UNIVERSITAS NEGERI Kode/No :

MAKASSAR Tanggal :
FORMULIR
Revisi :
PEMBIMBINGAN
AKADEMIK
Halaman : 1 dari 2

FORMULIR USULAN JUDUL PROPOSAL SKRIPSI

UNIVERSITAS NEGERI MAKASSAR

Penanggungjawab
Proses Tanggal
Nama Jabatan Tandatangan
1. Perumusan
2. Pemeriksaan
3. Persetujuan
4. Penetapan
5. Pengendalian
 FORMULIR USULAN JUDUL PROPOSAL SKRIPSI

1. Nama :
2. NIM :
3. Semester/TA :
4. IPK :
5. Jumlah SKS dicapai :
6. Program Studi :
7. Jurusan :
8. Fakultas :
9. Dosen PA :

Usulan Judul Skripsi :

1. Judul 1 :

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2. Judul 2 :

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Dosen Pembimbing yang diusulkan :

1. ...................................................

2. ...................................................

Makassar, ........................ 20

Mengetahui Dosen PA, Pemohon,

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