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Form 4.

Universitas Borneo Lestari


No. Dok : 004/UNBL/FF/S1F/2022
Fakultas Farmasi
Formulir Tanggal : 05 Oktober 2022
PERNYATAAN KESIAPAN UJIAN
PROPOSAL SKRIPSI Revisi :-

Nama Mahasiswa :
NIM :
Judul Skripsi :
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Dinyatakan SIAP/SIAP BERSYARAT/TIDAK SIAP untuk ujian Seminar Proposal Skripsi.
Demikian surat pernyataan ini agar dapat dipergunakan seperlunya.

Banjarbaru, ……………………
Pembimbing I, Pembimbing II,

(………………………………...) (………………………………...)
NIK/NIDN. NIK/NIDN.

Banjarbaru, ……………………
Mahasiswa,

………………………………...

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