STA05 Buku Standar Penilaian Pembelajaran_121217 STA05 Buku Standar Penilaian Pembelajaran_121217 | Seite 55

UNIVERSITAS PELITA HARAPAN No. Dok. : FOR01/PRO05/STA05/SPMI-UPH
SISTEM PENJAMINAN MUTU INTERNAL Revisi
FORM PEMBUATAN SURAT PERMOHONAN
KERJA PRAKTEK
: 01
Tanggal : 22 Agustus 2016
Halaman : 1 dari 1
FAKULTAS : ..………………………………………. – UPH
Data Peserta Kerja Praktek
Nama : .................................................................................................................................
Alamat : ................................................................................................................................
NPM : .................................................................................................................................
Telepon : .................................................................................................................................
Jurusan : ................................................................................................................................
Data Perusahaan
Nama PT : .................................................................................................................................
Alamat : .................................................................................................................................
..................................................................................................................................
Telepon/Fax : .................................................................................................................................
Contact Person : .................................................... Jabatan : ............................................................
Topik : ................................................................................................................................
Karawaci, ……………………….
(……………………………………)
True Knowledge, Faith in Christ, Godly Character