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FORM SURVEY/OBSERVASI LAPANGAN

Nama :………………………………………………………………….......

NIM :………………………………………………………………….......

Program studi :………………………………………………………………….......

Desa/Kelurahan :………………………………………………………………...........

Kecamatan :………………………………………………………………….......

HASIL SURVEY/OBSERVASI
LAPANGAN: .............................................................................................................................
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PERMASALAHAN YANG
DITEMUKAN: ..........................................................................................................................
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RENCANA PROGRAM YANG AKAN


DILAKSANAKAN: ...................................................................................................................
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Mengetahui: Semarang, ................................2023

KETUA RW...... Kelurahan......... Mahasiswa

Tanda Tangan
Dan Cap Basah

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Menyetujui:

Dosen Pembimbing Lapangan / Supervisi


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