Anda di halaman 1dari 1

FORM 1 – KTI FK UNIMAL 2013

UNIVERSITAS MALAHAYATI
FAKULTAS KEDOKTERAN
JURUSAN KEDOKTERAN UMUM
Jalan Pramuka No. 27 Bandar Lampung, Telp 0721-271112, 271114,271116, Faks. 0721-271119

FORM PENGAJUAN SIDANG HASIL SKRIPSI

NAMA MAHASISWA :........................................................................................

NPM :........................................................................................

UNIVERSITAS :........................................................................................

FAKULTAS :........................................................................................

JURUSAN :........................................................................................

SEMESTER :........................................................................................

IP SEMESTER LALU :........................................................................................

JUDUL SKRIPSI :........................................................................................

........................................................................................

........................................................................................

........................................................................................

TANGGAL SIDANG HASIL SKRIPSI :........................................................................................

Bandar Lampung,.................................2019

Pembimbing I, Pembimbing II,

(..................................................) (..............................................)

Mahasiswa Ybs,

(.......................................................)

Anda mungkin juga menyukai