FORMULIR

PENENTUAN JUDUL KARYA TULIS ILMIAH

Nama Mahasiswa: .................................................................................................

NIM : ................................................................................................
Judul KTI yang diusulkan berdasarkan prioritas:

No Bidang/departemen Judul
1

Usulan nama pembimbing:

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

Hari/Tanggal Pengumpulan....................................................................................
Pukul :..................................................................................................................
Judul KTI yang disetujui:.........................................................................................

Mengetahui Pekanbaru , ........................……

Kaprodi ............................... Koordinator MK KTI
Program Studi ...................

(..........................................................) (..........................................................)
NIP. NIP.