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SEKOLAH TINGGI ILMU KESEHATAN

STIKES YAPIKA MAKASSAR


Kampus: Jl. Sultan Alauddin No. 98 Telp. 0411-840783 Makassar

Kepada Yth.
Bapak/Ibu Ketua/Sekretaris Program Studi Keperawatan/Kesehatan Masyarakat*)
di,-
Makassar

Dengan hormat,

Yang bertanda tangan di bawah ini:


Nama : .............................................................................................
NIM : .............................................................................................
Program Studi : S-1 Keperawatan / S-1 Kesehatan Masyarakat
Alamat : .............................................................................................
Dengan ini mengajukan judul skripsi:
1. .................................................................................................................................................
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.................................................................................................................................................
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2. .................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
3. .................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................

Demikian permohonan ini kiranya Bapak/Ibu dapat menyetujui.

Makassar, ……………………….. 2008

Disetujui oleh,
Ketua/Sekretaris Program Studi Hormat Kami,

___________________________ ___________________________

Pembimbing yang diusulkan:


1. ...................................................................................................
2. ...................................................................................................

*) Coret yang tidak perlu

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