F-028

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Institut Sains dan Teknologi Terpadu Surabaya
Jalan Ngagel Jaya Tengah 73 – 77, Surabaya 60284 , Indonesia
Telp. (031) 5027920 Fax. (031) 5041509

KEHADIRAN KERJA PRAKTEK (KP)

Semester Gasal / Genap *) Tahun Ajaran _____
2022 / _____
2023

Nama Mahasiswa : _________________________________________________________________

Ignatius Leonard R.O

NRP Mahasiswa : _________________________________________________________________

218180434

Alamat : _________________________________________________________________
Citra Harmoni Blok D5/06

_________________________________________________________________
Telp / HP : _________________________________________________________________
082245878235

Periode Kerja Praktek : _________________

08/09/2023 (dd/mm/yyyy) sampai _________________
11/12/2023 (dd/mm/yyyy)

Data Perusahaan Tempat Kerja Praktek

Nama Perusahaan : _________________________________________________________________
CV. RAJAWALI BINA MAJU

Alamat Perusahaan : _________________________________________________________________

Bumi Mandiri Tower 2 Floor 12, Jl.Panglima Sudirman 66-68

_________________________________________________________________
Contact Person : _________________________________________________________________
Wibowo

Telp / HP : _________________________________________________________________
081216650165

Catatan khusus (Persyaratan tambahan dari pihak perusahaan):

*) Coret yang tidak perlu

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

BAA - (19-07-2019) - Kehadiran Kerja Praktek v2 F-028 .doc

 Institut Sains dan Teknologi Terpadu Surabaya
Jalan Ngagel Jaya Tengah 73 – 77, Surabaya 60284 , Indonesia
Telp. (031) 5027920 Fax. (031) 5041509

LAMPIRAN KEHADIRAN KERJA PRAKTEK

Semester Gasal / Genap *) Tahun Ajaran _____
2023 / _____
2024

Tanggal Laporan kerja yang Tanda tangan dan

No Catatan petugas
Pukul dihasilkan stempel petugas
1
08/09/2023

10.15

2
23/09/2023

10.15

3
13/10/2023

13.10

4
18/10/2023

13.02

5
15/11/2023

10.00

Catatan Dosen Pembimbing: Tanda Tangan Dosen

Pembimbing

(__________________)
*) Coret yang tidak perlu

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

BAA - (19-07-2019) - Kehadiran Kerja Praktek v2 F-028 .doc