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,
………………………………...