You are on page 1of 1

Universitas Padjadjaran

ASSIGNMENT COVER SHEET


& STATEMENT OF ORIGINALITY
Please complete and attach this sheet to the front of your assignment
STUDENT ID AND NAME : 120110130069 / Tiya Suherti
STUDENT ID AND NAME : 120110130071 / Yiska Lintia
STUDENT ID AND NAME : 120110130072 / Alexandra Disy
STUDENT ID AND NAME : 120110130078 / Nurcahya Pujilestari
STUDENT ID AND NAME : 120110130080 / Indi Ghassani
(Please add more)
SUBJECT NO
SUBJECT NAME
DUE DATE
SEMINAR DAY AND TIME

:
:
:
:
:

We certify that:
1.
2.
3.
4.

This submission is our own work


This submission is based on our own research
All sources used by us have been documented
This piece of work has not previously been submitted for assessment in this
or any other subject

Signature: Date:

Signature: Date:

Signature: Date:

Signature: Date:

Signature: Date:

Signature: Date:

: Date:

(More..)
Note:

You might also like