STA05 Buku Standar Penilaian Pembelajaran_121217 STA05 Buku Standar Penilaian Pembelajaran_121217 | Page 66
UNIVERSITAS PELITA HARAPAN No. Dok. : FOR0 /PRO0 /STA05/SPMI-UPH
SISTEM PENJAMINAN MUTU INTERNAL Revisi
FORM PERMOHONAN SIDANG UNIVERSITAS
PELITA HARAPAN
: 02
Tanggal : 22 Agustus 2016
Halaman : 1 dari 1
Pendaftaran Ujian Sidang Tugas Akhir
Nama Mahasiswa : .........................................................................................................................
NPM : .........................................................................................................................
Jurusan : .........................................................................................................................
Fakultas : .........................................................................................................................
Dosen Pembimbing : .........................................................................................................................
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Dosen Co-Pembimbing : .........................................................................................................................
Judul Tugas Akhir : .........................................................................................................................
Hari/Tanggal Ujian *) : .........................................................................................................................
Waktu *) : ...........................................................WIB
Karawaci, …………………..
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Nama mahasiswa
Keterangan :
*) diisi oleh petugas
True Knowledge, Faith in Christ, Godly Character