Buku Konsultasi Program Ganda

BUKU KONSULTASI
SKRIPSI
Nama Mahasiswa : _____ _________
NIM : ______________
Program Ganda
<<Program - Program>>
Universitas Bina Nusantara
Data Pribadi Mahasiswa
Nim : ________________________________________
Nama Mahasiswa : ________________________________________
Alamat : ________________________________________
________________________________________
No. Telepon Rumah : ________________________________________
Nama Perusahaan : ________________________________________
No. Telepon Kantor : ________________________________________
No. Ponsel : ________________________________________
Judul : ________________________________________
________________________________________
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Mahasiswa,
Foto
mahasiswa
. .
Rencana Mulai : ___________________________
Rencana Selesai : ___________________________
Rencana Daftar Isi :
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Mengetahui,
Pembimbing 1 Pembimbing 2
( ___________________ ) ( ___________________ )
Tanggal : ____________ Tanggal : ____________

Rencana Pelaksanaan
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Absensi Konsultasi
Tgl Materi Saran Paraf

Absensi Konsultasi
Tgl Materi Saran Paraf

CATATAN MAHASISWA
Rekomendasi Dari Pembimbing
Periode I Semester Ganjil/Genap ______/______
(*)
Nim : ________________
Nama : _______________________________
Jurusan : _______________________________
Judul : ___________________________________________
___________________________________________
___________________________________________
O Dapat diterima.
O Belum selesai, dapat diperpanjang.
O Belum selesai sama sekali, harus mengajukan proposal baru.
( __________________ ) ( __________________ )
Tanggal : ____________ Tanggal : ____________
(*)
coret yang tidak perlu
Periode II Semester Ganjil/Genap ______/______
(*)
Nim : ________________
Nama : _______________________________
Jurusan : _______________________________
Judul : ___________________________________________
___________________________________________
___________________________________________
O Dapat diterima.
O Belum selesai, dapat diperpanjang.
( __________________ ) ( __________________ )
Tanggal : ____________ Tanggal : ____________
(*)
Periode III Semester Ganjil/Genap ______/______
(*)
Nim : ________________
Nama : _______________________________
Jurusan : _______________________________
Judul : ___________________________________________
___________________________________________
___________________________________________
O Dapat diterima.
( __________________ ) ( __________________ )
Tanggal : ____________ Tanggal : ____________
(*)

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Buku Konsultasi Program Ganda

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BUKU KONSULTASI

Nama Mahasiswa : _ _____

Nama Mahasiswa : ________________________________________

No. Telepon Rumah : ________________________________________

Nama Perusahaan : ________________________________________

No. Telepon Kantor : ________________________________________

No. Ponsel : ________________________________________

Rencana Selesai : ___________________________

Rencana Daftar Isi :

Tanggal : Tanggal :

Tgl Materi Saran Paraf

Tgl Materi Saran Paraf

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