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YAYASAN WAKAF UMI

UNIVERSITAS MUSLIM INDONESIA


PROGRAM PASCASARJANA
Alamat : Kampus PPs-UMI, Jln. Urip Sumoharjo No. 225 Makassar 90232
 (0411) 454534  (0411) 4668377 Website : http://www.pascaumi.ac.id E-mail : pascaumi.umi@gmail.com

USULAN RENCANA JUDUL TESIS DAN KOMISI PEMBIMBING


Yang bertanda tangan di bawah ini :

Nama : ..........................................................................................................

Nomor Induk Mahasiswa : ..........................................................................................................

Program Studi : ..........................................................................................................

Konsentrasi : ..........................................................................................................

Alamat / Hp : ..........................................................................................................

Pekerjaan : ..........................................................................................................

Rencana Judul Tesis : ..........................................................................................................

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Dengan ini mengajukan Komisi Pembimbing sebagai berikut :

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

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

3 ......................................................................................................................................................

4 ......................................................................................................................................................

Makassar, ..............................................
Menyetujui ;
Ketua Program Studi...................................... Yang bermohon,

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Mengetahui :
Direktur PPs-UMI

Prof. Dr. H. Sufirman Rahman, SH., MH

Catatan : Harap ditulis dengan huruf BALOK

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