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KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN UNIVERSITAS SRIWIJAYA FAKULTAS TEKNIK JURUSAN TEKNIK ELEKTRO

Jl. Raya Prabumulih KM 32 Inderalaya OI (30662) Telp. (0711)580283

FORMULIR BIMBINGAN TUGAS AKHIR MAHASISWA TEKNIK ELEKTRO

I. 1 2 3 4 5 6 7 8 9 10 11 12 13

DATA PRIBADI Nama Nim Jenis Kelamin Alamat Telepon Anak Ke- dari Nama Orang Tua Pekerjaan Alamat Tinggi Badan Berat Badan Berkacamata Merokok

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