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FORM PERMOHONAN SURAT MAGANG

Yth. (ditujukan kepada )

(ketua,Kepala,Pimpinan,Direktur, dsb) .............................................................................................

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

Alamat .............................................................................................

Kota .............................................................................................

Nama Mahasiswa .............................................................................................

NPM / IPK .............................................................................................

Program Studi .............................................................................................

No. HP .............................................................................................

Jenjang Sarjana .............................................................................................

Dosen Pembimbing .............................................................................................

Nomor Kontak Dosen Pembimbing ............................................................................................

Keterangan /tautan (link)informasi magang .............................................................................................

Catatan: Jatinanor, ........................


HARAP DITULIS DENGAN BENAR DN
JELAS

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

NPM.

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