A. IDENTITAS DU/DI
Nama perusahaan/DU/DI : ___________________________________________
Pimpinan : ___________________________________________
Pembimbing : ___________________________________________
Alamat : ___________________________________________
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Tanggal Monitoring : ______________________(diisi oleh pembimbing laporan)
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C. RESUME HASIL MONITORING (diisi oleh pembimbing laporan)
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…………, …………………2023
Pembimbing Perusahaan/DU/DI Pembimbing Laporan,
_______________________ __________________________
(mohon diisi) (mohon diisi)