulkan tugas tepat waktu 3. Kegiatan ekstrakurikuler
4. Penugasan semua mata kuliah

Jujur 1. Tidak titip tanda tangan kegiatan akademik 1. Kegiatan pembelajaran teori, skill
dan non akademik lab, praktikum
2. Tidak mencontek saat ujian 2. Kegiatan penunjang dan ekstra
3. Tidak plagiarisme dalam penyusunan laporan kurikuler
atau tugas 3. Ujian mata kuliah
4. Tugas dan karya ilmiah

Empati – Peduli Menunjukan perilaku membantu orang lain 1. Penugasan kelompok

2. Praktik klinik
3. Soft skill

Toleransi 1. Menghargai pendapat atau ide orang lain 1. Proses tutorial

2. Mengutamakan kepentingan orang lain dan 2. Praktik klinik
kelompok 3. Penugasan kelompok

Kerjasama 1. Selalu diterima dalam kelompok 1. Penugasan kelompok

2. Melakukan peran dan tanggung jawab dalam 2. Soft skill
kelompok

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Kreatif – Inovatif 1. Mengemukakan ide 1. Penugasan mata kuliah
2. Melakukan inovasi dalam kegiatan akademik 2. Soft skill
dan non akademik

Mandiri 1. Dalam menyelesaikan pekerjaan tidak 1. Penugasan mata kuliah

tergantung kepada orang lain 2. Praktik klinik
2. Tanggung jawab terhadap pekerjaannya

Problem Solver 1. Mempunyai kemampuan dalam 1. Pembelajaran mata kuliah

menyelesaikan masalah 2. Praktik klinik
2. Analisis dan berpikir kritis

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FORMAT PENILAIAN :
1. Penilaian tindakan keterampilan (prosedur tindakan keterampilan)
2. Penilaian sikap praktik lahan praktik
3. Penilaian ujian karya ilmiah : proposal skripsi, sidang skripsi, proposal KTI, hasil KTI, KTI
keperawatan, KTI ners
4. Penilaian presentasi : presentasi jurnal, presentasi kasus, presentasi tugas kelompok,
presentasi analisis tindakan, seminar kelompok,
5. Penilaian laporan : laporan kasus, laporan asuhan keperawatan, makalah mata kuliah,
laporan pendahuluan
6. Penilaian kegiatan klinik : pre post conference, BST, ronde keperawatan dan kebidanan,
DOPS,

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 BIMBINGAN KONSELING
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 BIMBINGAN KONSELING
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 BIMBINGAN KONSELING
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