FORM UJIAN PROPOSAL

Yang bertandatangan di bawah ini, saya :

Nama :............................................................................
NIM : ...........................................................................
Prodi :............................................................................

Mengajukan ujian proposal skripsi dengan judul :

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

Usulan dosen pembimbing skripsi :

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

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

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

Demikian permohonan ini disampaikan. Atas perhatiannya diucapkan terima kasih.

Bogor,.............................
Mahasiswa/i Dosen Pembimbing Ketua Program Studi,
Akademik,

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